{"reporting_entity_name":"Molina-Healthcare-of-Florida","reporting_entity_type":"health insurance issuer","last_updated_on":"2026-08-07","version":"2.0.0","provider_references":[{"provider_group_id":215688,"network_name":["IN NETWORK"],"provider_groups":[{"npi":[1285861708,1588867188],"tin":{"type":"ein","value":"562290370","business_name":"BAPTIST OUTPATIENT SERVICES INC"}}]}],"in_network":[{"negotiation_arrangement":"ffs","name":"0 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3320F","description":"0 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"0 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3320F","description":"0 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82652","description":"1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"1 CT SCAN/NO CT SCAN PARNSL SS ORD 90 D AFTR DOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9354","description":"1 CT SCAN/NO CT SCAN PARNSL SS ORD 90 D AFTR DOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 CT SCAN/NO CT SCAN PARNSL SS ORD 90 D AFTR DOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9354","description":"1 CT SCAN/NO CT SCAN PARNSL SS ORD 90 D AFTR DOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3319F","description":"1 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3319F","description":"1 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"12-LEAD ECG PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3120F","description":"12-LEAD ECG PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"12-LEAD ECG PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3120F","description":"12-LEAD ECG PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"17-HYDROXYPREGNENOLONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84143","description":"17-HYDROXYPREGNENOLONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99461","description":"1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99461","description":"1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99460","description":"1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99460","description":"1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSP/BIRTHING CENTER NB ADMIT and DSCHG SM DAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99463","description":"1ST HOSP/BIRTHING CENTER NB ADMIT and DSCHG SM DAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSP/BIRTHING CENTER NB ADMIT and DSCHG SM DAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99463","description":"1ST HOSP/BIRTHING CENTER NB ADMIT and DSCHG SM DAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99223","description":"1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99223","description":"1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99222","description":"1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99222","description":"1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99221","description":"1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99221","description":"1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99468","description":"1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99468","description":"1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST SET-UP and PRGRMG PHYS/QHP OF WEARABLE CVDFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93745","description":"1ST SET-UP and PRGRMG PHYS/QHP OF WEARABLE CVDFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST SET-UP and PRGRMG PHYS/QHP OF WEARABLE CVDFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93745","description":"1ST SET-UP and PRGRMG PHYS/QHP OF WEARABLE CVDFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"2 PLUS ANTI-HYPERTENSIVE AGENTS RXD OR TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4145F","description":"2 PLUS ANTI-HYPERTENSIVE AGENTS RXD OR TAKEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 PLUS ANTI-HYPERTENSIVE AGENTS RXD OR TAKEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4145F","description":"2 PLUS ANTI-HYPERTENSIVE AGENTS RXD OR TAKEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"25 HYDROXY INCLUDES FRACTIONS IF PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82306","description":"25 HYDROXY INCLUDES FRACTIONS IF PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"2VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90650","description":"2VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"2VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90650","description":"2VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77295","description":"3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77295","description":"3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"3D RENDERING W/INTERP and POSTPROCESS SUPERVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76376","description":"3D RENDERING W/INTERP and POSTPROCESS SUPERVISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"3D RENDERING W/INTERP and POSTPROCESS SUPERVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76376","description":"3D RENDERING W/INTERP and POSTPROCESS SUPERVISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"3D RENDERING W/INTERP and POSTPROC DIFF WORK STATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76377","description":"3D RENDERING W/INTERP and POSTPROC DIFF WORK STATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"3D RENDERING W/INTERP and POSTPROC DIFF WORK STATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76377","description":"3D RENDERING W/INTERP and POSTPROC DIFF WORK STATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"3D-CRT OR INTENSITY MODUL RAD THXPY RECVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4165F","description":"3D-CRT OR INTENSITY MODUL RAD THXPY RECVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D-CRT OR INTENSITY MODUL RAD THXPY RECVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4165F","description":"3D-CRT OR INTENSITY MODUL RAD THXPY RECVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90649","description":"4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90649","description":"4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT DEXTROSE/NORMAL SALINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7042","description":"5 PCT DEXTROSE/NORMAL SALINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT DEXTROSE/NORMAL SALINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7042","description":"5 PCT DEXTROSE/NORMAL SALINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT DEXTROSE/WATER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7060","description":"5 PCT DEXTROSE/WATER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT DEXTROSE/WATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7060","description":"5 PCT DEXTROSE/WATER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2024F","description":"7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2024F","description":"7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"7 STANDARD FLD RETINAL PHOTO W/O EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2025F","description":"7 STANDARD FLD RETINAL PHOTO W/O EVC RTNOPTHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"7 STANDARD FLD RETINAL PHOTO W/O EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2025F","description":"7 STANDARD FLD RETINAL PHOTO W/O EVC RTNOPTHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"9VHPV VACC 2/3 DOSE SCHED IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90651","description":"9VHPV VACC 2/3 DOSE SCHED IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"9VHPV VACC 2/3 DOSE SCHED IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90651","description":"9VHPV VACC 2/3 DOSE SCHED IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"A FINDING OF AN INCIDENTAL PULMONARY NODULE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9754","description":"A FINDING OF AN INCIDENTAL PULMONARY NODULE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A FINDING OF AN INCIDENTAL PULMONARY NODULE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9754","description":"A FINDING OF AN INCIDENTAL PULMONARY NODULE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A TRANSFER OF CARE PROT/HANDOFF TOOL/CHECKLIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9658","description":"A TRANSFER OF CARE PROT/HANDOFF TOOL/CHECKLIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A TRANSFER OF CARE PROT/HANDOFF TOOL/CHECKLIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9658","description":"A TRANSFER OF CARE PROT/HANDOFF TOOL/CHECKLIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A TRANSFER OF CARE PROTOCOL/H/O TOOL/CHECKLIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9655","description":"A TRANSFER OF CARE PROTOCOL/H/O TOOL/CHECKLIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A TRANSFER OF CARE PROTOCOL/H/O TOOL/CHECKLIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9655","description":"A TRANSFER OF CARE PROTOCOL/H/O TOOL/CHECKLIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33782","description":"A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33782","description":"A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33783","description":"A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33783","description":"A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AA 5.5 - 5.9 CM MAX DIA CL FRMT CT/MIN DIA AX CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9598","description":"AA 5.5 - 5.9 CM MAX DIA CL FRMT CT/MIN DIA AX CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AA 5.5 - 5.9 CM MAX DIA CL FRMT CT/MIN DIA AX CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9598","description":"AA 5.5 - 5.9 CM MAX DIA CL FRMT CT/MIN DIA AX CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AA 6.0 CM OR GT MAX DIA CL FRMT CT/MIN DIA AX FRMT CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9599","description":"AA 6.0 CM OR GT MAX DIA CL FRMT CT/MIN DIA AX FRMT CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AA 6.0 CM OR GT MAX DIA CL FRMT CT/MIN DIA AX FRMT CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9599","description":"AA 6.0 CM OR GT MAX DIA CL FRMT CT/MIN DIA AX FRMT CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38747","description":"ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38747","description":"ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49083","description":"ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49083","description":"ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49082","description":"ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49082","description":"ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51845","description":"ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51845","description":"ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33251","description":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33251","description":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33250","description":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33250","description":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20982","description":"ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20982","description":"ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50593","description":"ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50593","description":"ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1 OR GT LVR TUM PRQ RF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47382","description":"ABLTJ 1 OR GT LVR TUM PRQ RF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1 OR GT LVR TUM PRQ RF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47382","description":"ABLTJ 1 OR GT LVR TUM PRQ RF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1 OR GT RENAL TUMOR PRQ UNI RADIOFREQUENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50592","description":"ABLTJ 1 OR GT RENAL TUMOR PRQ UNI RADIOFREQUENCY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1 OR GT RENAL TUMOR PRQ UNI RADIOFREQUENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50592","description":"ABLTJ 1 OR GT RENAL TUMOR PRQ UNI RADIOFREQUENCY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ CRYOSURGICAL W/US GID EA FIBROADENOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19105","description":"ABLTJ CRYOSURGICAL W/US GID EA FIBROADENOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ CRYOSURGICAL W/US GID EA FIBROADENOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19105","description":"ABLTJ CRYOSURGICAL W/US GID EA FIBROADENOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ OPN 1 OR GT LVR TUM CRYOSURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47381","description":"ABLTJ OPN 1 OR GT LVR TUM CRYOSURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ OPN 1 OR GT LVR TUM CRYOSURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47381","description":"ABLTJ OPN 1 OR GT LVR TUM CRYOSURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ OPN 1 OR GT LVR TUM RF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47380","description":"ABLTJ OPN 1 OR GT LVR TUM RF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ OPN 1 OR GT LVR TUM RF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47380","description":"ABLTJ OPN 1 OR GT LVR TUM RF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30802","description":"ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30802","description":"ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30801","description":"ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30801","description":"ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3293F","description":"ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3293F","description":"ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6955","description":"ABOVE ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE ELBOW OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6950","description":"ABOVE ELBOW OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE MOLD SOCKT 1 AXIS CONSTANT FRICTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5200","description":"ABOVE KNEE MOLD SOCKT 1 AXIS CONSTANT FRICTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE OPEN END SACH FT ENDO SYS 1 AXIS KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5321","description":"ABOVE KNEE OPEN END SACH FT ENDO SYS 1 AXIS KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE PROXIMAL FEM FOCAL DEFIC SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5230","description":"ABOVE KNEE PROXIMAL FEM FOCAL DEFIC SACH FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE SHORT PROSTH W/ARTIC ANK/FOOT DYN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5220","description":"ABOVE KNEE SHORT PROSTH W/ARTIC ANK/FOOT DYN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE SHRT PROSTH NO KNEE JNT NO ANK JNT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5210","description":"ABOVE KNEE SHRT PROSTH NO KNEE JNT NO ANK JNT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABRASION 1 LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15786","description":"ABRASION 1 LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABRASION 1 LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15786","description":"ABRASION 1 LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABRASION EACH ADDITIONAL 4 LESIONS OR LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15787","description":"ABRASION EACH ADDITIONAL 4 LESIONS OR LESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABRASION EACH ADDITIONAL 4 LESIONS OR LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15787","description":"ABRASION EACH ADDITIONAL 4 LESIONS OR LESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABSENCE SIGNS MELANOMA/ABSENCE SYMPTOMS MELANOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8749","description":"ABSENCE SIGNS MELANOMA/ABSENCE SYMPTOMS MELANOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABSENCE SIGNS MELANOMA/ABSENCE SYMPTOMS MELANOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8749","description":"ABSENCE SIGNS MELANOMA/ABSENCE SYMPTOMS MELANOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABVE ELB MOLD DBL WALL SCKT INTRL LCK ELB FORARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6250","description":"ABVE ELB MOLD DBL WALL SCKT INTRL LCK ELB FORARM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABVE ELB MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6500","description":"ABVE ELB MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ABX REG PRSC W/I 10 DA AFTR ONSET SX DOC MED RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9505","description":"ABX REG PRSC W/I 10 DA AFTR ONSET SX DOC MED RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABX REG PRSC W/I 10 DA AFTR ONSET SX DOC MED RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9505","description":"ABX REG PRSC W/I 10 DA AFTR ONSET SX DOC MED RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABX REGIMEN NOT PRSCR W/I 10 DA AFTR ONSET SX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9287","description":"ABX REGIMEN NOT PRSCR W/I 10 DA AFTR ONSET SX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABX REGIMEN NOT PRSCR W/I 10 DA AFTR ONSET SX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9287","description":"ABX REGIMEN NOT PRSCR W/I 10 DA AFTR ONSET SX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABX REGIMEN PRSC W/I 10 DA AFTER ONSET SX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9286","description":"ABX REGIMEN PRSC W/I 10 DA AFTER ONSET SX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABX REGIMEN PRSC W/I 10 DA AFTER ONSET SX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9286","description":"ABX REGIMEN PRSC W/I 10 DA AFTER ONSET SX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESS SPEECH GENERATING DEVICE MOUNTING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2512","description":"ACCESS SPEECH GENERATING DEVICE MOUNTING SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIB/ARB/ARNI TH WAS NOT PRSC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2096","description":"ACE INHIB/ARB/ARNI TH WAS NOT PRSC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIB/ARB/ARNI TH WAS NOT PRSC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2096","description":"ACE INHIB/ARB/ARNI TH WAS NOT PRSC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8473","description":"ACE INHIBITOR/ARB THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8473","description":"ACE INHIBITOR/ARB THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB THERAPY RXD/CURRENTLY TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4010F","description":"ACE INHIBITOR/ARB THERAPY RXD/CURRENTLY TAKEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB THERAPY RXD/CURRENTLY TAKEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4010F","description":"ACE INHIBITOR/ARB THERAPY RXD/CURRENTLY TAKEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB TX NOT PRESCRIBED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8475","description":"ACE INHIBITOR/ARB TX NOT PRESCRIBED RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB TX NOT PRESCRIBED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8475","description":"ACE INHIBITOR/ARB TX NOT PRESCRIBED RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB TX NOT PRSC RSNS DOC BY CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8474","description":"ACE INHIBITOR/ARB TX NOT PRSC RSNS DOC BY CLIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB TX NOT PRSC RSNS DOC BY CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8474","description":"ACE INHIBITOR/ARB TX NOT PRSC RSNS DOC BY CLIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE/ARB MEDICATION THERAPY 6 MONTHS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4210F","description":"ACE/ARB MEDICATION THERAPY 6 MONTHS OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE/ARB MEDICATION THERAPY 6 MONTHS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4210F","description":"ACE/ARB MEDICATION THERAPY 6 MONTHS OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETABULOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27120","description":"ACETABULOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACETABULOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27120","description":"ACETABULOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACETABULOPLASTY RESECTION FEMORAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27122","description":"ACETABULOPLASTY RESECTION FEMORAL HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACETABULOPLASTY RESECTION FEMORAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27122","description":"ACETABULOPLASTY RESECTION FEMORAL HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCYSTEINE INHAL SOL COMP PROD UNIT DOSE P G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7604","description":"ACETYLCYSTEINE INHAL SOL COMP PROD UNIT DOSE P G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCYSTEINE INHAL SOL COMP PROD UNIT DOSE P G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7604","description":"ACETYLCYSTEINE INHAL SOL COMP PROD UNIT DOSE P G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCYSTEINE INHAL SOL NONCOMP UNIT DOSE PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7608","description":"ACETYLCYSTEINE INHAL SOL NONCOMP UNIT DOSE PER G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCYSTEINE INHAL SOL NONCOMP UNIT DOSE PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7608","description":"ACETYLCYSTEINE INHAL SOL NONCOMP UNIT DOSE PER G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACNE SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10040","description":"ACNE SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92570","description":"ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92570","description":"ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACOUSTIC REFLEX THRESHOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92568","description":"ACOUSTIC REFLEX THRESHOLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACOUSTIC REFLEX THRESHOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92568","description":"ACOUSTIC REFLEX THRESHOLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACROMIOPLASTY/ACROMIONECTOMY PRTL Plus -LIGAMENT RLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23130","description":"ACROMIOPLASTY/ACROMIONECTOMY PRTL Plus -LIGAMENT RLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACROMIOPLASTY/ACROMIONECTOMY PRTL Plus -LIGAMENT RLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23130","description":"ACROMIOPLASTY/ACROMIONECTOMY PRTL Plus -LIGAMENT RLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACTH STIMJ PANEL 3 BETA-HYDROXYDEHYD DEFNCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80406","description":"ACTH STIMJ PANEL 3 BETA-HYDROXYDEHYD DEFNCY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACTH STIMULATION PANEL 21 HYDROXYLASE DEFICIENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80402","description":"ACTH STIMULATION PANEL 21 HYDROXYLASE DEFICIENCY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACTH STIMULATION PANEL ADRENAL INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80400","description":"ACTH STIMULATION PANEL ADRENAL INSUFFICIENCY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACTIGRAPHY TESTING RECORDING ANALYSIS I AND R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95803","description":"ACTIGRAPHY TESTING RECORDING ANALYSIS I AND R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACTIGRAPHY TESTING RECORDING ANALYSIS I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95803","description":"ACTIGRAPHY TESTING RECORDING ANALYSIS I AND R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACTINOTHERAPY ULTRAVIOLET LIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96900","description":"ACTINOTHERAPY ULTRAVIOLET LIGHT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACTINOTHERAPY ULTRAVIOLET LIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96900","description":"ACTINOTHERAPY ULTRAVIOLET LIGHT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACTIVATED PROTEIN C APC RESISTANCE ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85307","description":"ACTIVATED PROTEIN C APC RESISTANCE ASSAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACTV TX REL CARE AND TX PTS DISABL MENTL HLTH-SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0176","description":"ACTV TX REL CARE AND TX PTS DISABL MENTL HLTH-SESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACTV TX REL CARE AND TX PTS DISABL MENTL HLTH-SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0176","description":"ACTV TX REL CARE AND TX PTS DISABL MENTL HLTH-SESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACTV WRMNG INTRAOP FOR NORMOTHERMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4250F","description":"ACTV WRMNG INTRAOP FOR NORMOTHERMIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTV WRMNG INTRAOP FOR NORMOTHERMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4250F","description":"ACTV WRMNG INTRAOP FOR NORMOTHERMIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78278","description":"ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78278","description":"ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE HEPATITIS PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80074","description":"ACUTE HEPATITIS PANEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4130F","description":"ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4130F","description":"ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78456","description":"ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78456","description":"ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACYLCARNITINES QUALITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82016","description":"ACYLCARNITINES QUALITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ACYLCARNITINES QUANTIATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82017","description":"ACYLCARNITINES QUANTIATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIO ORTHO OUTRIG BIL-VERTICL EXT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1085","description":"ADD CTLSO/SCOLIO ORTHO OUTRIG BIL-VERTICL EXT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOS ORTHOS KYPHOS PAD FLOATING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1025","description":"ADD CTLSO/SCOLIOS ORTHOS KYPHOS PAD FLOATING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOS ORTHOS RING FLNGE PLSTC/LEATHR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1100","description":"ADD CTLSO/SCOLIOS ORTHOS RING FLNGE PLSTC/LEATHR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOS RING FLNGE MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1110","description":"ADD CTLSO/SCOLIOS RING FLNGE MOLD PT MDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMB/LUMB RIB PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1040","description":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMB/LUMB RIB PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMBAR BOLSTER PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1030","description":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMBAR BOLSTER PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOSIS ORTHOSIS TRAPEZIUS SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1070","description":"ADD CTLSO/SCOLIOSIS ORTHOSIS TRAPEZIUS SLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO HIP DISRTC FLXIBL PROTVE OUTR SURF COVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5966","description":"ADD ENDO HIP DISRTC FLXIBL PROTVE OUTR SURF COVR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO KNEE-SHIN 4-BAR LINK/MX-AXIAL PNEUMAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5840","description":"ADD ENDO KNEE-SHIN 4-BAR LINK/MX-AXIAL PNEUMAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO KNEE-SHIN FL SWING AND STANCE PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5828","description":"ADD ENDO KNEE-SHIN FL SWING AND STANCE PHASE CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO KNEE-SHIN HYDRAUL SWNG MIN HI ACTV FRME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5826","description":"ADD ENDO KNEE-SHIN HYDRAUL SWNG MIN HI ACTV FRME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO SYS POLYCNTRC HIP JOINT ROTATION CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5961","description":"ADD ENDO SYS POLYCNTRC HIP JOINT ROTATION CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL AK FLEXIBLE PROTVE OUTR SURF COVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5964","description":"ADD ENDOSKEL AK FLEXIBLE PROTVE OUTR SURF COVER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL AK-DISARTIC/HIP DISARTIC MNL LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5925","description":"ADD ENDOSKEL AK-DISARTIC/HIP DISARTIC MNL LOCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL BK FLXIBLE PROTVE OUTR SURF COVRING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5962","description":"ADD ENDOSKEL BK FLXIBLE PROTVE OUTR SURF COVRING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5824","description":"ADD ENDOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5812","description":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5818","description":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN HYDRAULIC SWING MECH LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5814","description":"ADD ENDOSKEL KNEE-SHIN HYDRAULIC SWING MECH LOCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN MECH STANCE PHASE LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5816","description":"ADD ENDOSKEL KNEE-SHIN MECH STANCE PHASE LOCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN MNL LOCK ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5811","description":"ADD ENDOSKEL KNEE-SHIN MNL LOCK ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5822","description":"ADD ENDOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN PNEUMAT/SWING PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5830","description":"ADD ENDOSKEL KNEE-SHIN PNEUMAT/SWING PHASE CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN STANCE FLX FEATUR ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5845","description":"ADD ENDOSKEL KNEE-SHIN STANCE FLX FEATUR ADJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN SYS FLUID STANCE EXTENSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5848","description":"ADD ENDOSKEL KNEE-SHIN SYS FLUID STANCE EXTENSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5810","description":"ADD ENDOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYS AK/HIP DISARTIC ALIGNABLE SYSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5920","description":"ADD ENDOSKEL SYS AK/HIP DISARTIC ALIGNABLE SYSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYS AK/HIP DISARTIC KNEE EXT ASST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5850","description":"ADD ENDOSKEL SYS AK/HIP DISARTIC KNEE EXT ASST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYS HIP DISARTIC MECH HIP EXT ASST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5855","description":"ADD ENDOSKEL SYS HIP DISARTIC MECH HIP EXT ASST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM ABVE KNEE AK ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5950","description":"ADD ENDOSKEL SYSTEM ABVE KNEE AK ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM BELOW KNEE ALIGNABLE SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5910","description":"ADD ENDOSKEL SYSTEM BELOW KNEE ALIGNABLE SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM BELOW KNEE ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5940","description":"ADD ENDOSKEL SYSTEM BELOW KNEE ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM HIGH ACTV KNEE CONTROL FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5930","description":"ADD ENDOSKEL SYSTEM HIGH ACTV KNEE CONTROL FRAME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5960","description":"ADD ENDOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN 1 AXIS FRICT SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5712","description":"ADD EXOSKEL KNEE-SHIN 1 AXIS FRICT SWING CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN 1 AXIS MNL LOCK ULTRA-LGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5711","description":"ADD EXOSKEL KNEE-SHIN 1 AXIS MNL LOCK ULTRA-LGHT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN EXT JOINT FL SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5726","description":"ADD EXOSKEL KNEE-SHIN EXT JOINT FL SWING CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN FLUID SWING AND STANCE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5728","description":"ADD EXOSKEL KNEE-SHIN FLUID SWING AND STANCE CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5724","description":"ADD EXOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5722","description":"ADD EXOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN POLYCNTRC MECH STANCE LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5716","description":"ADD EXOSKEL KNEE-SHIN POLYCNTRC MECH STANCE LOCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5710","description":"ADD EXOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN VARIBL FRICT SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5714","description":"ADD EXOSKEL KNEE-SHIN VARIBL FRICT SWING CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL SYSTEM ABVE KNEE ULTRA-LGHT MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5790","description":"ADD EXOSKEL SYSTEM ABVE KNEE ULTRA-LGHT MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL SYSTEM BELW KNEE ULTRA-LGHT MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5785","description":"ADD EXOSKEL SYSTEM BELW KNEE ULTRA-LGHT MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5795","description":"ADD EXOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKL KNEE-SHIN PNEUMAT/HYDRA PNEUMAT CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5780","description":"ADD EXOSKL KNEE-SHIN PNEUMAT/HYDRA PNEUMAT CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKL KNEE-SHIN POLYCNTRC FRICT SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5718","description":"ADD EXOSKL KNEE-SHIN POLYCNTRC FRICT SWING CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD HALO PROC MRI COMPAT SYS RINGS AND PINS ANY MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0859","description":"ADD HALO PROC MRI COMPAT SYS RINGS AND PINS ANY MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD HALO PROC REPLCMT LINER/INTERFCE MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0861","description":"ADD HALO PROC REPLCMT LINER/INTERFCE MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD JNT UPPER EXTREM ORTHOSIS ANY MATERIAL; JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3956","description":"ADD JNT UPPER EXTREM ORTHOSIS ANY MATERIAL; JNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD KNEE JNT DISC/DIAL LOCK ADJ KNEE FLX EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2425","description":"ADD KNEE JNT DISC/DIAL LOCK ADJ KNEE FLX EA JNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD KNEE JNT RATCHET LOCK KNEE EXT EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2430","description":"ADD KNEE JNT RATCHET LOCK KNEE EXT EA JNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD KNEE LOCK W/INTEGRATED RLSE MECH MATL EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2415","description":"ADD KNEE LOCK W/INTEGRATED RLSE MECH MATL EA JNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ABOVE KNEE AIR FL GEL/ Equal to CUSHN SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5648","description":"ADD LOW EXT ABOVE KNEE AIR FL GEL/ Equal to CUSHN SOCKET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ABVE KNEE/KNEE DISARTIC ACRYLC SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5631","description":"ADD LOW EXT ABVE KNEE/KNEE DISARTIC ACRYLC SOCKT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT BELOW KNEE AIR FL GEL/ Equal to CUSHN SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5646","description":"ADD LOW EXT BELOW KNEE AIR FL GEL/ Equal to CUSHN SOCKT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT EXOSKEL SYS AK-DISARTC 4-BAR PNEUMAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5614","description":"ADD LOW EXT EXOSKEL SYS AK-DISARTC 4-BAR PNEUMAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT LACER MOLD PT MDL CSTM ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2330","description":"ADD LOW EXT LACER MOLD PT MDL CSTM ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT NONMOLD LACER CSTM FAB ORTHOS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2320","description":"ADD LOW EXT NONMOLD LACER CSTM FAB ORTHOS ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ORTHOS KNEE CNTRL KNEE CAP CSTM ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2800","description":"ADD LOW EXT ORTHOS KNEE CNTRL KNEE CAP CSTM ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ORTHOS ROCKR BOTTOM TOT CNTC CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2232","description":"ADD LOW EXT ORTHOS ROCKR BOTTOM TOT CNTC CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ORTHOSIS HYBRID COMPOS PER SEG CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2755","description":"ADD LOW EXT ORTHOSIS HYBRID COMPOS PER SEG CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ORTHOSIS REMV SOFT INTERFACE REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0672","description":"ADD LOW EXT ORTHOSIS REMV SOFT INTERFACE REPL EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS BELW KNEE SUSP/SEAL SLEEVE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5685","description":"ADD LOW EXT PROS BELW KNEE SUSP/SEAL SLEEVE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS KN-SHIN PROG FLX/EXT ANY MOTOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5859","description":"ADD LOW EXT PROS KN-SHIN PROG FLX/EXT ANY MOTOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS KNEE-SHIN SYS SWING AND STANCE PHSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5856","description":"ADD LOW EXT PROS KNEE-SHIN SYS SWING AND STANCE PHSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS KNEE-SHIN SYS SWING PHASE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5857","description":"ADD LOW EXT PROS KNEE-SHIN SYS SWING PHASE ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT TOTAL CONTACT ABVE KNEE/KNEE DISARTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5650","description":"ADD LOW EXT TOTAL CONTACT ABVE KNEE/KNEE DISARTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABOVE KNEE/KNEE DISARTIC PELV JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5696","description":"ADD LOW EXTREM ABOVE KNEE/KNEE DISARTIC PELV JNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABVE KNEE PELV CNTRL BELT PADD AND LN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5694","description":"ADD LOW EXTREM ABVE KNEE PELV CNTRL BELT PADD AND LN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABVE KNEE PELV CONTROL BELT LIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5692","description":"ADD LOW EXTREM ABVE KNEE PELV CONTROL BELT LIGHT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABVE KNEE/KNEE DISARTIC PELV BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5697","description":"ADD LOW EXTREM ABVE KNEE/KNEE DISARTIC PELV BAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELOW KNEE MOLD SUPRACONDYLR SUSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5670","description":"ADD LOW EXTREM BELOW KNEE MOLD SUPRACONDYLR SUSP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELOW KNEE THIGH LACER NONMOLDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5680","description":"ADD LOW EXTREM BELOW KNEE THIGH LACER NONMOLDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELOW KNEE WAIST BELT PADD AND LINED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5690","description":"ADD LOW EXTREM BELOW KNEE WAIST BELT PADD AND LINED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELW KNEE KNEE JNT POLYCNTRC PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5677","description":"ADD LOW EXTREM BELW KNEE KNEE JNT POLYCNTRC PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FRACTURE ORTHOSIS QUADRILAT BRIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2188","description":"ADD LOW EXTREM FRACTURE ORTHOSIS QUADRILAT BRIM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FT PLATE MOLD PT MDL STIRUP ATTCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2250","description":"ADD LOW EXTREM FT PLATE MOLD PT MDL STIRUP ATTCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FX ORTHOSIS DROP LOCK KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2182","description":"ADD LOW EXTREM FX ORTHOSIS DROP LOCK KNEE JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FX ORTHOSIS LTD MOTION KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2184","description":"ADD LOW EXTREM FX ORTHOSIS LTD MOTION KNEE JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM KNEE DISARTIC XPNDABLE WALL SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5653","description":"ADD LOW EXTREM KNEE DISARTIC XPNDABLE WALL SOCKT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM OFFSET KNEE JNT HEVY DUTY EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2395","description":"ADD LOW EXTREM OFFSET KNEE JNT HEVY DUTY EA JNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOS FEM LENGTH SOCK FX/EQUL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2850","description":"ADD LOW EXTREM ORTHOS FEM LENGTH SOCK FX/EQUL EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS KNEE CNTRL FULL KNEECAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2795","description":"ADD LOW EXTREM ORTHOSIS KNEE CNTRL FULL KNEECAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS KNEE CONTROL CONDYLR PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2810","description":"ADD LOW EXTREM ORTHOSIS KNEE CONTROL CONDYLR PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS NONCORROSIVE FINISH BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2780","description":"ADD LOW EXTREM ORTHOSIS NONCORROSIVE FINISH BAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS PLATING CHROME/NICKL-BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2750","description":"ADD LOW EXTREM ORTHOSIS PLATING CHROME/NICKL-BAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS TIB LENGTH SOCK FX/ Equal to EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2840","description":"ADD LOW EXTREM ORTHOSIS TIB LENGTH SOCK FX/ Equal to EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PELV AND THOR CONTROL GLUTEAL PAD EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2650","description":"ADD LOW EXTREM PELV AND THOR CONTROL GLUTEAL PAD EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PELV CNTRL HIP JOINT HEVY-DUTY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2620","description":"ADD LOW EXTREM PELV CNTRL HIP JOINT HEVY-DUTY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PELVIC CONTROL BAND AND BELT UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2630","description":"ADD LOW EXTREM PELVIC CONTROL BAND AND BELT UNI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PRETIBL SHELL MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2340","description":"ADD LOW EXTREM PRETIBL SHELL MOLDED PT MODEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PROSTH USER ADJUSTBLE HEEL HT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5990","description":"ADD LOW EXTREM PROSTH USER ADJUSTBLE HEEL HT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PROSTHETIC TYPE SOCKT MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2350","description":"ADD LOW EXTREM PROSTHETIC TYPE SOCKT MOLD PT MDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ROUND CALIPER AND PLATE ATTACHMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2240","description":"ADD LOW EXTREM ROUND CALIPER AND PLATE ATTACHMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SOCKT INSERT MULTIDUROMETER SYMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5661","description":"ADD LOW EXTREM SOCKT INSERT MULTIDUROMETER SYMES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM STRAIT KNEE JNT HEVY DUTY EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2385","description":"ADD LOW EXTREM STRAIT KNEE JNT HEVY DUTY EA JNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SUCTN SUSP ABV KNEE/KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5652","description":"ADD LOW EXTREM SUCTN SUSP ABV KNEE/KNEE DISARTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SYMES TYPE EXPANDABLE WALL SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5630","description":"ADD LOW EXTREM SYMES TYPE EXPANDABLE WALL SOCKT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SYMES TYPE POST OPENING SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5634","description":"ADD LOW EXTREM SYMES TYPE POST OPENING SOCKT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SYMES TYPE PTB BRIM DESIGN SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5632","description":"ADD LOW EXTREM SYMES TYPE PTB BRIM DESIGN SOCKT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THI/WEIGHT BEAR LACER MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2540","description":"ADD LOW EXTREM THI/WEIGHT BEAR LACER MOLD PT MDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THIGH/WEIGHT BEAR HIGH ROLL CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2550","description":"ADD LOW EXTREM THIGH/WEIGHT BEAR HIGH ROLL CUFF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THIGH/WEIGHT BEAR LACER NONMOLDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2530","description":"ADD LOW EXTREM THIGH/WEIGHT BEAR LACER NONMOLDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THOR CNTRL LAT SUPPORT UPRIGHTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2680","description":"ADD LOW EXTREM THOR CNTRL LAT SUPPORT UPRIGHTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THOR CONTROL PARASPINAL UPRIGHTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2670","description":"ADD LOW EXTREM THOR CONTROL PARASPINAL UPRIGHTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREMITY QUICK CHG SLF-ALIGN U AK/BK EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5617","description":"ADD LOW EXTREMITY QUICK CHG SLF-ALIGN U AK/BK EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM ABOVE KNEE PELV CNTRL SLV NEOPRENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5695","description":"ADD LOW EXTRM ABOVE KNEE PELV CNTRL SLV NEOPRENE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM ENDO AK UNIVERSAL MXPLX SYS FRICT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5616","description":"ADD LOW EXTRM ENDO AK UNIVERSAL MXPLX SYS FRICT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM ENDO AK-DISARTIC 4-BAR W/HYDRAULIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5613","description":"ADD LOW EXTRM ENDO AK-DISARTIC 4-BAR W/HYDRAULIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM PELV CNTRL HIP JNT ADJUSTBL FLX EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2622","description":"ADD LOW EXTRM PELV CNTRL HIP JNT ADJUSTBL FLX EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM SOCKT INSRT MXIDUROMETER BELW KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5665","description":"ADD LOW EXTRM SOCKT INSRT MXIDUROMETER BELW KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRMITY AK/KNEE DISRTC SILESIAN BANDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5698","description":"ADD LOW EXTRMITY AK/KNEE DISRTC SILESIAN BANDGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTREM BELOW KNEE REMV MED BRIM SUSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5672","description":"ADD LOWER EXTREM BELOW KNEE REMV MED BRIM SUSP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTREM BELW KNEE KNEE JNT 1 AXIS PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5676","description":"ADD LOWER EXTREM BELW KNEE KNEE JNT 1 AXIS PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTREMITY BELOW KNEE WAIST BELT WEBBNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5688","description":"ADD LOWER EXTREMITY BELOW KNEE WAIST BELT WEBBNG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTRM BELOW/ABOVE KNEE SUSP LOCK MECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5671","description":"ADD LOWER EXTRM BELOW/ABOVE KNEE SUSP LOCK MECH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ABVE KNEE FLXIBLE INNR SOCKT EXT FRME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5651","description":"ADD LW EXT ABVE KNEE FLXIBLE INNR SOCKT EXT FRME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT BELW KNEE FLXIBLE INNR SOCKT EXT FRME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5645","description":"ADD LW EXT BELW KNEE FLXIBLE INNR SOCKT EXT FRME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT BK/AK CST INS CNG/ATYP TRAUM AMP INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5681","description":"ADD LW EXT BK/AK CST INS CNG/ATYP TRAUM AMP INIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT FX ORTH ADJ MOT KNEE JNT LERMAN TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2186","description":"ADD LW EXT FX ORTH ADJ MOT KNEE JNT LERMAN TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT HIP DISARTIC FLX INNR SOCKT EXT FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5643","description":"ADD LW EXT HIP DISARTIC FLX INNR SOCKT EXT FRAME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ISCHIAL CONTAINMENT/NARROW M-L SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5649","description":"ADD LW EXT ISCHIAL CONTAINMENT/NARROW M-L SOCKET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTH SFT INTERFCE MOLD BELW KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2820","description":"ADD LW EXT ORTH SFT INTERFCE MOLD BELW KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTHOSIS HIP JNT THI FLNGE AND PELV BELT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2192","description":"ADD LW EXT ORTHOSIS HIP JNT THI FLNGE AND PELV BELT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTHOSIS SOFT INTERFCE MOLD ABVE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2830","description":"ADD LW EXT ORTHOSIS SOFT INTERFCE MOLD ABVE KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV HIP JNT CLEVIS TYPE TWO PSTN JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2570","description":"ADD LW EXT PELV HIP JNT CLEVIS TYPE TWO PSTN JNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2600","description":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR FREE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2610","description":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR LOCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV METL FRME RECIP HIP JNT AND CABLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2628","description":"ADD LW EXT PELV METL FRME RECIP HIP JNT AND CABLES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV PLSTC MOLD PT MDL HIP JNT AND CABLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2627","description":"ADD LW EXT PELV PLSTC MOLD PT MDL HIP JNT AND CABLES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT POLYCENTRIC KNEE JNT CSTM KAFO EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2387","description":"ADD LW EXT POLYCENTRIC KNEE JNT CSTM KAFO EA JNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PROS KNEE SHIN SYS STANCE PHASE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5858","description":"ADD LW EXT PROS KNEE SHIN SYS STANCE PHASE ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT TORSION CNTRL ANK JNT AND HALF STIRUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2375","description":"ADD LW EXT TORSION CNTRL ANK JNT AND HALF STIRUP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT TORSION CNTRL STRAIT KNEE JNT EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2380","description":"ADD LW EXT TORSION CNTRL STRAIT KNEE JNT EA JNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT VARUS/VALGUS CORR STRAP PAD/LINE PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2270","description":"ADD LW EXT VARUS/VALGUS CORR STRAP PAD/LINE PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTR BK/AK CST FAB NO CNGN/TRAUM AMP INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5683","description":"ADD LW EXTR BK/AK CST FAB NO CNGN/TRAUM AMP INIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM BELW KNEE THI LACER GLUTL/ISCH MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5682","description":"ADD LW EXTRM BELW KNEE THI LACER GLUTL/ISCH MOLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM DORSIFLX and PLANTR ASST/RSIST EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2220","description":"ADD LW EXTRM DORSIFLX and PLANTR ASST/RSIST EA JNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ENDO AK-DISRTC 4-BAR LINK W/FRICT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5611","description":"ADD LW EXTRM ENDO AK-DISRTC 4-BAR LINK W/FRICT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ENDO SYS ABVE KNEE HYDRACADENCE SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5610","description":"ADD LW EXTRM ENDO SYS ABVE KNEE HYDRACADENCE SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM FX ORTHOS PLSTC SHOE INSRT ANK JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2180","description":"ADD LW EXTRM FX ORTHOS PLSTC SHOE INSRT ANK JNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ISCH M-L BRIM CSTM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2526","description":"ADD LW EXTRM ISCH M-L BRIM CSTM FIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ISCH M-L BRIM MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2525","description":"ADD LW EXTRM ISCH M-L BRIM MOLD PT MDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM PELV HIP JNT ADJ FLX EXT ABDUCT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2624","description":"ADD LW EXTRM PELV HIP JNT ADJ FLX EXT ABDUCT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM SPLIT FLAT CALIPRR STIRRUPS AND PLATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2230","description":"ADD LW EXTRM SPLIT FLAT CALIPRR STIRRUPS AND PLATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM THI/WT BEAR GLUTL/ISCH WT BEAR RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2500","description":"ADD LW EXTRM THI/WT BEAR GLUTL/ISCH WT BEAR RING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM THI/WT BEAR QUADRI-LAT BRIM CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2520","description":"ADD LW EXTRM THI/WT BEAR QUADRI-LAT BRIM CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM THI/WT BEAR QUADRI-LAT BRIM MOLD PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2510","description":"ADD LW EXTRM THI/WT BEAR QUADRI-LAT BRIM MOLD PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM VARUS/VULGUS CORR PLSTC MOD PADD/LN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2275","description":"ADD LW EXTRM VARUS/VULGUS CORR PLSTC MOD PADD/LN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROS RESIDUL LIMB MGMT SYS HEVY DUTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5782","description":"ADD LW LIMB PROS RESIDUL LIMB MGMT SYS HEVY DUTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROS RESIDUL LIMB VOL MGMT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5781","description":"ADD LW LIMB PROS RESIDUL LIMB VOL MGMT SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROSTH MX-AXIAL ANK W/SWING PHASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5968","description":"ADD LW LIMB PROSTH MX-AXIAL ANK W/SWING PHASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROSTH VERTCL SHOCK RDUC PYLN FEATUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5988","description":"ADD LW LIMB PROSTH VERTCL SHOCK RDUC PYLN FEATUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LWR EXT BK/AK CUST FAB NOT FOR USE LKG MECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5679","description":"ADD LWR EXT BK/AK CUST FAB NOT FOR USE LKG MECH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD LWR EXT BK/AK CUSTOM FAB FOR USE W/LKG MECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5673","description":"ADD LWR EXT BK/AK CUSTOM FAB FOR USE W/LKG MECH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/LOCK MECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6694","description":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/LOCK MECH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/O LOCK MECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6695","description":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/O LOCK MECH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS ELB CSTM CNGN/TRAUMAT AMP INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6696","description":"ADD UP EXT PROS ELB CSTM CNGN/TRAUMAT AMP INIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS ELB CSTM NOT CNGN/TRAUM AMP INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6697","description":"ADD UP EXT PROS ELB CSTM NOT CNGN/TRAUM AMP INIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS SD/INTRSCAPULR THOR ULTRALT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7402","description":"ADD UP EXT PROS SD/INTRSCAPULR THOR ULTRALT MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROSTH GLOV TERM DEVC MATL CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6895","description":"ADD UP EXT PROSTH GLOV TERM DEVC MATL CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROSTH GLOV TERM DEVC PRFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6890","description":"ADD UP EXT PROSTH GLOV TERM DEVC PRFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS ABOVE ELB DISART ACRYLIC MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7404","description":"ADD UP EXTREM PROS ABOVE ELB DISART ACRYLIC MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS AE DISART ULTRALIGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7401","description":"ADD UP EXTREM PROS AE DISART ULTRALIGHT MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS BE/WRIST DISART ACRYLIC MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7403","description":"ADD UP EXTREM PROS BE/WRIST DISART ACRYLIC MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS BELOW ELB/WD ULTRALIGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7400","description":"ADD UP EXTREM PROS BELOW ELB/WD ULTRALIGHT MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS SD/INTERSCAP THOR ACRYLC MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7405","description":"ADD UP EXTREM PROS SD/INTERSCAP THOR ACRYLC MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD UPPER EXT PROS EXTERNAL PWR ADDITIONAL SWTCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6611","description":"ADD UPPER EXT PROS EXTERNAL PWR ADDITIONAL SWTCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD UPPER EXTREM ORTHOSIS SOCK FRACTURE/EQUAL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3995","description":"ADD UPPER EXTREM ORTHOSIS SOCK FRACTURE/EQUAL EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDING WALKER PREVIOUSLY APPLIED CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29440","description":"ADDING WALKER PREVIOUSLY APPLIED CAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDING WALKER PREVIOUSLY APPLIED CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29440","description":"ADDING WALKER PREVIOUSLY APPLIED CAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO SCOLIOSIS ORTHOSIS COVER UPRT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1120","description":"ADDITION CTLSO SCOLIOSIS ORTHOSIS COVER UPRT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS AXILLA SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1010","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS AXILLA SLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS KYPHOSIS PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1020","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS KYPHOSIS PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS LUMBAR SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1090","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS LUMBAR SLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS THORACIC PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1060","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS THORACIC PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION ENDOSKELETAL ANKLE-FOOT/ANK PWR ASSIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5969","description":"ADDITION ENDOSKELETAL ANKLE-FOOT/ANK PWR ASSIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM ABDUCT BAR JOINTED ADJUSTBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2300","description":"ADDITION LOW EXTREM ABDUCT BAR JOINTED ADJUSTBLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM BELOW KNEE JOINT COVERS PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5678","description":"ADDITION LOW EXTREM BELOW KNEE JOINT COVERS PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM BELOW KNEE MOLDED DIST CUSHN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5668","description":"ADDITION LOW EXTREM BELOW KNEE MOLDED DIST CUSHN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM FRACTURE ORTHOSIS WAIST BELT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2190","description":"ADDITION LOW EXTREM FRACTURE ORTHOSIS WAIST BELT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM ORTHOSIS DROP LOCK RETAIN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2785","description":"ADDITION LOW EXTREM ORTHOSIS DROP LOCK RETAIN EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM ORTHOSIS EXT PER EXT PER BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2760","description":"ADDITION LOW EXTREM ORTHOSIS EXT PER EXT PER BAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM PELV CONTROL BAND AND BELT BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2640","description":"ADDITION LOW EXTREM PELV CONTROL BAND AND BELT BIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM SYMES TYPE MED OPENING SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5636","description":"ADDITION LOW EXTREM SYMES TYPE MED OPENING SOCKT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM ABOVE KNEE LEATHER SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5642","description":"ADDITION LOWER EXTREM ABOVE KNEE LEATHER SOCKET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE ACRYLIC SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5629","description":"ADDITION LOWER EXTREM BELOW KNEE ACRYLIC SOCKET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE CUFF SUSPENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5666","description":"ADDITION LOWER EXTREM BELOW KNEE CUFF SUSPENSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE LEATHER SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5638","description":"ADDITION LOWER EXTREM BELOW KNEE LEATHER SOCKET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE SUCTION SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5647","description":"ADDITION LOWER EXTREM BELOW KNEE SUCTION SOCKET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM DORSIFLEX ASSIST EA JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2210","description":"ADDITION LOWER EXTREM DORSIFLEX ASSIST EA JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM KNEE DISARTIC LEATHR SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5640","description":"ADDITION LOWER EXTREM KNEE DISARTIC LEATHR SOCKT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM OFFSET KNEE JOINT EA JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2390","description":"ADDITION LOWER EXTREM OFFSET KNEE JOINT EA JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM ORTHOSIS SUSPENSION SLEEVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2397","description":"ADDITION LOWER EXTREM ORTHOSIS SUSPENSION SLEEVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM PELV CONTROL PELV SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2580","description":"ADDITION LOWER EXTREM PELV CONTROL PELV SLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM REINFORCED SOLID STIRRUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2260","description":"ADDITION LOWER EXTREM REINFORCED SOLID STIRRUP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM SOCKET INSERT ABOVE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5658","description":"ADDITION LOWER EXTREM SOCKET INSERT ABOVE KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM SOCKET INSERT BELOW KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5655","description":"ADDITION LOWER EXTREM SOCKET INSERT BELOW KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM SOCKT INSERT KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5656","description":"ADDITION LOWER EXTREM SOCKT INSERT KNEE DISARTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM TEST SOCKET HEMIPELVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5628","description":"ADDITION LOWER EXTREM TEST SOCKET HEMIPELVECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM TEST SOCKET HIP DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5626","description":"ADDITION LOWER EXTREM TEST SOCKET HIP DISARTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM TEST SOCKET KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5622","description":"ADDITION LOWER EXTREM TEST SOCKET KNEE DISARTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM THOR CONTROL THOR BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2660","description":"ADDITION LOWER EXTREM THOR CONTROL THOR BAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY ABDUCTION BAR STRAIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2310","description":"ADDITION LOWER EXTREMITY ABDUCTION BAR STRAIGHT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY ABOVE KNEE WOOD SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5644","description":"ADDITION LOWER EXTREMITY ABOVE KNEE WOOD SOCKET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE BK BACK CHCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5686","description":"ADDITION LOWER EXTREMITY BELOW KNEE BK BACK CHCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE FORK STRAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5684","description":"ADDITION LOWER EXTREMITY BELOW KNEE FORK STRAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE TOTAL CONTCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5637","description":"ADDITION LOWER EXTREMITY BELOW KNEE TOTAL CONTCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE WOOD SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5639","description":"ADDITION LOWER EXTREMITY BELOW KNEE WOOD SOCKET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY LTD ANK MOTION EA JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2200","description":"ADDITION LOWER EXTREMITY LTD ANK MOTION EA JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY TEST SOCKET ABOVE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5624","description":"ADDITION LOWER EXTREMITY TEST SOCKET ABOVE KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY TEST SOCKET BELOW KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5620","description":"ADDITION LOWER EXTREMITY TEST SOCKET BELOW KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TERMINAL DEVICE MODIFIER WRIST UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6805","description":"ADDITION TERMINAL DEVICE MODIFIER WRIST UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TERMINAL DEVICE PRECISION PINCH DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6810","description":"ADDITION TERMINAL DEVICE PRECISION PINCH DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TLSO ANTERIOR THORACIC DEROTATION PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1260","description":"ADDITION TLSO ANTERIOR THORACIC DEROTATION PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS OUTRIGGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1080","description":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS OUTRIGGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS STERNAL PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1050","description":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS STERNAL PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO KNEE JOINT DROP LOCK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2405","description":"ADDITION TO KNEE JOINT DROP LOCK EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO KNEE JOINT LIFT LOOP DROP LOCK RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2492","description":"ADDITION TO KNEE JOINT LIFT LOOP DROP LOCK RING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY ANTERIOR SWING BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2335","description":"ADDITION TO LOWER EXTREMITY ANTERIOR SWING BAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY EXTENDED STEEL SHANK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2360","description":"ADDITION TO LOWER EXTREMITY EXTENDED STEEL SHANK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY LONG TONGUE STIRRUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2265","description":"ADDITION TO LOWER EXTREMITY LONG TONGUE STIRRUP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY MOLDED INNER BOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2280","description":"ADDITION TO LOWER EXTREMITY MOLDED INNER BOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY PATTEN BOTTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2370","description":"ADDITION TO LOWER EXTREMITY PATTEN BOTTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY SOCKET INSERT SYMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5654","description":"ADDITION TO LOWER EXTREMITY SOCKET INSERT SYMES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY TEST SOCKET SYMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5618","description":"ADDITION TO LOWER EXTREMITY TEST SOCKET SYMES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO ANTERIOR THORACIC EXTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1220","description":"ADDITION TO TLSO ANTERIOR THORACIC EXTENSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LATERAL THORACIC EXTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1210","description":"ADDITION TO TLSO LATERAL THORACIC EXTENSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW LATERAL TROCHANTERIC PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1290","description":"ADDITION TO TLSO LOW LATERAL TROCHANTERIC PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW PROFILE ABDOMINAL PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1270","description":"ADDITION TO TLSO LOW PROFILE ABDOMINAL PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW PROFILE ANTERIOR ASIS PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1250","description":"ADDITION TO TLSO LOW PROFILE ANTERIOR ASIS PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW PROFILE RIB GUSSET EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1280","description":"ADDITION TO TLSO LOW PROFILE RIB GUSSET EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LUMBAR DEROTATION PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1240","description":"ADDITION TO TLSO LUMBAR DEROTATION PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO MILWAUKEE TYPE SUPERSTRUCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1230","description":"ADDITION TO TLSO MILWAUKEE TYPE SUPERSTRUCTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDN TO UPR EXT PROS LOCK MECH EXCLUD SKT INSERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6698","description":"ADDN TO UPR EXT PROS LOCK MECH EXCLUD SKT INSERT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY PRIMARY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42830","description":"ADENOIDECTOMY PRIMARY LT AGE 12","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY PRIMARY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42830","description":"ADENOIDECTOMY PRIMARY LT AGE 12","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY PRIMARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42831","description":"ADENOIDECTOMY PRIMARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY PRIMARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42831","description":"ADENOIDECTOMY PRIMARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY SECONDARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42836","description":"ADENOIDECTOMY SECONDARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY SECONDARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42836","description":"ADENOIDECTOMY SECONDARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY SECONDARY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42835","description":"ADENOIDECTOMY SECONDARY LT AGE 12","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY SECONDARY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42835","description":"ADENOIDECTOMY SECONDARY LT AGE 12","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADENOSINE 5-MONOPHOSPHATE CYCLIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82030","description":"ADENOSINE 5-MONOPHOSPHATE CYCLIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADH TX NOT ASSD ANNU THRU OBJ INFO SYS/SR NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8855","description":"ADH TX NOT ASSD ANNU THRU OBJ INFO SYS/SR NO RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADH TX NOT ASSD ANNU THRU OBJ INFO SYS/SR NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8855","description":"ADH TX NOT ASSD ANNU THRU OBJ INFO SYS/SR NO RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHERENCE TX ASSD ANNU THU OBJ INFO SYS/SELF-RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8851","description":"ADHERENCE TX ASSD ANNU THU OBJ INFO SYS/SELF-RPT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHERENCE TX ASSD ANNU THU OBJ INFO SYS/SELF-RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8851","description":"ADHERENCE TX ASSD ANNU THU OBJ INFO SYS/SELF-RPT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHES DISC EXCHG SYS and / W/TRACHEOSTOMA VALV EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7506","description":"ADHES DISC EXCHG SYS and / W/TRACHEOSTOMA VALV EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADHES DISC EXCHG SYS and / W/TRACHEOSTOMA VALV EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7506","description":"ADHES DISC EXCHG SYS and / W/TRACHEOSTOMA VALV EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADHES SKN SUPPORT ATTCH USE W/EXT BRST PROSTH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4280","description":"ADHES SKN SUPPORT ATTCH USE W/EXT BRST PROSTH EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADHES SKN SUPPORT ATTCH USE W/EXT BRST PROSTH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4280","description":"ADHES SKN SUPPORT ATTCH USE W/EXT BRST PROSTH EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE LIQUID OR EQUAL ANY TYPE PER OUNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4364","description":"ADHESIVE LIQUID OR EQUAL ANY TYPE PER OUNCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE LIQUID OR EQUAL ANY TYPE PER OUNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4364","description":"ADHESIVE LIQUID OR EQUAL ANY TYPE PER OUNCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE OR NON-ADHESIVE; DISK OR FOAM PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5126","description":"ADHESIVE OR NON-ADHESIVE; DISK OR FOAM PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE OR NON-ADHESIVE; DISK OR FOAM PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5126","description":"ADHESIVE OR NON-ADHESIVE; DISK OR FOAM PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE REMOVER OR SOLVENT PER OUNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4455","description":"ADHESIVE REMOVER OR SOLVENT PER OUNCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE REMOVER OR SOLVENT PER OUNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4455","description":"ADHESIVE REMOVER OR SOLVENT PER OUNCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE REMOVER WIPES ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4456","description":"ADHESIVE REMOVER WIPES ANY TYPE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE REMOVER WIPES ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4456","description":"ADHESIVE REMOVER WIPES ANY TYPE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14000","description":"ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14000","description":"ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14001","description":"ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14001","description":"ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14301","description":"ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14301","description":"ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14061","description":"ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14061","description":"ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14040","description":"ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14040","description":"ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14302","description":"ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14302","description":"ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14020","description":"ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14020","description":"ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14060","description":"ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14060","description":"ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14041","description":"ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14041","description":"ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14021","description":"ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14021","description":"ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJUSTABLE ANGLE FOOTPLATE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0040","description":"ADJUSTABLE ANGLE FOOTPLATE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20693","description":"ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20693","description":"ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJUVANT HORMONAL THXPY RX/ADMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4164F","description":"ADJUVANT HORMONAL THXPY RX/ADMIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUVANT HORMONAL THXPY RX/ADMIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4164F","description":"ADJUVANT HORMONAL THXPY RX/ADMIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJVNT CHEMO RFRRD RXD/RCVD STAGE III COLON CA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4180F","description":"ADJVNT CHEMO RFRRD RXD/RCVD STAGE III COLON CA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJVNT CHEMO RFRRD RXD/RCVD STAGE III COLON CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4180F","description":"ADJVNT CHEMO RFRRD RXD/RCVD STAGE III COLON CA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT PT 18 OR GT MD NO REM 12 MO DEM 12 MO PHQ-9 LT 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9510","description":"ADLT PT 18 OR GT MD NO REM 12 MO DEM 12 MO PHQ-9 LT 5","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT PT 18 OR GT MD NO REM 12 MO DEM 12 MO PHQ-9 LT 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9510","description":"ADLT PT 18 OR GT MD NO REM 12 MO DEM 12 MO PHQ-9 LT 5","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMIN SET W/SMALL VOLUME FILTR PNEUMAT NEBULIZR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7006","description":"ADMIN SET W/SMALL VOLUME FILTR PNEUMAT NEBULIZR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADMIN SET W/SMALL VOLUME FILTR PNEUMAT NEBULIZR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7006","description":"ADMIN SET W/SMALL VOLUME FILTR PNEUMAT NEBULIZR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADMISSION TO MEDICARE CARE CHOICE MODEL PROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9480","description":"ADMISSION TO MEDICARE CARE CHOICE MODEL PROGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMISSION TO MEDICARE CARE CHOICE MODEL PROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9480","description":"ADMISSION TO MEDICARE CARE CHOICE MODEL PROGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7003","description":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7003","description":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADMN SET W/SM VOL NONFILTR NEBULIZR NON-DISPBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7005","description":"ADMN SET W/SM VOL NONFILTR NEBULIZR NON-DISPBL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADMN SET W/SM VOL NONFILTR NEBULIZR NON-DISPBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7005","description":"ADMN SET W/SM VOL NONFILTR NEBULIZR NON-DISPBL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADRENAL IMAGING CORTEX and /MEDULLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78075","description":"ADRENAL IMAGING CORTEX and /MEDULLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADRENAL IMAGING CORTEX and /MEDULLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78075","description":"ADRENAL IMAGING CORTEX and /MEDULLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60545","description":"ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60545","description":"ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60540","description":"ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60540","description":"ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADRENOCORTICOTROPIC HORMONE ACTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82024","description":"ADRENOCORTICOTROPIC HORMONE ACTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ADULT 18 YR/OLDER MD/DYSTHYMIA REMISS AT 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9509","description":"ADULT 18 YR/OLDER MD/DYSTHYMIA REMISS AT 12 MO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULT 18 YR/OLDER MD/DYSTHYMIA REMISS AT 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9509","description":"ADULT 18 YR/OLDER MD/DYSTHYMIA REMISS AT 12 MO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP GT 7 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1034","description":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP GT 7 D","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP GT 7 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1034","description":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP GT 7 D","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS CURRENTLY TAKING PHARMACOTHERAPY FOR OUD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1032","description":"ADULTS CURRENTLY TAKING PHARMACOTHERAPY FOR OUD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS CURRENTLY TAKING PHARMACOTHERAPY FOR OUD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1032","description":"ADULTS CURRENTLY TAKING PHARMACOTHERAPY FOR OUD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS DELIB PH OUT MAT PRI TO 180 DA CONT TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1035","description":"ADULTS DELIB PH OUT MAT PRI TO 180 DA CONT TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS DELIB PH OUT MAT PRI TO 180 DA CONT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1035","description":"ADULTS DELIB PH OUT MAT PRI TO 180 DA CONT TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS NOT AL 180 D CONT PT PSCR OUD NO GAP GT 7 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1036","description":"ADULTS NOT AL 180 D CONT PT PSCR OUD NO GAP GT 7 D","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS NOT AL 180 D CONT PT PSCR OUD NO GAP GT 7 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1036","description":"ADULTS NOT AL 180 D CONT PT PSCR OUD NO GAP GT 7 D","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS WHO ARE NOT AMBULATORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1068","description":"ADULTS WHO ARE NOT AMBULATORY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS WHO ARE NOT AMBULATORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1068","description":"ADULTS WHO ARE NOT AMBULATORY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADV CARE PLN TLKD AND ALT DCSN MAKER DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1123F","description":"ADV CARE PLN TLKD AND ALT DCSN MAKER DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADV CARE PLN TLKD AND ALT DCSN MAKER DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1123F","description":"ADV CARE PLN TLKD AND ALT DCSN MAKER DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADV CARE PLN/ NO ALT DCSN MKR DOCD OR REFUSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1124F","description":"ADV CARE PLN/ NO ALT DCSN MKR DOCD OR REFUSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADV CARE PLN/ NO ALT DCSN MKR DOCD OR REFUSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1124F","description":"ADV CARE PLN/ NO ALT DCSN MKR DOCD OR REFUSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVNC CARE PLAN OR EQV LGL DOC IN MED RCRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1157F","description":"ADVNC CARE PLAN OR EQV LGL DOC IN MED RCRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVNC CARE PLAN OR EQV LGL DOC IN MED RCRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1157F","description":"ADVNC CARE PLAN OR EQV LGL DOC IN MED RCRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVNC CARE PLANNING TLK DOCD IN MED RCRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1158F","description":"ADVNC CARE PLANNING TLK DOCD IN MED RCRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVNC CARE PLANNING TLK DOCD IN MED RCRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1158F","description":"ADVNC CARE PLANNING TLK DOCD IN MED RCRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO 1 UPRT FREE PLANTR DORSIFLX SOLID STIRUP FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1980","description":"AFO 1 UPRT FREE PLANTR DORSIFLX SOLID STIRUP FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AFO DBL UPRT PLANTR DORSIFLX SOLID STIRUP CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1990","description":"AFO DBL UPRT PLANTR DORSIFLX SOLID STIRUP CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AFO FX ORTHO TIB FX ORTHO SFT PRFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2112","description":"AFO FX ORTHO TIB FX ORTHO SFT PRFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AFO FX ORTHOSIS TIB FX CAST ORTHOSIS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2108","description":"AFO FX ORTHOSIS TIB FX CAST ORTHOSIS CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AFO FX ORTHOSIS TIB FX CAST THERMOPLSTC CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2106","description":"AFO FX ORTHOSIS TIB FX CAST THERMOPLSTC CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AFO MOLD PT MDL PLSTC RIGD ANT TIBL SECT CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1945","description":"AFO MOLD PT MDL PLSTC RIGD ANT TIBL SECT CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AFO PLASTIC WITH ANKLE JOINT CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1970","description":"AFO PLASTIC WITH ANKLE JOINT CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AFO POST 1 BAR CLASP ATTCH SHOE COUNTER PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1910","description":"AFO POST 1 BAR CLASP ATTCH SHOE COUNTER PRFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AFO POSTERIOR SOLID ANK PLASTIC CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1960","description":"AFO POSTERIOR SOLID ANK PLASTIC CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AFO SINGLE UPRT W/STATIC/ADJUSTBL STOP CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1920","description":"AFO SINGLE UPRT W/STATIC/ADJUSTBL STOP CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AFO SPRNG WIRE DORSIFLX ASST CALF BAND CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1900","description":"AFO SPRNG WIRE DORSIFLX ASST CALF BAND CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AFO TIB FX ORTHOSIS RIGID PRFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2116","description":"AFO TIB FX ORTHOSIS RIGID PRFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AFO TIBL FX ORTHOS SEMI-RIGD PRFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2114","description":"AFO TIBL FX ORTHOS SEMI-RIGD PRFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AFO WALK BOOT TYP ROCKR BOTTM ANT TIB SHELL CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4631","description":"AFO WALK BOOT TYP ROCKR BOTTM ANT TIB SHELL CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AFP-L3 FRACTION ISOFORM and TOTAL AFP W/RATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82107","description":"AFP-L3 FRACTION ISOFORM and TOTAL AFP W/RATIO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AGGLUTININS FEBRILE EACH ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86000","description":"AGGLUTININS FEBRILE EACH ANTIGEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AGMNTJ MNDBLR BDY/ANGL W/BONE GRF ONLAY/NTRPSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21127","description":"AGMNTJ MNDBLR BDY/ANGL W/BONE GRF ONLAY/NTRPSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AGMNTJ MNDBLR BDY/ANGL W/BONE GRF ONLAY/NTRPSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21127","description":"AGMNTJ MNDBLR BDY/ANGL W/BONE GRF ONLAY/NTRPSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AGMNTJ MNDBLR BDY/ANGL W/GRF ONLAY/INTERPOSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21127","description":"AGMNTJ MNDBLR BDY/ANGL W/GRF ONLAY/INTERPOSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21125","description":"AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21125","description":"AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AHI RDI/REI DOC/MEAS WI 2 MO AFTER EVAL SUS OSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8842","description":"AHI RDI/REI DOC/MEAS WI 2 MO AFTER EVAL SUS OSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AHI RDI/REI DOC/MEAS WI 2 MO AFTER EVAL SUS OSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8842","description":"AHI RDI/REI DOC/MEAS WI 2 MO AFTER EVAL SUS OSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AHI RDI/REI NO DOC 2 MO AFT INI SUS OSA NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8844","description":"AHI RDI/REI NO DOC 2 MO AFT INI SUS OSA NO RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AHI RDI/REI NO DOC 2 MO AFT INI SUS OSA NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8844","description":"AHI RDI/REI NO DOC 2 MO AFT INI SUS OSA NO RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AHI/RDI MEASURED AT TIME OF INITIAL DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8842","description":"AHI/RDI MEASURED AT TIME OF INITIAL DIAGNOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR FLUIDIZED BED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0194","description":"AIR FLUIDIZED BED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AIR PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0197","description":"AIR PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AIR PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0197","description":"AIR PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AIR PRESSURE MATTRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0186","description":"AIR PRESSURE MATTRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AIRWAY RESISTANCE BY OSCILLOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94728","description":"AIRWAY RESISTANCE BY OSCILLOMETRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AIRWAY RESISTANCE BY OSCILLOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94728","description":"AIRWAY RESISTANCE BY OSCILLOMETRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE 0 DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3370F","description":"AJCC BREAST CANCER STAGE 0 DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE 0 DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3370F","description":"AJCC BREAST CANCER STAGE 0 DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1 MIC OR T1A DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9704","description":"AJCC BREAST CANCER STAGE I T1 MIC OR T1A DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1 MIC OR T1A DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9704","description":"AJCC BREAST CANCER STAGE I T1 MIC OR T1A DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1B DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9705","description":"AJCC BREAST CANCER STAGE I T1B DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1B DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9705","description":"AJCC BREAST CANCER STAGE I T1B DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3374F","description":"AJCC BREAST CANCER STAGE I T1C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3374F","description":"AJCC BREAST CANCER STAGE I T1C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1MIC T1A/T1B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3372F","description":"AJCC BREAST CANCER STAGE I T1MIC T1A/T1B","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1MIC T1A/T1B","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3372F","description":"AJCC BREAST CANCER STAGE I T1MIC T1A/T1B","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE II","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3376F","description":"AJCC BREAST CANCER STAGE II","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE II","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3376F","description":"AJCC BREAST CANCER STAGE II","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE III","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3378F","description":"AJCC BREAST CANCER STAGE III","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE III","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3378F","description":"AJCC BREAST CANCER STAGE III","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE IV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3380F","description":"AJCC BREAST CANCER STAGE IV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE IV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3380F","description":"AJCC BREAST CANCER STAGE IV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC CANCER STAGE 0 OR IA MELANOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3321F","description":"AJCC CANCER STAGE 0 OR IA MELANOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC CANCER STAGE 0 OR IA MELANOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3321F","description":"AJCC CANCER STAGE 0 OR IA MELANOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3382F","description":"AJCC COLON CANCER STAGE 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3382F","description":"AJCC COLON CANCER STAGE 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3384F","description":"AJCC COLON CANCER STAGE I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3384F","description":"AJCC COLON CANCER STAGE I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE II","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3386F","description":"AJCC COLON CANCER STAGE II","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE II","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3386F","description":"AJCC COLON CANCER STAGE II","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE III DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3388F","description":"AJCC COLON CANCER STAGE III DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE III DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3388F","description":"AJCC COLON CANCER STAGE III DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE IV DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3390F","description":"AJCC COLON CANCER STAGE IV DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE IV DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3390F","description":"AJCC COLON CANCER STAGE IV DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC MELANOMA CANCER STAGE 0-IIC MELANOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8944","description":"AJCC MELANOMA CANCER STAGE 0-IIC MELANOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC MELANOMA CANCER STAGE 0-IIC MELANOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8944","description":"AJCC MELANOMA CANCER STAGE 0-IIC MELANOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE AT BREAST CANCER DIAGNOSIS Equal to II / III","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9831","description":"AJCC STAGE AT BREAST CANCER DIAGNOSIS Equal to II / III","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE AT BREAST CANCER DIAGNOSIS Equal to II / III","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9831","description":"AJCC STAGE AT BREAST CANCER DIAGNOSIS Equal to II / III","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE DOCUMENTED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3300F","description":"AJCC STAGE DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE DOCUMENTED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3300F","description":"AJCC STAGE DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STG BC DX Equal to I and T-STG DOES NOT Equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9832","description":"AJCC STG BC DX Equal to I and T-STG DOES NOT Equal to","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STG BRST CA DX Equal to I AND T-STG BRST CA DX Equal","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9832","description":"AJCC STG BRST CA DX Equal to I AND T-STG BRST CA DX Equal","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STG BRST CA DX Equal to I AND T-STG BRST CA DX Equal","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9832","description":"AJCC STG BRST CA DX Equal to I AND T-STG BRST CA DX Equal","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALARM SYMPTOMS ASSESSED 1 OR GT PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1071F","description":"ALARM SYMPTOMS ASSESSED 1 OR GT PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALARM SYMPTOMS ASSESSED 1 OR GT PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1071F","description":"ALARM SYMPTOMS ASSESSED 1 OR GT PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALARM SYMPTOMS ASSESSED NONE PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1070F","description":"ALARM SYMPTOMS ASSESSED NONE PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALARM SYMPTOMS ASSESSED NONE PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1070F","description":"ALARM SYMPTOMS ASSESSED NONE PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUMIN ISCHEMIA MODIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82045","description":"ALBUMIN ISCHEMIA MODIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALBUMIN SERUM PLASMA/WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82040","description":"ALBUMIN SERUM PLASMA/WHOLE BLOOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7609","description":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7609","description":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL NON-CP PROD THRU DME U DOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7613","description":"ALBUTEROL INHAL NON-CP PROD THRU DME U DOSE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL NON-CP PROD THRU DME U DOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7613","description":"ALBUTEROL INHAL NON-CP PROD THRU DME U DOSE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL NON-CP THRU DME CONC FORM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7611","description":"ALBUTEROL INHAL NON-CP THRU DME CONC FORM 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL NON-CP THRU DME CONC FORM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7611","description":"ALBUTEROL INHAL NON-CP THRU DME CONC FORM 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL SOL ADMIN THRU DME CONC 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7610","description":"ALBUTEROL INHAL SOL ADMIN THRU DME CONC 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL SOL ADMIN THRU DME CONC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7610","description":"ALBUTEROL INHAL SOL ADMIN THRU DME CONC 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL TO 2.5 MG AND IPRATROPIUM BROM TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7620","description":"ALBUTEROL TO 2.5 MG AND IPRATROPIUM BROM TO 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL TO 2.5 MG AND IPRATROPIUM BROM TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7620","description":"ALBUTEROL TO 2.5 MG AND IPRATROPIUM BROM TO 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL and / SUBST MISUSE ST ASMT and INTERV GT 30 MI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0397","description":"ALCOHOL and / SUBST MISUSE ST ASMT and INTERV GT 30 MI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL and / SUBST MISUSE ST ASMT and INTERV GT 30 MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0397","description":"ALCOHOL and / SUBST MISUSE ST ASMT and INTERV GT 30 MI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL and /SUB MISUSE ST ASMT and BRF INT 15-30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0396","description":"ALCOHOL and /SUB MISUSE ST ASMT and BRF INT 15-30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL and /SUB MISUSE ST ASMT and BRF INT 15-30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0396","description":"ALCOHOL and /SUB MISUSE ST ASMT and BRF INT 15-30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALDOSTERONE SUPPRESSION EVALUATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80408","description":"ALDOSTERONE SUPPRESSION EVALUATION PANEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALGINAT/OTH FIBER GELL DRESS STERIL PAD 16 SQ OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6196","description":"ALGINAT/OTH FIBER GELL DRESS STERIL PAD 16 SQ OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALGINAT/OTH FIBER GELL DRESS STERIL PAD 16 SQ OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6196","description":"ALGINAT/OTH FIBER GELL DRESS STERIL PAD 16 SQ OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GEL DRESS WND FIL STERL 6 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6199","description":"ALGINATE/OTH FIBER GEL DRESS WND FIL STERL 6 IN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GEL DRESS WND FIL STERL 6 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6199","description":"ALGINATE/OTH FIBER GEL DRESS WND FIL STERL 6 IN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GELL DRESS PAD GT 16 LT or equal to 48","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6197","description":"ALGINATE/OTH FIBER GELL DRESS PAD GT 16 LT or equal to 48","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GELL DRESS PAD GT 16 LT or equal to 48","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6197","description":"ALGINATE/OTH FIBER GELL DRESS PAD GT 16 LT or equal to 48","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALKALIN BATTRY COCHLEAR IMPL DEVC ANY SZ REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8622","description":"ALKALIN BATTRY COCHLEAR IMPL DEVC ANY SZ REPL EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALL ELEM OF MAX STERILE BARRIER TECHNQ FLWD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6030F","description":"ALL ELEM OF MAX STERILE BARRIER TECHNQ FLWD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL ELEM OF MAX STERILE BARRIER TECHNQ FLWD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6030F","description":"ALL ELEM OF MAX STERILE BARRIER TECHNQ FLWD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL ENDOSKEL LOW EXT PROSTH AXIAL ROTAT UNIT ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5984","description":"ALL ENDOSKEL LOW EXT PROSTH AXIAL ROTAT UNIT ADJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALL ENDOSKEL LOW EXTREM PROSTH DYN PROSTH PYLN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5985","description":"ALL ENDOSKEL LOW EXTREM PROSTH DYN PROSTH PYLN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALL EXOSKEL LOW EXTREM PROSTH AXIAL ROTAT UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5982","description":"ALL EXOSKEL LOW EXTREM PROSTH AXIAL ROTAT UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOW EXTREM PROSTH FT EXTERNAL KEEL SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5970","description":"ALL LOW EXTREM PROSTH FT EXTERNAL KEEL SACH FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOW EXTREM PROSTH MULTI-AXIAL ROTATION UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5986","description":"ALL LOW EXTREM PROSTH MULTI-AXIAL ROTATION UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROS SACH FOOT REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5971","description":"ALL LOWER EXTREM PROS SACH FOOT REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTH FLEX-WALK SYSTEM/EQUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5981","description":"ALL LOWER EXTREM PROSTH FLEX-WALK SYSTEM/EQUAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTH FT MULTI-AXIAL ANK/FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5978","description":"ALL LOWER EXTREM PROSTH FT MULTI-AXIAL ANK/FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTH FT SINGLE AXIS ANK/FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5974","description":"ALL LOWER EXTREM PROSTH FT SINGLE AXIS ANK/FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTHESES ENERGY STORING FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5976","description":"ALL LOWER EXTREM PROSTHESES ENERGY STORING FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREMITY PROSTHESES FLEX-FOOT SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5980","description":"ALL LOWER EXTREMITY PROSTHESES FLEX-FOOT SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREMITY PROSTHESES FOOT FLEX KEEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5972","description":"ALL LOWER EXTREMITY PROSTHESES FOOT FLEX KEEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREMITY PROSTHESES SHOULDER HARNESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5699","description":"ALL LOWER EXTREMITY PROSTHESES SHOULDER HARNESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALL LW EXTRM PRSTH COMB 1 AXIS ANK AND FLXBL KEEL FT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5975","description":"ALL LW EXTRM PRSTH COMB 1 AXIS ANK AND FLXBL KEEL FT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALL LW EXTRM PRSTH MX-AXL ANK DYN RSPN FT 1 PECE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5979","description":"ALL LW EXTRM PRSTH MX-AXL ANK DYN RSPN FT 1 PECE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALL LW XTRM PRSTH SHNK FT SYS W/VRTCL LOAD PYLN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5987","description":"ALL LW XTRM PRSTH SHNK FT SYS W/VRTCL LOAD PYLN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86003","description":"ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGEN SPEC IGE QUAL MULTIALLERGEN SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86005","description":"ALLERGEN SPEC IGE QUAL MULTIALLERGEN SCREEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGEN SPECIFIC IGG QUAN/SEMIQUAN EA ALLERGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86001","description":"ALLERGEN SPECIFIC IGG QUAN/SEMIQUAN EA ALLERGEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGENEIC LYMPHOCYTE INFUSIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38242","description":"ALLOGENEIC LYMPHOCYTE INFUSIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGENEIC LYMPHOCYTE INFUSIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38242","description":"ALLOGENEIC LYMPHOCYTE INFUSIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20931","description":"ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20931","description":"ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALPHA-1-ANTITRYPSIN PHENOTYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82104","description":"ALPHA-1-ANTITRYPSIN PHENOTYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALPHA-1-ANTITRYPSIN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82103","description":"ALPHA-1-ANTITRYPSIN TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALPHA-FETOPROTEIN AMNIOTIC FLUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82106","description":"ALPHA-FETOPROTEIN AMNIOTIC FLUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALPHA-FETOPROTEIN SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82105","description":"ALPHA-FETOPROTEIN SERUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALPROSTADIL URETHRAL SUPPOSITORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0275","description":"ALPROSTADIL URETHRAL SUPPOSITORY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALPROSTADIL URETHRAL SUPPOSITORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0275","description":"ALPROSTADIL URETHRAL SUPPOSITORY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALTERNATIVE LONG-TERM CONTROL MEDICATION RXD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4144F","description":"ALTERNATIVE LONG-TERM CONTROL MEDICATION RXD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALTERNATIVE LONG-TERM CONTROL MEDICATION RXD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4144F","description":"ALTERNATIVE LONG-TERM CONTROL MEDICATION RXD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41830","description":"ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41830","description":"ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLASTY EACH QUADRANT SPECIFY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41874","description":"ALVEOLOPLASTY EACH QUADRANT SPECIFY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLASTY EACH QUADRANT SPECIFY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41874","description":"ALVEOLOPLASTY EACH QUADRANT SPECIFY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMB INFUS PUMP 1/MX CHANNL W/ADMN EQP WORN BY PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0781","description":"AMB INFUS PUMP 1/MX CHANNL W/ADMN EQP WORN BY PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMB INFUS PUMP 1/MX CHANNL W/ADMN EQP WORN BY PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0781","description":"AMB INFUS PUMP 1/MX CHANNL W/ADMN EQP WORN BY PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMB INFUS PUMP MECH REUSABLE INFUS LT 8 HOURS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0780","description":"AMB INFUS PUMP MECH REUSABLE INFUS LT 8 HOURS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMB INFUS PUMP MECH REUSABLE INFUS 8 HOURS/GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0779","description":"AMB INFUS PUMP MECH REUSABLE INFUS 8 HOURS/GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMB INFUS PUMP MECH REUSABLE INFUS 8 HOURS/GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0779","description":"AMB INFUS PUMP MECH REUSABLE INFUS 8 HOURS/GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus REC SCAN ALYS I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93784","description":"AMBULATORY BP MNTR W/SW 24 HR Plus REC SCAN ALYS I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus REC SCAN ALYS I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93784","description":"AMBULATORY BP MNTR W/SW 24 HR Plus REC SCAN ALYS I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus RECORDING ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93786","description":"AMBULATORY BP MNTR W/SW 24 HR Plus RECORDING ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus RECORDING ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93786","description":"AMBULATORY BP MNTR W/SW 24 HR Plus RECORDING ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus REVIEW W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93790","description":"AMBULATORY BP MNTR W/SW 24 HR Plus REVIEW W/I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus REVIEW W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93790","description":"AMBULATORY BP MNTR W/SW 24 HR Plus REVIEW W/I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus SCANNING A/R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93788","description":"AMBULATORY BP MNTR W/SW 24 HR Plus SCANNING A/R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus SCANNING A/R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93788","description":"AMBULATORY BP MNTR W/SW 24 HR Plus SCANNING A/R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMC NOT PRESC 1ST LINE ANTIBIOTIC TM DX DOC RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9313","description":"AMC NOT PRESC 1ST LINE ANTIBIOTIC TM DX DOC RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMC NOT PRESC 1ST LINE ANTIBIOTIC TM DX DOC RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9313","description":"AMC NOT PRESC 1ST LINE ANTIBIOTIC TM DX DOC RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINES VAGINAL FLUID QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82120","description":"AMINES VAGINAL FLUID QUALITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS 1 QUALITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82127","description":"AMINO ACIDS 1 QUALITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS 1 QUANTITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82131","description":"AMINO ACIDS 1 QUANTITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS 2-5 AMINO ACIDS QUANTITATIVE EA SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82136","description":"AMINO ACIDS 2-5 AMINO ACIDS QUANTITATIVE EA SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS 6 OR GT AMINO ACIDS QUANTITATIVE EA SPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82139","description":"AMINO ACIDS 6 OR GT AMINO ACIDS QUANTITATIVE EA SPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS MULTIPLE QUALITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82128","description":"AMINO ACIDS MULTIPLE QUALITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMINOLEVULINIC ACID DELTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82135","description":"AMINOLEVULINIC ACID DELTA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMINOLEVULINIC ACID HCL TOP ADMN 20 PCT 1 U DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7308","description":"AMINOLEVULINIC ACID HCL TOP ADMN 20 PCT 1 U DOSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMINOLEVULINIC ACID HCL TOP ADMN 20 PCT 1 U DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7308","description":"AMINOLEVULINIC ACID HCL TOP ADMN 20 PCT 1 U DOSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCENTESIS DIAGNOSIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59000","description":"AMNIOCENTESIS DIAGNOSIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCENTESIS DIAGNOSIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59000","description":"AMNIOCENTESIS DIAGNOSIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59001","description":"AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59001","description":"AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTIC FLU SCAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82143","description":"AMNIOTIC FLU SCAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9314","description":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9314","description":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMOXICILLIN W/WO CLAVULN RX 1ST LINE ABX TIME DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9315","description":"AMOXICILLIN W/WO CLAVULN RX 1ST LINE ABX TIME DX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMOXICILLIN W/WO CLAVULN RX 1ST LINE ABX TIME DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9315","description":"AMOXICILLIN W/WO CLAVULN RX 1ST LINE ABX TIME DX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR and RESCJ NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27888","description":"AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR and RESCJ NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR and RESCJ NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27888","description":"AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR and RESCJ NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24925","description":"AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24925","description":"AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/ARM THRU RADIUS and ULNA SEC CLOSURE/SCAR RE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25907","description":"AMP F/ARM THRU RADIUS and ULNA SEC CLOSURE/SCAR RE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/ARM THRU RADIUS and ULNA SEC CLOSURE/SCAR RE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25907","description":"AMP F/ARM THRU RADIUS and ULNA SEC CLOSURE/SCAR RE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26952","description":"AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26952","description":"AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26951","description":"AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26951","description":"AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP FOREARM THRU RADIUS AND ULNA OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25905","description":"AMP FOREARM THRU RADIUS AND ULNA OPEN CIRCULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP FOREARM THRU RADIUS AND ULNA OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25905","description":"AMP FOREARM THRU RADIUS AND ULNA OPEN CIRCULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP FOREARM THRU RADIUS AND ULNA RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25909","description":"AMP FOREARM THRU RADIUS AND ULNA RE-AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP FOREARM THRU RADIUS AND ULNA RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25909","description":"AMP FOREARM THRU RADIUS AND ULNA RE-AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27881","description":"AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27881","description":"AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBIA AND FIBULA RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27886","description":"AMP LEG THRU TIBIA AND FIBULA RE-AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBIA AND FIBULA RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27886","description":"AMP LEG THRU TIBIA AND FIBULA RE-AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBIA and FIBULA SEC CLOSURE/SCAR REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27884","description":"AMP LEG THRU TIBIA and FIBULA SEC CLOSURE/SCAR REV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBIA and FIBULA SEC CLOSURE/SCAR REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27884","description":"AMP LEG THRU TIBIA and FIBULA SEC CLOSURE/SCAR REV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26910","description":"AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26910","description":"AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27591","description":"AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27591","description":"AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27594","description":"AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27594","description":"AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24920","description":"AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24920","description":"AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24930","description":"AMPUTATION ARM THRU HUMERUS RE-AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24930","description":"AMPUTATION ARM THRU HUMERUS RE-AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24931","description":"AMPUTATION ARM THRU HUMERUS W/IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24931","description":"AMPUTATION ARM THRU HUMERUS W/IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24900","description":"AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24900","description":"AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOOT MIDTARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28800","description":"AMPUTATION FOOT MIDTARSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOOT MIDTARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28800","description":"AMPUTATION FOOT MIDTARSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOOT TRANSMETARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28805","description":"AMPUTATION FOOT TRANSMETARSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOOT TRANSMETARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28805","description":"AMPUTATION FOOT TRANSMETARSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOREARM THROUGH RADIUS AND ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25900","description":"AMPUTATION FOREARM THROUGH RADIUS AND ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOREARM THROUGH RADIUS AND ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25900","description":"AMPUTATION FOREARM THROUGH RADIUS AND ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION LEG THROUGH TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27880","description":"AMPUTATION LEG THROUGH TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION LEG THROUGH TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27880","description":"AMPUTATION LEG THROUGH TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION LEG THRU TIBIA AND FIBULA OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27882","description":"AMPUTATION LEG THRU TIBIA AND FIBULA OPEN CIRCULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION LEG THRU TIBIA AND FIBULA OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27882","description":"AMPUTATION LEG THRU TIBIA AND FIBULA OPEN CIRCULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION METATARSAL W/TOE SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28810","description":"AMPUTATION METATARSAL W/TOE SINGLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION METATARSAL W/TOE SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28810","description":"AMPUTATION METATARSAL W/TOE SINGLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THROUGH FEMUR ANY LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27590","description":"AMPUTATION THIGH THROUGH FEMUR ANY LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THROUGH FEMUR ANY LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27590","description":"AMPUTATION THIGH THROUGH FEMUR ANY LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27596","description":"AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27596","description":"AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27592","description":"AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27592","description":"AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION TOE INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28825","description":"AMPUTATION TOE INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION TOE INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28825","description":"AMPUTATION TOE INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION TOE METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28820","description":"AMPUTATION TOE METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION TOE METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28820","description":"AMPUTATION TOE METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1180","description":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1180","description":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1190","description":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1190","description":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; DTACHBL ARMS W/O FOOT/LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1172","description":"AMPUTEE WHLCHAIR; DTACHBL ARMS W/O FOOT/LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; DTACHBL ARMS W/O FOOT/LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1172","description":"AMPUTEE WHLCHAIR; DTACHBL ARMS W/O FOOT/LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1200","description":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRSTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRSTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1200","description":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRSTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1170","description":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1170","description":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; FIX FULL ARMS W/O FOOT/LEGREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1171","description":"AMPUTEE WHLCHAIR; FIX FULL ARMS W/O FOOT/LEGREST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; FIX FULL ARMS W/O FOOT/LEGREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1171","description":"AMPUTEE WHLCHAIR; FIX FULL ARMS W/O FOOT/LEGREST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92603","description":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT PRGRMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92603","description":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT PRGRMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT SBSQ REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92604","description":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT SBSQ REPRGRMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT SBSQ REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92604","description":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT SBSQ REPRGRMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT PT LT 7 YR PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92601","description":"ANALYSIS COCHLEAR IMPLT PT LT 7 YR PRGRMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT PT LT 7 YR PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92601","description":"ANALYSIS COCHLEAR IMPLT PT LT 7 YR PRGRMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT PT LT 7 YR SBSQ REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92602","description":"ANALYSIS COCHLEAR IMPLT PT LT 7 YR SBSQ REPRGRMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT PT LT 7 YR SBSQ REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92602","description":"ANALYSIS COCHLEAR IMPLT PT LT 7 YR SBSQ REPRGRMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61711","description":"ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61711","description":"ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST INTRAHEPATC DUCTS AND GI TRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47765","description":"ANAST INTRAHEPATC DUCTS AND GI TRACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST INTRAHEPATC DUCTS AND GI TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47765","description":"ANAST INTRAHEPATC DUCTS AND GI TRACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33606","description":"ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33606","description":"ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS AND GI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47785","description":"ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS AND GI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS AND GI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47785","description":"ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS AND GI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS AND GI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47780","description":"ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS AND GI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS AND GI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47780","description":"ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS AND GI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST XTRHEPATC BILIARY DUCTS AND GI TRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47760","description":"ANAST XTRHEPATC BILIARY DUCTS AND GI TRACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST XTRHEPATC BILIARY DUCTS AND GI TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47760","description":"ANAST XTRHEPATC BILIARY DUCTS AND GI TRACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS CAVOPULMARY 2ND SUPRIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33768","description":"ANASTOMOSIS CAVOPULMARY 2ND SUPRIOR VENA CAVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS CAVOPULMARY SEC SUPRIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33768","description":"ANASTOMOSIS CAVOPULMARY SEC SUPRIOR VENA CAVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS CAVOPULMARY SEC SUPRIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33768","description":"ANASTOMOSIS CAVOPULMARY SEC SUPRIOR VENA CAVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS FACIAL HYPOGLOSSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64868","description":"ANASTOMOSIS FACIAL HYPOGLOSSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS FACIAL HYPOGLOSSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64868","description":"ANASTOMOSIS FACIAL HYPOGLOSSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS FACIAL-SPINAL ACCESSORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64866","description":"ANASTOMOSIS FACIAL-SPINAL ACCESSORY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS FACIAL-SPINAL ACCESSORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64866","description":"ANASTOMOSIS FACIAL-SPINAL ACCESSORY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANCHOR/SCREW OPPOSING BN-TO-BN/SOFT TISSUE-TO-BN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1713","description":"ANCHOR/SCREW OPPOSING BN-TO-BN/SOFT TISSUE-TO-BN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANDROGEN DEP TX RX/ADMN COMB EXT BEAM RT TO PROS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9894","description":"ANDROGEN DEP TX RX/ADMN COMB EXT BEAM RT TO PROS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANDROGEN DEP TX RX/ADMN COMB EXT BEAM RT TO PROS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9894","description":"ANDROGEN DEP TX RX/ADMN COMB EXT BEAM RT TO PROS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANDROSTANEDIOL GLUCURONIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82154","description":"ANDROSTANEDIOL GLUCURONIDE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANDROSTENEDIONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82157","description":"ANDROSTENEDIONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANDROSTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82160","description":"ANDROSTERONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANEMIA PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0516F","description":"ANEMIA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANEMIA PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0516F","description":"ANEMIA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG LT 4 PCT TBSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01951","description":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG LT 4 PCT TBSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG LT 4 PCT TBSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01951","description":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG LT 4 PCT TBSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG 4-9 PCT TBSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01952","description":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG 4-9 PCT TBSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG 4-9 PCT TBSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01952","description":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG 4-9 PCT TBSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG EA 9 PCT TBSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01953","description":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG EA 9 PCT TBSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG EA 9 PCT TBSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01953","description":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG EA 9 PCT TBSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRF EA 9 PCT TBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01953","description":"ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRF EA 9 PCT TBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRFT 4 PCT TBSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01951","description":"ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRFT 4 PCT TBSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRFT 4-9 PCT TBSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01952","description":"ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRFT 4-9 PCT TBSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL CAST APPLICATION RMVL/REPAIR KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01420","description":"ANES ALL CAST APPLICATION RMVL/REPAIR KNEE JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL CAST APPLICATION RMVL/REPAIR KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01420","description":"ANES ALL CAST APPLICATION RMVL/REPAIR KNEE JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL CLOSED PX UPR END TIBIA FIBULA and /PATELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01390","description":"ANES ALL CLOSED PX UPR END TIBIA FIBULA and /PATELLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL CLOSED PX UPR END TIBIA FIBULA and /PATELLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01390","description":"ANES ALL CLOSED PX UPR END TIBIA FIBULA and /PATELLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL CLSD PX RADIUS ULNA WRIST/HAND BONES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01820","description":"ANES ALL CLSD PX RADIUS ULNA WRIST/HAND BONES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL CLSD PX RADIUS ULNA WRIST/HAND BONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01820","description":"ANES ALL CLSD PX RADIUS ULNA WRIST/HAND BONES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL OPEN PX UPR ENDS TIBIA FIBULA and /PATELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01392","description":"ANES ALL OPEN PX UPR ENDS TIBIA FIBULA and /PATELLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL OPEN PX UPR ENDS TIBIA FIBULA and /PATELLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01392","description":"ANES ALL OPEN PX UPR ENDS TIBIA FIBULA and /PATELLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX INTEG MUSC and NRV HEAD NCK and PST TRNK NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00300","description":"ANES ALL PX INTEG MUSC and NRV HEAD NCK and PST TRNK NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX INTEG MUSC and NRV HEAD NCK and PST TRNK NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00300","description":"ANES ALL PX INTEG MUSC and NRV HEAD NCK and PST TRNK NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE KNEE and /POP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01320","description":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE KNEE and /POP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE KNEE and /POP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01320","description":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE KNEE and /POP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE UPPER LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01250","description":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE UPPER LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE UPPER LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01250","description":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE UPPER LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TDN FSCA and BRS F/ARM WRST and HND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01810","description":"ANES ALL PX NRV MUSC TDN FSCA and BRS F/ARM WRST and HND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TDN FSCA and BRS F/ARM WRST and HND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01810","description":"ANES ALL PX NRV MUSC TDN FSCA and BRS F/ARM WRST and HND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TND FSCA and BRS SHOULDER and AX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01610","description":"ANES ALL PX NRV MUSC TND FSCA and BRS SHOULDER and AX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TND FSCA and BRS SHOULDER and AX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01610","description":"ANES ALL PX NRV MUSC TND FSCA and BRS SHOULDER and AX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX VEINS UPR LEG INCLUDING EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01260","description":"ANES ALL PX VEINS UPR LEG INCLUDING EXPLORATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX VEINS UPR LEG INCLUDING EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01260","description":"ANES ALL PX VEINS UPR LEG INCLUDING EXPLORATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ART KNEE POPLITEAL EXC and GRF/RPR OCCLS/ARYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01444","description":"ANES ART KNEE POPLITEAL EXC and GRF/RPR OCCLS/ARYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ART KNEE POPLITEAL TEAEC W/WO PATCH GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01442","description":"ANES ART KNEE POPLITEAL TEAEC W/WO PATCH GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ART LOWER LEG W/BYP GRAFT EMBLC DIR/W/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01502","description":"ANES ART LOWER LEG W/BYP GRAFT EMBLC DIR/W/CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ART UPPER LEG W/BYPASS GRAFT FEM ART LIG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01272","description":"ANES ART UPPER LEG W/BYPASS GRAFT FEM ART LIG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTERIES FOREARM WRIST AND HAND EMBOLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01842","description":"ANES ARTERIES FOREARM WRIST AND HAND EMBOLECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTERIES OF KNEE AND POPLITEAL AREA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01440","description":"ANES ARTERIES OF KNEE AND POPLITEAL AREA NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTERIES SHOULDER AND AXILLA BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01654","description":"ANES ARTERIES SHOULDER AND AXILLA BYPASS GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01638","description":"ANES ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTHRS HUMERAL H/N STRNCLAV and SHOULDER NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01630","description":"ANES ARTHRS HUMERAL H/N STRNCLAV and SHOULDER NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTHRS INTERTHORACOSCAPULAR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01636","description":"ANES ARTHRS INTERTHORACOSCAPULAR AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTHRS/ENDSCPY DSTL RADIUS ULNA/WRIST/HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01830","description":"ANES ARTHRS/ENDSCPY DSTL RADIUS ULNA/WRIST/HAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTHRS/NDSC DSTL RADIUS ULNA/WRIST/HAND NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01830","description":"ANES ARTHRS/NDSC DSTL RADIUS ULNA/WRIST/HAND NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTHRS/NDSC DSTL RADIUS ULNA/WRIST/HAND NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01830","description":"ANES ARTHRS/NDSC DSTL RADIUS ULNA/WRIST/HAND NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES BONE MARROW ASPIR and /BX ANT/PST ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01112","description":"ANES BONE MARROW ASPIR and /BX ANT/PST ILIAC CREST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES BONE MARROW ASPIR and /BX ANT/PST ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01112","description":"ANES BONE MARROW ASPIR and /BX ANT/PST ILIAC CREST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES C DLVR FLWG NEURAXIAL LABOR ANALG/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01968","description":"ANES C DLVR FLWG NEURAXIAL LABOR ANALG/ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES C DLVR FLWG NEURAXIAL LABOR ANALG/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01968","description":"ANES C DLVR FLWG NEURAXIAL LABOR ANALG/ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES C-CATHJ W/C ANGIOGRAPHY and VENTRICULOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01920","description":"ANES C-CATHJ W/C ANGIOGRAPHY and VENTRICULOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES C-CATHJ W/C ANGIOGRAPHY and VENTRICULOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01920","description":"ANES C-CATHJ W/C ANGIOGRAPHY and VENTRICULOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES CARDIAC ELECTROPHYSIOL STDY W/RF ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00537","description":"ANES CARDIAC ELECTROPHYSIOL STDY W/RF ABLATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES CAST APPLICATION REMOVAL/REPAIR KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01420","description":"ANES CAST APPLICATION REMOVAL/REPAIR KNEE JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES CERVICAL SPINE and CORD W/PATIENT SITTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00604","description":"ANES CERVICAL SPINE and CORD W/PATIENT SITTING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES CESARN DLVR FLWG NEURAXIAL LABOR ANALG/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01968","description":"ANES CESARN DLVR FLWG NEURAXIAL LABOR ANALG/ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES CESARN HYST FLWG NEURAXIAL LABOR ANALG/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01969","description":"ANES CESARN HYST FLWG NEURAXIAL LABOR ANALG/ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES CESARN HYST FLWG NEURAXIAL LABOR ANALG/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01969","description":"ANES CESARN HYST FLWG NEURAXIAL LABOR ANALG/ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLOSED HUMRL H/N STRNCLAV JOINT and SHO JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01620","description":"ANES CLOSED HUMRL H/N STRNCLAV JOINT and SHO JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLOSED PROC UPPER END TIBIA FIBULA/PATELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01390","description":"ANES CLOSED PROC UPPER END TIBIA FIBULA/PATELLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLOSED PX SYMPHYSIS PUBIS/SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01160","description":"ANES CLOSED PX SYMPHYSIS PUBIS/SACROILIAC JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLOSED PX SYMPHYSIS PUBIS/SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01160","description":"ANES CLOSED PX SYMPHYSIS PUBIS/SACROILIAC JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLOSED SYMPHYSIS PUBIS/SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01160","description":"ANES CLOSED SYMPHYSIS PUBIS/SACROILIAC JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLSD CH PX MEDIASTSC and THRSC W/1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00529","description":"ANES CLSD CH PX MEDIASTSC and THRSC W/1 LUNG VNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLSD CH PX MEDIASTSC and THRSC W/1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00529","description":"ANES CLSD CH PX MEDIASTSC and THRSC W/1 LUNG VNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLSD CH PX MEDIASTSC and THRSC W/O 1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00528","description":"ANES CLSD CH PX MEDIASTSC and THRSC W/O 1 LUNG VNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLSD CH PX MEDIASTSC and THRSC W/O 1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00528","description":"ANES CLSD CH PX MEDIASTSC and THRSC W/O 1 LUNG VNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLSD PX HUMRL H and N STRNCLAV ACROMCLAV and SHO JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01620","description":"ANES CLSD PX HUMRL H and N STRNCLAV ACROMCLAV and SHO JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLSD PX HUMRL H and N STRNCLAV ACROMCLAV and SHO JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01620","description":"ANES CLSD PX HUMRL H and N STRNCLAV ACROMCLAV and SHO JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES COLPTMY VAGNC COLPRPHY INCL BX W/OPN URTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00942","description":"ANES COLPTMY VAGNC COLPRPHY INCL BX W/OPN URTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES COMPLETE AMPUTATION PENIS INCL OPEN URTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00932","description":"ANES COMPLETE AMPUTATION PENIS INCL OPEN URTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIAG ARTHROSCOPIC SHOULDER JOINT PROC NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01622","description":"ANES DIAG ARTHROSCOPIC SHOULDER JOINT PROC NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIAGNOSTIC/THERAPEUTIC LUMBAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00635","description":"ANES DIAGNOSTIC/THERAPEUTIC LUMBAR PUNCTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIAGNOSTIC/THERAPEUTIC LUMBAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00635","description":"ANES DIAGNOSTIC/THERAPEUTIC LUMBAR PUNCTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIRECT CABG W/O PUMP OXYGENATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00566","description":"ANES DIRECT CABG W/O PUMP OXYGENATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIRECT CABG W/O PUMP OXYGENATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00566","description":"ANES DIRECT CABG W/O PUMP OXYGENATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIRECT CABG W/PUMP OXYGENATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00567","description":"ANES DIRECT CABG W/PUMP OXYGENATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIRECT CABG W/PUMP OXYGENATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00567","description":"ANES DIRECT CABG W/PUMP OXYGENATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES DX/THER NERVE BLOCK and INJECTION PRONE POS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01992","description":"ANES DX/THER NERVE BLOCK and INJECTION PRONE POS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES DX/THER NERVE BLOCK and INJECTION PRONE POS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01992","description":"ANES DX/THER NERVE BLOCK and INJECTION PRONE POS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES DX/THER NERVE BLOCK/INJECTION PRONE POS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01992","description":"ANES DX/THER NERVE BLOCK/INJECTION PRONE POS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES DX/THER NRV BLK and NJX OTH/THN PRONE POS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01991","description":"ANES DX/THER NRV BLK and NJX OTH/THN PRONE POS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES DX/THER NRV BLK and NJX OTH/THN PRONE POS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01991","description":"ANES DX/THER NRV BLK and NJX OTH/THN PRONE POS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES DX/THER NRV BLK/NJX OTH/THN PRONE POS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01991","description":"ANES DX/THER NRV BLK/NJX OTH/THN PRONE POS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ESOPH THYR LARX TRCH and LYMPH NCK NDL BX THYR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00322","description":"ANES ESOPH THYR LARX TRCH and LYMPH NCK NDL BX THYR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ESOPH THYR LARX TRCH and LYMPH NCK NDL BX THYR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00322","description":"ANES ESOPH THYR LARX TRCH and LYMPH NCK NDL BX THYR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ESOPH THYRD LARX TRACH AND LYMPH NCK BX THYRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00322","description":"ANES ESOPH THYRD LARX TRACH AND LYMPH NCK BX THYRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ESOPH THYRD LARYNX TRACH AND LYMPH NECK 1YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00320","description":"ANES ESOPH THYRD LARYNX TRACH AND LYMPH NECK 1YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES EXTERNAL MIDDLE and INNER EAR W/BX OTOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00124","description":"ANES EXTERNAL MIDDLE and INNER EAR W/BX OTOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES EXTRAPERITONEAL LWR ABD W/URINARY TRACT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00860","description":"ANES EXTRAPERITONEAL LWR ABD W/URINARY TRACT NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES EXTRAPERITONEAL LWR ABD W/URINARY TRACT NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00860","description":"ANES EXTRAPERITONEAL LWR ABD W/URINARY TRACT NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES FACIAL BONES/SKULL RAD SURG W/PROGNATHISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00192","description":"ANES FACIAL BONES/SKULL RAD SURG W/PROGNATHISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES FOREARM WRIST/HAND CAST APPL RMVL/REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01860","description":"ANES FOREARM WRIST/HAND CAST APPL RMVL/REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES FOREARM WRIST/HAND CAST APPL RMVL/REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01860","description":"ANES FOREARM WRIST/HAND CAST APPL RMVL/REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HEART TRANSPLANT/HEART/LUNG TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00580","description":"ANES HEART TRANSPLANT/HEART/LUNG TRANSPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HEART TRANSPLANT/HEART/LUNG TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00580","description":"ANES HEART TRANSPLANT/HEART/LUNG TRANSPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR LOWER ABDOMEN NOS AND 1YR AGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00834","description":"ANES HERNIA REPAIR LOWER ABDOMEN NOS AND 1YR AGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR LOWER ABDOMEN NOS LT 1YR AGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00834","description":"ANES HERNIA REPAIR LOWER ABDOMEN NOS LT 1YR AGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR LOWER ABDOMEN NOS LT 1YR AGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00834","description":"ANES HERNIA REPAIR LOWER ABDOMEN NOS LT 1YR AGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR LWR ABD VENTRAL and INCISIONAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00832","description":"ANES HERNIA REPAIR LWR ABD VENTRAL and INCISIONAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR LWR ABD VENTRAL and INCISIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00832","description":"ANES HERNIA REPAIR LWR ABD VENTRAL and INCISIONAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR UPPER ABDOMEN OMPHALOCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00754","description":"ANES HERNIA REPAIR UPPER ABDOMEN OMPHALOCELE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR UPPER ABDOMEN OMPHALOCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00754","description":"ANES HERNIA REPAIR UPPER ABDOMEN OMPHALOCELE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA REPAIR UPR ABD TABDL RPR DIPHRG HRNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00756","description":"ANES HRNA REPAIR UPR ABD TABDL RPR DIPHRG HRNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA REPAIR UPR ABD TABDL RPR DIPHRG HRNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00756","description":"ANES HRNA REPAIR UPR ABD TABDL RPR DIPHRG HRNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA RPR LWR ABD NOS INFT LT 37WK BRTH LT 50WK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00836","description":"ANES HRNA RPR LWR ABD NOS INFT LT 37WK BRTH LT 50WK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA RPR LWR ABD NOS INFT LT 37WK BRTH LT 50WK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00836","description":"ANES HRNA RPR LWR ABD NOS INFT LT 37WK BRTH LT 50WK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA RPR LWR ABD NOS INFTS LT 37WK BRTH/50WK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00836","description":"ANES HRNA RPR LWR ABD NOS INFTS LT 37WK BRTH/50WK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA RPR UPR ABD LMBR AND VENTRAL HERNIA AND DEHISC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00752","description":"ANES HRNA RPR UPR ABD LMBR AND VENTRAL HERNIA AND DEHISC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA RPR UPR ABD LMBR and VNT HERNIA and /DEHSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00752","description":"ANES HRNA RPR UPR ABD LMBR and VNT HERNIA and /DEHSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA RPR UPR ABD LMBR and VNT HERNIA and /DEHSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00752","description":"ANES HRNA RPR UPR ABD LMBR and VNT HERNIA and /DEHSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRT PERICARD SAC and GREAT VSLS W/PMP OXTJ LT 1YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00561","description":"ANES HRT PERICARD SAC and GREAT VSLS W/PMP OXTJ LT 1YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRT PERICARDIAL SAC and GRT VESLS W/O PMP OXT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00560","description":"ANES HRT PERICARDIAL SAC and GRT VESLS W/O PMP OXT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRT PERICRD SAC and GRT VSLS W/PMP OXTJ GT 1MO PO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00562","description":"ANES HRT PERICRD SAC and GRT VSLS W/PMP OXTJ GT 1MO PO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRT PRCRD SAC and GREAT VSL W/PUMP OXTJ HYPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00563","description":"ANES HRT PRCRD SAC and GREAT VSL W/PUMP OXTJ HYPTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES HYSTEROSCOPY and /HYSTEROSALPINGOGRAPHY W/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00952","description":"ANES HYSTEROSCOPY and /HYSTEROSALPINGOGRAPHY W/BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICR PX CEREBROSPINAL FLUID SHUNTING PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00220","description":"ANES ICR PX CEREBROSPINAL FLUID SHUNTING PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICR PX CEREBROSPINAL FLUID SHUNTING PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00220","description":"ANES ICR PX CEREBROSPINAL FLUID SHUNTING PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICR PX CRANIOTOMY/CRANIECTOMY HMTMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00211","description":"ANES ICR PX CRANIOTOMY/CRANIECTOMY HMTMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICR PX CRANIOTOMY/CRANIECTOMY HMTMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00211","description":"ANES ICR PX CRANIOTOMY/CRANIECTOMY HMTMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICR PX CRNOP/ELEVATION DEPRS SKULL FX XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00215","description":"ANES ICR PX CRNOP/ELEVATION DEPRS SKULL FX XDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICR PX CRNOP/ELEVATION DEPRS SKULL FX XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00215","description":"ANES ICR PX CRNOP/ELEVATION DEPRS SKULL FX XDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICRA ICAR/AORTIC THER IVNTL RAD ARTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01926","description":"ANES ICRA ICAR/AORTIC THER IVNTL RAD ARTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INSJ PENILE PROSTH PRNL INCL OPEN URTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00938","description":"ANES INSJ PENILE PROSTH PRNL INCL OPEN URTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTEG EXTREMITIES ANT TRUNK AND PERINEUM NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00400","description":"ANES INTEG EXTREMITIES ANT TRUNK AND PERINEUM NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTEG MUSC AND NRV HEAD NECK AND POSTERIOR TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00300","description":"ANES INTEG MUSC AND NRV HEAD NECK AND POSTERIOR TRUNK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTEG SYS ELEC CONVERSION ARRHYTHMIAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00410","description":"ANES INTEG SYS ELEC CONVERSION ARRHYTHMIAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTEG SYS RAD/MODIFIED RAD BRST W/NODE DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00406","description":"ANES INTEG SYS RAD/MODIFIED RAD BRST W/NODE DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTEG SYS RAD/MODIFIED RAD BRST W/NODE DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00406","description":"ANES INTEG SYS RAD/MODIFIED RAD BRST W/NODE DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL BURR HOLES W/VENTRICULOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00214","description":"ANES INTRACRANIAL BURR HOLES W/VENTRICULOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL CEREBROSPINAL FLUID SHUNTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00220","description":"ANES INTRACRANIAL CEREBROSPINAL FLUID SHUNTING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL CRANIOTOMY/CRANIECTOMY HMTMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00211","description":"ANES INTRACRANIAL CRANIOTOMY/CRANIECTOMY HMTMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL ELECTROCOAGULATION ICRA NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00222","description":"ANES INTRACRANIAL ELECTROCOAGULATION ICRA NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL PROCEDURE IN SITTING POSITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00218","description":"ANES INTRACRANIAL PROCEDURE IN SITTING POSITION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL PROCEDURE IN SITTING POSITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00218","description":"ANES INTRACRANIAL PROCEDURE IN SITTING POSITION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL PX BURR HOLES W/VENTRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00214","description":"ANES INTRACRANIAL PX BURR HOLES W/VENTRG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL PX BURR HOLES W/VENTRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00214","description":"ANES INTRACRANIAL PX BURR HOLES W/VENTRG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL PX ELECTROCOAGULATION ICR NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00222","description":"ANES INTRACRANIAL PX ELECTROCOAGULATION ICR NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL PX ELECTROCOAGULATION ICR NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00222","description":"ANES INTRACRANIAL PX ELECTROCOAGULATION ICR NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL THER IVNTL RAD VENS/LYMPHTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01933","description":"ANES INTRACRANIAL THER IVNTL RAD VENS/LYMPHTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL/ELEVATION DEPRSD SKULL FX XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00215","description":"ANES INTRACRANIAL/ELEVATION DEPRSD SKULL FX XDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAORAL PX W/BIOPSY REPAIR CLEFT PALATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00172","description":"ANES INTRAORAL PX W/BIOPSY REPAIR CLEFT PALATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAORAL PX W/BIOPSY REPAIR CLEFT PALATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00172","description":"ANES INTRAORAL PX W/BIOPSY REPAIR CLEFT PALATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAORAL PX W/BX EXC RETROPHARYNGEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00174","description":"ANES INTRAORAL PX W/BX EXC RETROPHARYNGEAL TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAORAL PX W/BX EXC RETROPHARYNGEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00174","description":"ANES INTRAORAL PX W/BX EXC RETROPHARYNGEAL TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAORAL W/BIOPSY REPAIR CLEFT PALATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00172","description":"ANES INTRAORAL W/BIOPSY REPAIR CLEFT PALATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAORAL W/BX EXC RETROPHARYNGEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00174","description":"ANES INTRAORAL W/BX EXC RETROPHARYNGEAL TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAPERITONEAL UPPER ABDOMEN W/LAPS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00790","description":"ANES INTRAPERITONEAL UPPER ABDOMEN W/LAPS NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAPERITONEAL UPPER ABDOMEN W/LAPS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00790","description":"ANES INTRAPERITONEAL UPPER ABDOMEN W/LAPS NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER LOWER ABD W/LAPS ABDOMINOPRNL RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00844","description":"ANES IPER LOWER ABD W/LAPS ABDOMINOPRNL RESCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER LOWER ABD W/LAPS PELVIC EXENTERATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00848","description":"ANES IPER LOWER ABD W/LAPS PELVIC EXENTERATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER LOWER ABD W/LAPS RAD HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00846","description":"ANES IPER LOWER ABD W/LAPS RAD HYSTERECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER LOWER ABDOMEN W/LAPS AMNIOCENTESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00842","description":"ANES IPER LOWER ABDOMEN W/LAPS AMNIOCENTESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER LWR ABD W/LAPS TUBAL LIGATION/TRANSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00851","description":"ANES IPER LWR ABD W/LAPS TUBAL LIGATION/TRANSECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LOWER ABD W/LAPS ABDOMINOPRNL RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00844","description":"ANES IPER PX LOWER ABD W/LAPS ABDOMINOPRNL RESCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LOWER ABD W/LAPS ABDOMINOPRNL RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00844","description":"ANES IPER PX LOWER ABD W/LAPS ABDOMINOPRNL RESCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LOWER ABD W/LAPS RAD HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00846","description":"ANES IPER PX LOWER ABD W/LAPS RAD HYSTERECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LOWER ABD W/LAPS RAD HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00846","description":"ANES IPER PX LOWER ABD W/LAPS RAD HYSTERECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LOWER ABDOMEN W/LAPS AMNIOCENTESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00842","description":"ANES IPER PX LOWER ABDOMEN W/LAPS AMNIOCENTESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LOWER ABDOMEN W/LAPS AMNIOCENTESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00842","description":"ANES IPER PX LOWER ABDOMEN W/LAPS AMNIOCENTESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LWR ABD W/LAPS PELVIC EXENTERATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00848","description":"ANES IPER PX LWR ABD W/LAPS PELVIC EXENTERATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LWR ABD W/LAPS PELVIC EXENTERATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00848","description":"ANES IPER PX LWR ABD W/LAPS PELVIC EXENTERATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LWR ABD W/LAPS TUBAL LIG/TRNSXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00851","description":"ANES IPER PX LWR ABD W/LAPS TUBAL LIG/TRNSXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LWR ABD W/LAPS TUBAL LIG/TRNSXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00851","description":"ANES IPER PX LWR ABD W/LAPS TUBAL LIG/TRNSXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD GASTRIC RSTCV PX MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00797","description":"ANES IPER UPR ABD GASTRIC RSTCV PX MO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD GASTRIC RSTCV PX MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00797","description":"ANES IPER UPR ABD GASTRIC RSTCV PX MO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD LIVER TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00796","description":"ANES IPER UPR ABD LIVER TRANSPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD LIVER TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00796","description":"ANES IPER UPR ABD LIVER TRANSPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD PARTIAL/TOTAL PANCREATECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00794","description":"ANES IPER UPR ABD PARTIAL/TOTAL PANCREATECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD PARTIAL/TOTAL PANCREATECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00794","description":"ANES IPER UPR ABD PARTIAL/TOTAL PANCREATECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD PRTL HPTC MGMT LIVER HEMRRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00792","description":"ANES IPER UPR ABD PRTL HPTC MGMT LIVER HEMRRG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD PRTL HPTC MGMT LIVER HEMRRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00792","description":"ANES IPER UPR ABD PRTL HPTC MGMT LIVER HEMRRG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPR UPPER ABDOMEN LAPS GASTRIC RSTCV MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00797","description":"ANES IPR UPPER ABDOMEN LAPS GASTRIC RSTCV MO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES KNEE AND POPLITEAL ARTERY VEIN FISTULA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01432","description":"ANES KNEE AND POPLITEAL ARTERY VEIN FISTULA NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES LAPAROSCOPIC LIVER TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00796","description":"ANES LAPAROSCOPIC LIVER TRANSPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES LAPAROSCOPIC PARTIAL/TOTAL PANCREATECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00794","description":"ANES LAPAROSCOPIC PARTIAL/TOTAL PANCREATECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES LAPS PARTIAL HEPATECTOMY W/MGMT LIVER HEMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00792","description":"ANES LAPS PARTIAL HEPATECTOMY W/MGMT LIVER HEMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES LITHOTRP XTRCORP SHOCK WAVE W/O WATER BATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00873","description":"ANES LITHOTRP XTRCORP SHOCK WAVE W/O WATER BATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES LITHOTRP XTRCORP SHOCK WAVE W/O WATER BATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00873","description":"ANES LITHOTRP XTRCORP SHOCK WAVE W/O WATER BATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES LITHOTRP XTRCORP SHOCK WAVE W/WATER BATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00872","description":"ANES LITHOTRP XTRCORP SHOCK WAVE W/WATER BATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES LITHOTRP XTRCORP SHOCK WAVE W/WATER BATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00872","description":"ANES LITHOTRP XTRCORP SHOCK WAVE W/WATER BATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES LOWER ANT ABDOMINAL WALL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00802","description":"ANES LOWER ANT ABDOMINAL WALL PANNICULECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES LOWER LEG CAST APPLICATION REMOVAL/REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01490","description":"ANES LOWER LEG CAST APPLICATION REMOVAL/REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES LOWER LEG CAST APPLICATION REMOVAL/REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01490","description":"ANES LOWER LEG CAST APPLICATION REMOVAL/REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES LWR ABD VENTRAL AND INCISIONAL HERNIA REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00832","description":"ANES LWR ABD VENTRAL AND INCISIONAL HERNIA REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES MAJOR LOWER ABDOMINAL VESSELS IVC LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00882","description":"ANES MAJOR LOWER ABDOMINAL VESSELS IVC LIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES MALE GENT RAD AMP PENIS BI INGUN LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00934","description":"ANES MALE GENT RAD AMP PENIS BI INGUN LYMPHADEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES MALE GENT RAD AMP PENIS BI INGUN LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00934","description":"ANES MALE GENT RAD AMP PENIS BI INGUN LYMPHADEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES MANIPULATE SPINE/CLSD CRV THORC/LUMBR SPINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00640","description":"ANES MANIPULATE SPINE/CLSD CRV THORC/LUMBR SPINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES MEDIASTINOSCOPY and THORACOSCOPY W/1 LUNG VNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00529","description":"ANES MEDIASTINOSCOPY and THORACOSCOPY W/1 LUNG VNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES MEDIASTINOSCOPY and THORACSCOPY W/O 1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00528","description":"ANES MEDIASTINOSCOPY and THORACSCOPY W/O 1 LUNG VNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES MNPJ SPINE/CLSD PX CRV THRC/LUMBAR SPINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00640","description":"ANES MNPJ SPINE/CLSD PX CRV THRC/LUMBAR SPINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES MNPJ SPINE/CLSD PX CRV THRC/LUMBAR SPINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00640","description":"ANES MNPJ SPINE/CLSD PX CRV THRC/LUMBAR SPINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES NERVE MUSC TENDON FASCIA AND BURSAE UPPER LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01250","description":"ANES NERVE MUSC TENDON FASCIA AND BURSAE UPPER LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES NERVE MUSC TENDON FASCIA and BURSA KNEE and /POPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01320","description":"ANES NERVE MUSC TENDON FASCIA and BURSA KNEE and /POPLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES NERVE MUSCLE TDN FASCIA AND BURSA FOREARM WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01810","description":"ANES NERVE MUSCLE TDN FASCIA AND BURSA FOREARM WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES NON-INVASIVE IMAGING/RADIATION THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01922","description":"ANES NON-INVASIVE IMAGING/RADIATION THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES NON-INVASIVE IMAGING/RADIATION THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01922","description":"ANES NON-INVASIVE IMAGING/RADIATION THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES NOSE AND ACCESSORY SINUSES BIOPSY SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00164","description":"ANES NOSE AND ACCESSORY SINUSES BIOPSY SOFT TISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES NOSE AND ACCESSORY SINUSES RADICAL SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00162","description":"ANES NOSE AND ACCESSORY SINUSES RADICAL SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01716","description":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENODESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01716","description":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENODESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01714","description":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01714","description":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR ARM and ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01710","description":"ANES NRV MUSC TDN FSCA and BRS UPR ARM and ELBOW NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR ARM and ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01710","description":"ANES NRV MUSC TDN FSCA and BRS UPR ARM and ELBOW NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR ARM/ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01710","description":"ANES NRV MUSC TDN FSCA and BRS UPR ARM/ELBOW NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TNDN FSCIA BURSA SHOULDER AND AXILLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01610","description":"ANES NRV MUSC TNDN FSCIA BURSA SHOULDER AND AXILLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV/MUS/TND/FASC LOWER LEG/ANKLE/FOOT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01470","description":"ANES NRV/MUS/TND/FASC LOWER LEG/ANKLE/FOOT NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN OSTEOTOMY/OSTEOPLASTY TIBIA and /FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01484","description":"ANES OPEN OSTEOTOMY/OSTEOPLASTY TIBIA and /FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PROC BONES LOWER LEG/ANKLE/FOOT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01480","description":"ANES OPEN PROC BONES LOWER LEG/ANKLE/FOOT NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PROC UPPER ENDS TIBIA FIBULA and /PATELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01392","description":"ANES OPEN PROC UPPER ENDS TIBIA FIBULA and /PATELLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX B1 LWR L/A/F OSTEOT/OSTPL TIB and /FIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01484","description":"ANES OPEN PX B1 LWR L/A/F OSTEOT/OSTPL TIB and /FIB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX B1 LWR L/A/F OSTEOT/OSTPL TIB and /FIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01484","description":"ANES OPEN PX B1 LWR L/A/F OSTEOT/OSTPL TIB and /FIB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX B1 LWR L/A/F RADICAL RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01482","description":"ANES OPEN PX B1 LWR L/A/F RADICAL RESECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX B1 LWR L/A/F RADICAL RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01482","description":"ANES OPEN PX B1 LWR L/A/F RADICAL RESECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX BONES LOWER LEG ANKLE and FOOT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01480","description":"ANES OPEN PX BONES LOWER LEG ANKLE and FOOT NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX BONES LOWER LEG ANKLE and FOOT NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01480","description":"ANES OPEN PX BONES LOWER LEG ANKLE and FOOT NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX SYMPHYSIS PUBIS/SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01170","description":"ANES OPEN PX SYMPHYSIS PUBIS/SACROILIAC JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX SYMPHYSIS PUBIS/SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01170","description":"ANES OPEN PX SYMPHYSIS PUBIS/SACROILIAC JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX UPPER 2/3 FEMUR RADICAL RESCECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01234","description":"ANES OPEN PX UPPER 2/3 FEMUR RADICAL RESCECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX UPPER 2/3 FEMUR RADICAL RESCECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01234","description":"ANES OPEN PX UPPER 2/3 FEMUR RADICAL RESCECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN SYMPHYSIS PUBIS/SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01170","description":"ANES OPEN SYMPHYSIS PUBIS/SACROILIAC JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/ARTHROSCOPIC SHOULDER DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01634","description":"ANES OPEN/ARTHROSCOPIC SHOULDER DISARTICULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/ARTHROSCOPIC SHOULDER DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01634","description":"ANES OPEN/ARTHROSCOPIC SHOULDER DISARTICULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/ARTHRS INTERTHORACOSCAPULAR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01636","description":"ANES OPEN/ARTHRS INTERTHORACOSCAPULAR AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/ARTHRS INTERTHORACOSCAPULAR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01636","description":"ANES OPEN/ARTHRS INTERTHORACOSCAPULAR AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHROSCOPIC ELBOW PROC NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01740","description":"ANES OPEN/SURG ARTHROSCOPIC ELBOW PROC NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHROSCOPIC PROC KNEE JOINT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01400","description":"ANES OPEN/SURG ARTHROSCOPIC PROC KNEE JOINT NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHROSCOPIC PX KNEE JOINT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01400","description":"ANES OPEN/SURG ARTHROSCOPIC PX KNEE JOINT NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHROSCOPIC PX KNEE JOINT NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01400","description":"ANES OPEN/SURG ARTHROSCOPIC PX KNEE JOINT NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS DISARTICULATION AT KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01404","description":"ANES OPEN/SURG ARTHRS DISARTICULATION AT KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS DISARTICULATION AT KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01404","description":"ANES OPEN/SURG ARTHRS DISARTICULATION AT KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS PX ELBW TOTAL ELBOW RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01760","description":"ANES OPEN/SURG ARTHRS PX ELBW TOTAL ELBOW RPLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS PX ELBW TOTAL ELBOW RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01760","description":"ANES OPEN/SURG ARTHRS PX ELBW TOTAL ELBOW RPLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS REPRS NON/MALUNION HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01744","description":"ANES OPEN/SURG ARTHRS REPRS NON/MALUNION HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01402","description":"ANES OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01402","description":"ANES OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN RPR DISRPJ PELVIS/COLUMN FX ACETABULUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01173","description":"ANES OPN RPR DISRPJ PELVIS/COLUMN FX ACETABULUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN RPR FX DISRPJ PLVS/COLUMN FX ACETABULUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01173","description":"ANES OPN RPR FX DISRPJ PLVS/COLUMN FX ACETABULUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN RPR FX DISRPJ PLVS/COLUMN FX ACETABULUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01173","description":"ANES OPN RPR FX DISRPJ PLVS/COLUMN FX ACETABULUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/ARTHR HUMRL H/N STRNCLV ACRMCLV and SHO NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01630","description":"ANES OPN/ARTHR HUMRL H/N STRNCLV ACRMCLV and SHO NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/ARTHR HUMRL H/N STRNCLV ACRMCLV and SHO NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01630","description":"ANES OPN/ARTHR HUMRL H/N STRNCLV ACRMCLV and SHO NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01638","description":"ANES OPN/ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01638","description":"ANES OPN/ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/SURG ARTHRS PX ELBW EXC CST/TUM HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01758","description":"ANES OPN/SURG ARTHRS PX ELBW EXC CST/TUM HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/SURG ARTHRS PX ELBW EXC CST/TUM HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01758","description":"ANES OPN/SURG ARTHRS PX ELBW EXC CST/TUM HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/SURG ARTHRS PX ELBW RPR NON/MALUN HUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01744","description":"ANES OPN/SURG ARTHRS PX ELBW RPR NON/MALUN HUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/SURG ARTHRS PX ELBW RPR NON/MALUN HUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01744","description":"ANES OPN/SURG ARTHRS PX ELBW RPR NON/MALUN HUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES ORCHIOPEXY UNI/BI INCL OPEN URETHRAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00930","description":"ANES ORCHIOPEXY UNI/BI INCL OPEN URETHRAL PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PERMANENT TRANSVENOUS PACEMAKER INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00530","description":"ANES PERMANENT TRANSVENOUS PACEMAKER INSERTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PERMANENT TRANSVENOUS PACEMAKER INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00530","description":"ANES PERMANENT TRANSVENOUS PACEMAKER INSERTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART KNEE and POP EXC and GRF/RPR OCCLS/ANEURYSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01444","description":"ANES PX ART KNEE and POP EXC and GRF/RPR OCCLS/ANEURYSM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART KNEE and POP EXC and GRF/RPR OCCLS/ANEURYSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01444","description":"ANES PX ART KNEE and POP EXC and GRF/RPR OCCLS/ANEURYSM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART KNEE and POPLITEAL TEAEC W/WO PATCH GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01442","description":"ANES PX ART KNEE and POPLITEAL TEAEC W/WO PATCH GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART KNEE and POPLITEAL TEAEC W/WO PATCH GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01442","description":"ANES PX ART KNEE and POPLITEAL TEAEC W/WO PATCH GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART LWR LEG W/BYP GRAFT EMBLC DIR/W/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01502","description":"ANES PX ART LWR LEG W/BYP GRAFT EMBLC DIR/W/CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART LWR LEG W/BYP GRAFT EMBLC DIR/W/CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01502","description":"ANES PX ART LWR LEG W/BYP GRAFT EMBLC DIR/W/CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART SHO and AX AXILLARY-BRACHIAL ANEURYSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01652","description":"ANES PX ART SHO and AX AXILLARY-BRACHIAL ANEURYSM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART SHO and AX AXILLARY-BRACHIAL ANEURYSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01652","description":"ANES PX ART SHO and AX AXILLARY-BRACHIAL ANEURYSM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART SHO and AX AXILLARY-FEMORAL BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01656","description":"ANES PX ART SHO and AX AXILLARY-FEMORAL BYPASS GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART SHO and AX AXILLARY-FEMORAL BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01656","description":"ANES PX ART SHO and AX AXILLARY-FEMORAL BYPASS GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART UPPER LEG W/BYPASS GRAFT FEM ART LIG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01272","description":"ANES PX ART UPPER LEG W/BYPASS GRAFT FEM ART LIG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART UPPER LEG W/BYPASS GRAFT FEM ART LIG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01272","description":"ANES PX ART UPPER LEG W/BYPASS GRAFT FEM ART LIG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART UPR LEG BYPASS GRAFT FEM ART EMBLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01274","description":"ANES PX ART UPR LEG BYPASS GRAFT FEM ART EMBLC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART UPR LEG BYPASS GRAFT FEM ART EMBLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01274","description":"ANES PX ART UPR LEG BYPASS GRAFT FEM ART EMBLC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ARTERIES FOREARM WRIST and HAND EMBOLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01842","description":"ANES PX ARTERIES FOREARM WRIST and HAND EMBOLECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ARTERIES FOREARM WRIST and HAND EMBOLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01842","description":"ANES PX ARTERIES FOREARM WRIST and HAND EMBOLECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ARTERIES OF KNEE and POPLITEAL AREA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01440","description":"ANES PX ARTERIES OF KNEE and POPLITEAL AREA NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ARTERIES OF KNEE and POPLITEAL AREA NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01440","description":"ANES PX ARTERIES OF KNEE and POPLITEAL AREA NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ARTERIES SHOULDER and AXILLA BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01654","description":"ANES PX ARTERIES SHOULDER and AXILLA BYPASS GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ARTERIES SHOULDER and AXILLA BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01654","description":"ANES PX ARTERIES SHOULDER and AXILLA BYPASS GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX CERVICAL SPINE and CORD W/PATIENT SITTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00604","description":"ANES PX CERVICAL SPINE and CORD W/PATIENT SITTING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX CERVICAL SPINE and CORD W/PATIENT SITTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00604","description":"ANES PX CERVICAL SPINE and CORD W/PATIENT SITTING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ESOPH THYR LARX TRCH and LYMPH NCK NOS 1YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00320","description":"ANES PX ESOPH THYR LARX TRCH and LYMPH NCK NOS 1YR OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ESOPH THYR LARX TRCH and LYMPH NCK NOS 1YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00320","description":"ANES PX ESOPH THYR LARX TRCH and LYMPH NCK NOS 1YR OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX EXTERNAL MID and INNER EAR W/BX TYMPANOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00126","description":"ANES PX EXTERNAL MID and INNER EAR W/BX TYMPANOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX EXTERNAL MID and INNER EAR W/BX TYMPANOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00126","description":"ANES PX EXTERNAL MID and INNER EAR W/BX TYMPANOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX EXTERNAL MIDDLE and INNER EAR W/BX OTOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00124","description":"ANES PX EXTERNAL MIDDLE and INNER EAR W/BX OTOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX EXTERNAL MIDDLE and INNER EAR W/BX OTOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00124","description":"ANES PX EXTERNAL MIDDLE and INNER EAR W/BX OTOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX FACIAL BONES/SKL RAD SURG W/PROGNATHISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00192","description":"ANES PX FACIAL BONES/SKL RAD SURG W/PROGNATHISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX FACIAL BONES/SKL RAD SURG W/PROGNATHISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00192","description":"ANES PX FACIAL BONES/SKL RAD SURG W/PROGNATHISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GREAT VSLS W/O PUMP OXTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00560","description":"ANES PX HRT PRCRD SAC and GREAT VSLS W/O PUMP OXTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GREAT VSLS W/O PUMP OXTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00560","description":"ANES PX HRT PRCRD SAC and GREAT VSLS W/O PUMP OXTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GREAT VSLS W/PUMP OXTJ LT 1YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00561","description":"ANES PX HRT PRCRD SAC and GREAT VSLS W/PUMP OXTJ LT 1YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GREAT VSLS W/PUMP OXTJ LT 1YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00561","description":"ANES PX HRT PRCRD SAC and GREAT VSLS W/PUMP OXTJ LT 1YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GRT VSL PMP OXT CRC ARREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00563","description":"ANES PX HRT PRCRD SAC and GRT VSL PMP OXT CRC ARREST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GRT VSL PMP OXT CRC ARREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00563","description":"ANES PX HRT PRCRD SAC and GRT VSL PMP OXT CRC ARREST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GRT VSL W/PMP OXT AGE 1YR Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00562","description":"ANES PX HRT PRCRD SAC and GRT VSL W/PMP OXT AGE 1YR Plus","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GRT VSL W/PMP OXT AGE 1YR Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00562","description":"ANES PX HRT PRCRD SAC and GRT VSL W/PMP OXT AGE 1YR Plus","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX INTEG SYS ELEC CONVERSION ARRHYTHMIAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00410","description":"ANES PX INTEG SYS ELEC CONVERSION ARRHYTHMIAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX INTEG SYS ELEC CONVERSION ARRHYTHMIAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00410","description":"ANES PX INTEG SYS ELEC CONVERSION ARRHYTHMIAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX INTEG SYS XTR ANT TRUNK and PERINEUM NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00400","description":"ANES PX INTEG SYS XTR ANT TRUNK and PERINEUM NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX INTEG SYS XTR ANT TRUNK and PERINEUM NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00400","description":"ANES PX INTEG SYS XTR ANT TRUNK and PERINEUM NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX LOWER ANT ABDOMINAL WALL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00802","description":"ANES PX LOWER ANT ABDOMINAL WALL PANNICULECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX LOWER ANT ABDOMINAL WALL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00802","description":"ANES PX LOWER ANT ABDOMINAL WALL PANNICULECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MAJ LOWER ABDOMINAL VESSELS IVC LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00882","description":"ANES PX MAJ LOWER ABDOMINAL VESSELS IVC LIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MAJ LOWER ABDOMINAL VESSELS IVC LIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00882","description":"ANES PX MAJ LOWER ABDOMINAL VESSELS IVC LIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA COMPL AMPUTATION PENIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00932","description":"ANES PX MALE GENITALIA COMPL AMPUTATION PENIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA COMPL AMPUTATION PENIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00932","description":"ANES PX MALE GENITALIA COMPL AMPUTATION PENIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA INSJ PENILE PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00938","description":"ANES PX MALE GENITALIA INSJ PENILE PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA INSJ PENILE PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00938","description":"ANES PX MALE GENITALIA INSJ PENILE PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA ORCHIOPEXY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00930","description":"ANES PX MALE GENITALIA ORCHIOPEXY UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA ORCHIOPEXY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00930","description":"ANES PX MALE GENITALIA ORCHIOPEXY UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA RAD ORCHIECTOMY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00928","description":"ANES PX MALE GENITALIA RAD ORCHIECTOMY ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA RAD ORCHIECTOMY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00928","description":"ANES PX MALE GENITALIA RAD ORCHIECTOMY ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA UNDSCND TESTIS UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00924","description":"ANES PX MALE GENITALIA UNDSCND TESTIS UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA UNDSCND TESTIS UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00924","description":"ANES PX MALE GENITALIA UNDSCND TESTIS UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA VASECTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00921","description":"ANES PX MALE GENITALIA VASECTOMY UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA VASECTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00921","description":"ANES PX MALE GENITALIA VASECTOMY UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENTIALIA RAD ORCHIECTOMY INGUN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00926","description":"ANES PX MALE GENTIALIA RAD ORCHIECTOMY INGUN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENTIALIA RAD ORCHIECTOMY INGUN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00926","description":"ANES PX MALE GENTIALIA RAD ORCHIECTOMY INGUN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX NRV MUSC TDN FSCA and BRS UPR A and E TNOT OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01712","description":"ANES PX NRV MUSC TDN FSCA and BRS UPR A and E TNOT OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX NRV MUSC TDN FSCA and BRS UPR A and E TNOT OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01712","description":"ANES PX NRV MUSC TDN FSCA and BRS UPR A and E TNOT OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX NRV/MUSC/TND/FASC LWR LEG ANKLE and FOOT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01470","description":"ANES PX NRV/MUSC/TND/FASC LWR LEG ANKLE and FOOT NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX NRV/MUSC/TND/FASC LWR LEG ANKLE and FOOT NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01470","description":"ANES PX NRV/MUSC/TND/FASC LWR LEG ANKLE and FOOT NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ON EXTERNAL MIDDLE and INNER EAR W/BX NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00120","description":"ANES PX ON EXTERNAL MIDDLE and INNER EAR W/BX NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ON EXTERNAL MIDDLE and INNER EAR W/BX NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00120","description":"ANES PX ON EXTERNAL MIDDLE and INNER EAR W/BX NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ON NOSE and ACCESSORY SINUSES BX SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00164","description":"ANES PX ON NOSE and ACCESSORY SINUSES BX SOFT TISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ON NOSE and ACCESSORY SINUSES BX SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00164","description":"ANES PX ON NOSE and ACCESSORY SINUSES BX SOFT TISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ON NOSE and ACCESSORY SINUSES RADICAL SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00162","description":"ANES PX ON NOSE and ACCESSORY SINUSES RADICAL SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ON NOSE and ACCESSORY SINUSES RADICAL SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00162","description":"ANES PX ON NOSE and ACCESSORY SINUSES RADICAL SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX UPR ANT ABDL WALL PERCUTANEOUS LIVER BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00702","description":"ANES PX UPR ANT ABDL WALL PERCUTANEOUS LIVER BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX UPR ANT ABDL WALL PERCUTANEOUS LIVER BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00702","description":"ANES PX UPR ANT ABDL WALL PERCUTANEOUS LIVER BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX VEINS FOREARM WRIST and HAND PHLEBORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01852","description":"ANES PX VEINS FOREARM WRIST and HAND PHLEBORRHAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX VEINS FOREARM WRIST and HAND PHLEBORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01852","description":"ANES PX VEINS FOREARM WRIST and HAND PHLEBORRHAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01522","description":"ANES PX VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01522","description":"ANES PX VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX VN KNE and POPLITEAL AREA ARTERIOVENOUS FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01432","description":"ANES PX VN KNE and POPLITEAL AREA ARTERIOVENOUS FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX VN KNE and POPLITEAL AREA ARTERIOVENOUS FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01432","description":"ANES PX VN KNE and POPLITEAL AREA ARTERIOVENOUS FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES RAD AMP PENIS W/BI INGUINAL LYMPH NODE RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00934","description":"ANES RAD AMP PENIS W/BI INGUINAL LYMPH NODE RMVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES RAD AMP PENIS W/BI INGUN and ILIAC LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00936","description":"ANES RAD AMP PENIS W/BI INGUN and ILIAC LYMPHADEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES RAD AMP PENIS W/BI INGUN and ILIAC LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00936","description":"ANES RAD AMP PENIS W/BI INGUN and ILIAC LYMPHADEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES RAD AMP PENIS W/BI INGUNL and ILIAC LYMPH RMOVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00936","description":"ANES RAD AMP PENIS W/BI INGUNL and ILIAC LYMPH RMOVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES RAD ORCHIECTOMY ABDOMINAL INCL OPN URTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00928","description":"ANES RAD ORCHIECTOMY ABDOMINAL INCL OPN URTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES RAD ORCHIECTOMY INGUN INCL OPEN URTL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00926","description":"ANES RAD ORCHIECTOMY INGUN INCL OPEN URTL PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES RADICAL PX TUMOR PELVIS XCP HINDQUARTER AMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01150","description":"ANES RADICAL PX TUMOR PELVIS XCP HINDQUARTER AMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES RADICAL PX TUMOR PELVIS XCP HINDQUARTER AMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01150","description":"ANES RADICAL PX TUMOR PELVIS XCP HINDQUARTER AMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES RADICAL RESECJ INCL BELOW KNEE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01482","description":"ANES RADICAL RESECJ INCL BELOW KNEE AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES RADICAL TUMOR PELVIS XCP HINDQUARTER AMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01150","description":"ANES RADICAL TUMOR PELVIS XCP HINDQUARTER AMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES RADICAL/MODIFIED RADICAL BREAST W/NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00406","description":"ANES RADICAL/MODIFIED RADICAL BREAST W/NODES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES RADIUS ULNA WRIST/HAND BONES CLOSED PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01820","description":"ANES RADIUS ULNA WRIST/HAND BONES CLOSED PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES REPAIR RUPTURED ACHILLES TENDON W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01472","description":"ANES REPAIR RUPTURED ACHILLES TENDON W/WO GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES REPAIR RUPTURED ACHILLES TENDON W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01472","description":"ANES REPAIR RUPTURED ACHILLES TENDON W/WO GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES RPR RUPTURED ACHILLES TENDON W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01472","description":"ANES RPR RUPTURED ACHILLES TENDON W/WO GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES SEMINAL VESICLES INCL OPEN URETHRAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00922","description":"ANES SEMINAL VESICLES INCL OPEN URETHRAL PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES SHOULDER CAST APPL REMOVAL/REPAIR NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01680","description":"ANES SHOULDER CAST APPL REMOVAL/REPAIR NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES SHOULDER CAST APPL REMOVAL/REPAIR NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01680","description":"ANES SHOULDER CAST APPL REMOVAL/REPAIR NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVNTL RAD PX ARTERIAL ICR ICAR/AORTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01926","description":"ANES THER IVNTL RAD PX ARTERIAL ICR ICAR/AORTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVNTL RAD PX ARTERIAL ICR ICAR/AORTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01926","description":"ANES THER IVNTL RAD PX ARTERIAL ICR ICAR/AORTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVNTL RAD PX ARTL CAROTID/CORONARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01925","description":"ANES THER IVNTL RAD PX ARTL CAROTID/CORONARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVNTL RAD PX ARTL CAROTID/CORONARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01925","description":"ANES THER IVNTL RAD PX ARTL CAROTID/CORONARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVNTL RAD VEN/LYMPHTC NTRHPTC/PRTL CRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01931","description":"ANES THER IVNTL RAD VEN/LYMPHTC NTRHPTC/PRTL CRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVNTL RAD VEN/LYMPHTC NTRHPTC/PRTL CRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01931","description":"ANES THER IVNTL RAD VEN/LYMPHTC NTRHPTC/PRTL CRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVTNL PX VENOUS/LYMPHATIC SYS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01930","description":"ANES THER IVTNL PX VENOUS/LYMPHATIC SYS NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVTNL PX VENOUS/LYMPHATIC SYS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01930","description":"ANES THER IVTNL PX VENOUS/LYMPHATIC SYS NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACIC SPINE and CORD ANT APPR W/1 LNG VENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00626","description":"ANES THORACIC SPINE and CORD ANT APPR W/1 LNG VENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACIC SPINE and CORD ANT APPR W/1 LNG VENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00626","description":"ANES THORACIC SPINE and CORD ANT APPR W/1 LNG VENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY AND THORACOSCOPY DECORTICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00542","description":"ANES THORACOTOMY AND THORACOSCOPY DECORTICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY AND THORACOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00540","description":"ANES THORACOTOMY AND THORACOSCOPY NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY AND THORACOSCOPY PULMONARY RESC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00546","description":"ANES THORACOTOMY AND THORACOSCOPY PULMONARY RESC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY AND THORACSCOPY TRACHEA AND BRONCHI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00548","description":"ANES THORACOTOMY AND THORACSCOPY TRACHEA AND BRONCHI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY and THORACOSCOPY W/1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00541","description":"ANES THORACOTOMY and THORACOSCOPY W/1 LUNG VNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY PX NTRATHRC PX TRACHEA and BRONCHI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00548","description":"ANES THORACOTOMY PX NTRATHRC PX TRACHEA and BRONCHI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY PX NTRATHRC PX TRACHEA and BRONCHI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00548","description":"ANES THORACOTOMY PX NTRATHRC PX TRACHEA and BRONCHI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY PX PULMONARY RESCJ W/THORACOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00546","description":"ANES THORACOTOMY PX PULMONARY RESCJ W/THORACOP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY PX PULMONARY RESCJ W/THORACOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00546","description":"ANES THORACOTOMY PX PULMONARY RESCJ W/THORACOP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THRC SPINE and CORD ANT APPR W/O 1 LUNG VENTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00625","description":"ANES THRC SPINE and CORD ANT APPR W/O 1 LUNG VENTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES THRC SPINE and CORD ANT APPR W/O 1 LUNG VENTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00625","description":"ANES THRC SPINE and CORD ANT APPR W/O 1 LUNG VENTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSURETHRAL PX RESECTION OF BLADDER TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00912","description":"ANES TRANSURETHRAL PX RESECTION OF BLADDER TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSURETHRAL PX RESECTION OF BLADDER TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00912","description":"ANES TRANSURETHRAL PX RESECTION OF BLADDER TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSURETHRAL PX W/URETHROCYSTOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00910","description":"ANES TRANSURETHRAL PX W/URETHROCYSTOSCOPY NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSURETHRAL PX W/URETHROCYSTOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00910","description":"ANES TRANSURETHRAL PX W/URETHROCYSTOSCOPY NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSURETHRAL RESECTION OF BLADDER TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00912","description":"ANES TRANSURETHRAL RESECTION OF BLADDER TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSURETHRAL W/URETHROCYSTOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00910","description":"ANES TRANSURETHRAL W/URETHROCYSTOSCOPY NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSVENOUS INSJ/REPLACEMENT PACING CVDFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00534","description":"ANES TRANSVENOUS INSJ/REPLACEMENT PACING CVDFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSVENOUS INSJ/REPLACEMENT PACING CVDFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00534","description":"ANES TRANSVENOUS INSJ/REPLACEMENT PACING CVDFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRURL FRAGMNTJ MANJ and /RMVL URETERAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00918","description":"ANES TRURL FRAGMNTJ MANJ and /RMVL URETERAL CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRURL POST-TRURL RESECTION BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00916","description":"ANES TRURL POST-TRURL RESECTION BLEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRURL PX FRAGMNTJ MNPJ and /RMVL URTRL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00918","description":"ANES TRURL PX FRAGMNTJ MNPJ and /RMVL URTRL CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRURL PX FRAGMNTJ MNPJ and /RMVL URTRL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00918","description":"ANES TRURL PX FRAGMNTJ MNPJ and /RMVL URTRL CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRURL PX POST-TRURL RESECTION BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00916","description":"ANES TRURL PX POST-TRURL RESECTION BLEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRURL PX POST-TRURL RESECTION BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00916","description":"ANES TRURL PX POST-TRURL RESECTION BLEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES UNDSCND TESTIS UNI/BI INCL OPEN URTL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00924","description":"ANES UNDSCND TESTIS UNI/BI INCL OPEN URTL PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES UPPER 2/3 FEMUR RADICAL RESCECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01234","description":"ANES UPPER 2/3 FEMUR RADICAL RESCECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES UPPER LEG W/BYPASS GRFT FEM ART EMBOLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01274","description":"ANES UPPER LEG W/BYPASS GRFT FEM ART EMBOLECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES UPR ANT ABDL WALL PERCUTANEOUS LIVER BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00702","description":"ANES UPR ANT ABDL WALL PERCUTANEOUS LIVER BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES URGENT HYSTERECTOMY FOLLOWING DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01962","description":"ANES URGENT HYSTERECTOMY FOLLOWING DELIVERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES URGENT HYSTERECTOMY FOLLOWING DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01962","description":"ANES URGENT HYSTERECTOMY FOLLOWING DELIVERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES VAG PX COLPTMY VAGNC COLPRPHY and OPN URTL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00942","description":"ANES VAG PX COLPTMY VAGNC COLPRPHY and OPN URTL PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES VAG PX COLPTMY VAGNC COLPRPHY and OPN URTL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00942","description":"ANES VAG PX COLPTMY VAGNC COLPRPHY and OPN URTL PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES VAG PX HYSTEROSCOPY and /HYSTEROSALPINGOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00952","description":"ANES VAG PX HYSTEROSCOPY and /HYSTEROSALPINGOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES VAG PX HYSTEROSCOPY and /HYSTEROSALPINGOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00952","description":"ANES VAG PX HYSTEROSCOPY and /HYSTEROSALPINGOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES VASECTOMY UNI/BI INCL OPEN URETHRAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00921","description":"ANES VASECTOMY UNI/BI INCL OPEN URETHRAL PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES VEINS FOREARM WRIST AND HAND PHLEBORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01852","description":"ANES VEINS FOREARM WRIST AND HAND PHLEBORRHAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01522","description":"ANES VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES VEINS OF UPPER LEG INCLUDING EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01260","description":"ANES VEINS OF UPPER LEG INCLUDING EXPLORATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES VENOUS/LYMPHATIC NOS THER IVNTL RAD NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01930","description":"ANES VENOUS/LYMPHATIC NOS THER IVNTL RAD NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRNL MID and INNER EAR W/BX TYMPANOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00126","description":"ANES XTRNL MID and INNER EAR W/BX TYMPANOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL LOWER ABD UR TRACT RENAL DON NFRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00862","description":"ANES XTRPRTL LOWER ABD UR TRACT RENAL DON NFRCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL LOWER ABD W/URIN TRACT ADRENLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00866","description":"ANES XTRPRTL LOWER ABD W/URIN TRACT ADRENLECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL LWER ABD W/URINARY TRACT TOT CYSTEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00864","description":"ANES XTRPRTL LWER ABD W/URINARY TRACT TOT CYSTEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL LWR ABD W/URIN TRACT CSTOLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00870","description":"ANES XTRPRTL LWR ABD W/URIN TRACT CSTOLITHOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL LWR ABD W/URIN TRACT RENAL TRANSPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00868","description":"ANES XTRPRTL LWR ABD W/URIN TRACT RENAL TRANSPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL LWR ABD W/URINARY TRACT RAD PRSTECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00865","description":"ANES XTRPRTL LWR ABD W/URINARY TRACT RAD PRSTECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT ADRENALECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00866","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT ADRENALECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT ADRENALECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00866","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT ADRENALECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT RAD PRST8ECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00865","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT RAD PRST8ECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT RAD PRST8ECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00865","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT RAD PRST8ECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00862","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00862","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL TRANSPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00868","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL TRANSPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL TRANSPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00868","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL TRANSPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT TOT CSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00864","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT TOT CSTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT TOT CSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00864","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT TOT CSTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRC CYSTOLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00870","description":"ANES XTRPRTL PX LWR ABD W/UR TRC CYSTOLITHOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRC CYSTOLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00870","description":"ANES XTRPRTL PX LWR ABD W/UR TRC CYSTOLITHOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTH DIAGNOSTIC ARTHROSCOPIC PROC KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01382","description":"ANESTH DIAGNOSTIC ARTHROSCOPIC PROC KNEE JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTH OPEN/SURG ARTHRS EXC CYST/TUMOR HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01758","description":"ANESTH OPEN/SURG ARTHRS EXC CYST/TUMOR HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTH OPEN/SURG ARTHRS KNEE DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01404","description":"ANESTH OPEN/SURG ARTHRS KNEE DISARTICULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTH OPEN/SURG ARTHRS TOTAL ELBOW REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01760","description":"ANESTH OPEN/SURG ARTHRS TOTAL ELBOW REPLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTH OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01402","description":"ANESTH OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ACCESS CENTRAL VENOUS CIRCULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00532","description":"ANESTHESIA ACCESS CENTRAL VENOUS CIRCULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ACCESS CENTRAL VENOUS CIRCULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00532","description":"ANESTHESIA ACCESS CENTRAL VENOUS CIRCULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL CLOSED PROCEDURES KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01380","description":"ANESTHESIA ALL CLOSED PROCEDURES KNEE JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL CLOSED PROCEDURES KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01380","description":"ANESTHESIA ALL CLOSED PROCEDURES KNEE JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL CLOSED PROCEDURES LOWER 1/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01340","description":"ANESTHESIA ALL CLOSED PROCEDURES LOWER 1/3 FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL CLOSED PROCEDURES LOWER 1/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01340","description":"ANESTHESIA ALL CLOSED PROCEDURES LOWER 1/3 FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL CLOSED PX LOWER LEG ANKLE and FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01462","description":"ANESTHESIA ALL CLOSED PX LOWER LEG ANKLE and FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL CLOSED PX LOWER LEG ANKLE and FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01462","description":"ANESTHESIA ALL CLOSED PX LOWER LEG ANKLE and FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL OPEN PROCEDURES LOWER 1/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01360","description":"ANESTHESIA ALL OPEN PROCEDURES LOWER 1/3 FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL OPEN PROCEDURES LOWER 1/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01360","description":"ANESTHESIA ALL OPEN PROCEDURES LOWER 1/3 FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PROCEDURES ON ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00500","description":"ANESTHESIA ALL PROCEDURES ON ESOPHAGUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PROCEDURES ON ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00500","description":"ANESTHESIA ALL PROCEDURES ON ESOPHAGUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PX LARYNX and TRACHEA CHILDREN LT 1YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00326","description":"ANESTHESIA ALL PX LARYNX and TRACHEA CHILDREN LT 1YEAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PX LARYNX and TRACHEA CHILDREN LT 1YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00326","description":"ANESTHESIA ALL PX LARYNX and TRACHEA CHILDREN LT 1YEAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PX MAJOR ABDOMINAL BLOOD VESSELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00770","description":"ANESTHESIA ALL PX MAJOR ABDOMINAL BLOOD VESSELS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PX MAJOR ABDOMINAL BLOOD VESSELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00770","description":"ANESTHESIA ALL PX MAJOR ABDOMINAL BLOOD VESSELS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PX VEINS SHOULDER and AXILLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01670","description":"ANESTHESIA ALL PX VEINS SHOULDER and AXILLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PX VEINS SHOULDER and AXILLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01670","description":"ANESTHESIA ALL PX VEINS SHOULDER and AXILLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ANORECTAL PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00902","description":"ANESTHESIA ANORECTAL PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ANORECTAL PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00902","description":"ANESTHESIA ANORECTAL PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTERIES FOREARM WRIST AND HAND NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01840","description":"ANESTHESIA ARTERIES FOREARM WRIST AND HAND NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTERIES LOWER LEG W/BYPASS GRAFT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01500","description":"ANESTHESIA ARTERIES LOWER LEG W/BYPASS GRAFT NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTERIES SHOULDER AND AXILLA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01650","description":"ANESTHESIA ARTERIES SHOULDER AND AXILLA NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTERIES UPPER ARM AND ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01770","description":"ANESTHESIA ARTERIES UPPER ARM AND ELBOW NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTERIES UPPER ARM AND ELBOW EMBOLECTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01772","description":"ANESTHESIA ARTERIES UPPER ARM AND ELBOW EMBOLECTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTERIES UPPER LEG INCL BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01270","description":"ANESTHESIA ARTERIES UPPER LEG INCL BYPASS GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC HIP JOINT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01202","description":"ANESTHESIA ARTHROSCOPIC HIP JOINT PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE AND FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01464","description":"ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE AND FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE and /FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01464","description":"ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE and /FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE and /FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01464","description":"ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE and /FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC PROCEDURES HIP JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01202","description":"ANESTHESIA ARTHROSCOPIC PROCEDURES HIP JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC PROCEDURES HIP JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01202","description":"ANESTHESIA ARTHROSCOPIC PROCEDURES HIP JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC SHOULDER DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01634","description":"ANESTHESIA ARTHROSCOPIC SHOULDER DISARTICULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHRS/ENDOSCOPIC TOTAL WRIST RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01832","description":"ANESTHESIA ARTHRS/ENDOSCOPIC TOTAL WRIST RPLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHRS/ENDOSCOPIC TOTAL WRIST RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01832","description":"ANESTHESIA ARTHRS/ENDOSCOPIC TOTAL WRIST RPLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHRS/ENDOSCPIC TOTAL WRIST REPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01832","description":"ANESTHESIA ARTHRS/ENDOSCPIC TOTAL WRIST REPLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA AXILLARY-BRACHIAL ANEURYSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01652","description":"ANESTHESIA AXILLARY-BRACHIAL ANEURYSM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA AXILLARY-FEMORAL BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01656","description":"ANESTHESIA AXILLARY-FEMORAL BYPASS GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA BICEPS TENODESIS RUPTURE LONG TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01716","description":"ANESTHESIA BICEPS TENODESIS RUPTURE LONG TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA BODY CAST APPLICATION OR REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01130","description":"ANESTHESIA BODY CAST APPLICATION OR REVISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA BODY CAST APPLICATION OR REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01130","description":"ANESTHESIA BODY CAST APPLICATION OR REVISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA C HYST W/O ANY LABOR ANALG/ANES CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01963","description":"ANESTHESIA C HYST W/O ANY LABOR ANALG/ANES CARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA C HYST W/O ANY LABOR ANALG/ANES CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01963","description":"ANESTHESIA C HYST W/O ANY LABOR ANALG/ANES CARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CARDIAC EP PX W/RF ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00537","description":"ANESTHESIA CARDIAC EP PX W/RF ABLATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CARDIAC EP PX W/RF ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00537","description":"ANESTHESIA CARDIAC EP PX W/RF ABLATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CAROTID/CORONARY THER IVNTL RAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01925","description":"ANESTHESIA CAROTID/CORONARY THER IVNTL RAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CERVICAL CERCLAGE INCLUDING BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00948","description":"ANESTHESIA CERVICAL CERCLAGE INCLUDING BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CERVICAL SPINE AND CORD NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00600","description":"ANESTHESIA CERVICAL SPINE AND CORD NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CESAREAN DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01961","description":"ANESTHESIA CESAREAN DELIVERY ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CESAREAN DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01961","description":"ANESTHESIA CESAREAN DELIVERY ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLAVICLE AND SCAPULA BIOPSY CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00454","description":"ANESTHESIA CLAVICLE AND SCAPULA BIOPSY CLAVICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLAVICLE AND SCAPULA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00450","description":"ANESTHESIA CLAVICLE AND SCAPULA NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLEFT LIP INVOLVING PLASTIC REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00102","description":"ANESTHESIA CLEFT LIP INVOLVING PLASTIC REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST NEEDLE BIOPSY PLEURA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00522","description":"ANESTHESIA CLOSED CHEST NEEDLE BIOPSY PLEURA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PNEUMOCENTESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00524","description":"ANESTHESIA CLOSED CHEST PNEUMOCENTESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PX NEEDLE BIOPSY PLEURA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00522","description":"ANESTHESIA CLOSED CHEST PX NEEDLE BIOPSY PLEURA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PX NEEDLE BIOPSY PLEURA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00522","description":"ANESTHESIA CLOSED CHEST PX NEEDLE BIOPSY PLEURA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PX PNEUMOCENTESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00524","description":"ANESTHESIA CLOSED CHEST PX PNEUMOCENTESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PX PNEUMOCENTESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00524","description":"ANESTHESIA CLOSED CHEST PX PNEUMOCENTESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PX W/BRONCHOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00520","description":"ANESTHESIA CLOSED CHEST PX W/BRONCHOSCOPY NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PX W/BRONCHOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00520","description":"ANESTHESIA CLOSED CHEST PX W/BRONCHOSCOPY NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST W/BRONCHOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00520","description":"ANESTHESIA CLOSED CHEST W/BRONCHOSCOPY NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED HIP JOINT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01200","description":"ANESTHESIA CLOSED HIP JOINT PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROC LOWER LEG ANKLE AND FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01462","description":"ANESTHESIA CLOSED PROC LOWER LEG ANKLE AND FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROCEDURES HUMERUS AND ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01730","description":"ANESTHESIA CLOSED PROCEDURES HUMERUS AND ELBOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROCEDURES HUMERUS AND ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01730","description":"ANESTHESIA CLOSED PROCEDURES HUMERUS AND ELBOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROCEDURES KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01380","description":"ANESTHESIA CLOSED PROCEDURES KNEE JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROCEDURES LOWER 1/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01340","description":"ANESTHESIA CLOSED PROCEDURES LOWER 1/3 FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROCEDURES UPPER 2/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01220","description":"ANESTHESIA CLOSED PROCEDURES UPPER 2/3 FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROCEDURES UPPER 2/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01220","description":"ANESTHESIA CLOSED PROCEDURES UPPER 2/3 FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA COMBINED UPPER AND LOWER GI ENDOSCOPIC PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00813","description":"ANESTHESIA COMBINED UPPER AND LOWER GI ENDOSCOPIC PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA COMBINED UPPER AND LOWER GI ENDOSCOPIC PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00813","description":"ANESTHESIA COMBINED UPPER AND LOWER GI ENDOSCOPIC PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CULDOSCOPY INCLUDING BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00950","description":"ANESTHESIA CULDOSCOPY INCLUDING BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01916","description":"ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01916","description":"ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01916","description":"ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PROC WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01829","description":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PROC WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01382","description":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX KNEE JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01382","description":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX KNEE JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01829","description":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01829","description":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DX ARTHROSCOPIC PX ELBOW JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01732","description":"ANESTHESIA DX ARTHROSCOPIC PX ELBOW JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DX ARTHROSCOPIC PX ELBOW JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01732","description":"ANESTHESIA DX ARTHROSCOPIC PX ELBOW JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DX ARTHROSCOPIC PX SHOULDER JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01622","description":"ANESTHESIA DX ARTHROSCOPIC PX SHOULDER JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DX ARTHROSCOPIC PX SHOULDER JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01622","description":"ANESTHESIA DX ARTHROSCOPIC PX SHOULDER JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ELBOW JOINT DIAGNOSTIC ARTHROSCOPIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01732","description":"ANESTHESIA ELBOW JOINT DIAGNOSTIC ARTHROSCOPIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ELECTROCONVULSIVE THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00104","description":"ANESTHESIA ELECTROCONVULSIVE THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ELECTROCONVULSIVE THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00104","description":"ANESTHESIA ELECTROCONVULSIVE THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00500","description":"ANESTHESIA ESOPHAGUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTENSIVE SPINE AND SPINAL CORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00670","description":"ANESTHESIA EXTENSIVE SPINE AND SPINAL CORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTENSIVE SPINE and SPINAL CORD PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00670","description":"ANESTHESIA EXTENSIVE SPINE and SPINAL CORD PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTENSIVE SPINE and SPINAL CORD PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00670","description":"ANESTHESIA EXTENSIVE SPINE and SPINAL CORD PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTERNAL CEPHALIC VERSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01958","description":"ANESTHESIA EXTERNAL CEPHALIC VERSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTERNAL CEPHALIC VERSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01958","description":"ANESTHESIA EXTERNAL CEPHALIC VERSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTERNAL MIDDLE and INNER EAR W/BX NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00120","description":"ANESTHESIA EXTERNAL MIDDLE and INNER EAR W/BX NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYE CORNEAL TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00144","description":"ANESTHESIA EYE CORNEAL TRANSPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYE IRIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00147","description":"ANESTHESIA EYE IRIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYE LENS SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00142","description":"ANESTHESIA EYE LENS SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYE NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00140","description":"ANESTHESIA EYE NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYE OPHTHALMOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00148","description":"ANESTHESIA EYE OPHTHALMOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYE VITREORETINAL SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00145","description":"ANESTHESIA EYE VITREORETINAL SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYELID RECONSTRUCTIVE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00103","description":"ANESTHESIA EYELID RECONSTRUCTIVE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FACIAL BONES OR SKULL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00190","description":"ANESTHESIA FACIAL BONES OR SKULL NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FOR ALL CLOSED PX INVOLVING HIP JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01200","description":"ANESTHESIA FOR ALL CLOSED PX INVOLVING HIP JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FOR ALL CLOSED PX INVOLVING HIP JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01200","description":"ANESTHESIA FOR ALL CLOSED PX INVOLVING HIP JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FOR PX MAJOR VESSELS NECK NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00350","description":"ANESTHESIA FOR PX MAJOR VESSELS NECK NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FOR PX MAJOR VESSELS NECK NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00350","description":"ANESTHESIA FOR PX MAJOR VESSELS NECK NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FOR STERNAL DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00550","description":"ANESTHESIA FOR STERNAL DEBRIDEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FOR STERNAL DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00550","description":"ANESTHESIA FOR STERNAL DEBRIDEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA GASTROCNEMIUS RECESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01474","description":"ANESTHESIA GASTROCNEMIUS RECESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA GASTROCNEMIUS RECESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01474","description":"ANESTHESIA GASTROCNEMIUS RECESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA HERNIA REPAIR LOWER ABDOMEN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00830","description":"ANESTHESIA HERNIA REPAIR LOWER ABDOMEN NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA HERNIA REPAIR LOWER ABDOMEN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00830","description":"ANESTHESIA HERNIA REPAIR LOWER ABDOMEN NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA HERNIA REPAIR UPPER ABDOMEN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00750","description":"ANESTHESIA HERNIA REPAIR UPPER ABDOMEN NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA HERNIA REPAIR UPPER ABDOMEN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00750","description":"ANESTHESIA HERNIA REPAIR UPPER ABDOMEN NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INCOMPLETE/MISSED ABORTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01965","description":"ANESTHESIA INCOMPLETE/MISSED ABORTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INCOMPLETE/MISSED ABORTION PROCEDURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01965","description":"ANESTHESIA INCOMPLETE/MISSED ABORTION PROCEDURES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INCOMPLETE/MISSED ABORTION PROCEDURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01965","description":"ANESTHESIA INCOMPLETE/MISSED ABORTION PROCEDURES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INDUCED ABORTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01966","description":"ANESTHESIA INDUCED ABORTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INDUCED ABORTION PROCEDURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01966","description":"ANESTHESIA INDUCED ABORTION PROCEDURES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INDUCED ABORTION PROCEDURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01966","description":"ANESTHESIA INDUCED ABORTION PROCEDURES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTERPELVI ABDOMINAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01140","description":"ANESTHESIA INTERPELVI ABDOMINAL AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTERPELVIABDOMINAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01140","description":"ANESTHESIA INTERPELVIABDOMINAL AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTERPELVIABDOMINAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01140","description":"ANESTHESIA INTERPELVIABDOMINAL AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PROCEDURE NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00210","description":"ANESTHESIA INTRACRANIAL PROCEDURE NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PROCEDURE SUBDURAL TAPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00212","description":"ANESTHESIA INTRACRANIAL PROCEDURE SUBDURAL TAPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PROCEDURE SUBDURAL TAPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00212","description":"ANESTHESIA INTRACRANIAL PROCEDURE SUBDURAL TAPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PROCEDURES NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00210","description":"ANESTHESIA INTRACRANIAL PROCEDURES NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PROCEDURES NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00210","description":"ANESTHESIA INTRACRANIAL PROCEDURES NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PX VASCULAR PROCEDURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00216","description":"ANESTHESIA INTRACRANIAL PX VASCULAR PROCEDURES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PX VASCULAR PROCEDURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00216","description":"ANESTHESIA INTRACRANIAL PX VASCULAR PROCEDURES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL VASCULAR PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00216","description":"ANESTHESIA INTRACRANIAL VASCULAR PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAHEPATIC/PORTAL THER IVNTL RAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01931","description":"ANESTHESIA INTRAHEPATIC/PORTAL THER IVNTL RAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAORAL PX W/BIOPSY RADICAL SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00176","description":"ANESTHESIA INTRAORAL PX W/BIOPSY RADICAL SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAORAL PX W/BIOPSY RADICAL SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00176","description":"ANESTHESIA INTRAORAL PX W/BIOPSY RADICAL SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAORAL PX WITH BIOPSY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00170","description":"ANESTHESIA INTRAORAL PX WITH BIOPSY NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAORAL PX WITH BIOPSY NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00170","description":"ANESTHESIA INTRAORAL PX WITH BIOPSY NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAORAL W/BIOPSY RADICAL SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00176","description":"ANESTHESIA INTRAORAL W/BIOPSY RADICAL SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAORAL WITH BIOPSY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00170","description":"ANESTHESIA INTRAORAL WITH BIOPSY NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAPERITONEAL LOWER ABD W/LAPS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00840","description":"ANESTHESIA INTRAPERITONEAL LOWER ABD W/LAPS NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAPERITONEAL PX LWR ABD W/LAPS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00840","description":"ANESTHESIA INTRAPERITONEAL PX LWR ABD W/LAPS NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAPERITONEAL PX LWR ABD W/LAPS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00840","description":"ANESTHESIA INTRAPERITONEAL PX LWR ABD W/LAPS NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRATHORACIC/JUGULAR THER IVNTL RAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01932","description":"ANESTHESIA INTRATHORACIC/JUGULAR THER IVNTL RAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LARYNX and TRACHEA CHILDREN LT 1 YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00326","description":"ANESTHESIA LARYNX and TRACHEA CHILDREN LT 1 YEAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LOWER ANTERIOR ABDOMINAL WALL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00800","description":"ANESTHESIA LOWER ANTERIOR ABDOMINAL WALL NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LOWER INTST ENDOSCOPIC PX NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00811","description":"ANESTHESIA LOWER INTST ENDOSCOPIC PX NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LOWER INTST ENDOSCOPIC PX NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00811","description":"ANESTHESIA LOWER INTST ENDOSCOPIC PX NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00812","description":"ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00812","description":"ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LOWER POSTERIOR ABDOMINAL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00820","description":"ANESTHESIA LOWER POSTERIOR ABDOMINAL WALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LUMBAR REGION LUMBAR SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00632","description":"ANESTHESIA LUMBAR REGION LUMBAR SYMPATHECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LUMBAR REGION NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00630","description":"ANESTHESIA LUMBAR REGION NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA MAJOR ABDOMINAL BLOOD VESSELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00770","description":"ANESTHESIA MAJOR ABDOMINAL BLOOD VESSELS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA MAJOR LOWER ABDOMINAL VESSELS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00880","description":"ANESTHESIA MAJOR LOWER ABDOMINAL VESSELS NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA MAJOR VESSELS NECK NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00350","description":"ANESTHESIA MAJOR VESSELS NECK NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA MAJOR VESSELS NECK SIMPLE LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00352","description":"ANESTHESIA MAJOR VESSELS NECK SIMPLE LIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA MAJOR VESSELS NECK SIMPLE LIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00352","description":"ANESTHESIA MAJOR VESSELS NECK SIMPLE LIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA MALE GENITALIA INCL OPEN URETHRAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00920","description":"ANESTHESIA MALE GENITALIA INCL OPEN URETHRAL PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA NOSE AND ACCESSORY SINUSES NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00160","description":"ANESTHESIA NOSE AND ACCESSORY SINUSES NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ON BONY PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01120","description":"ANESTHESIA ON BONY PELVIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN HIP JOINT DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01212","description":"ANESTHESIA OPEN HIP JOINT DISARTICULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN HIP JOINT PROCEDURE NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01210","description":"ANESTHESIA OPEN HIP JOINT PROCEDURE NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PROCEDURES HIP JOINT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01210","description":"ANESTHESIA OPEN PROCEDURES HIP JOINT NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PROCEDURES HIP JOINT NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01210","description":"ANESTHESIA OPEN PROCEDURES HIP JOINT NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PROCEDURES LOWER 1/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01360","description":"ANESTHESIA OPEN PROCEDURES LOWER 1/3 FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PROCEDURES UPPER 2/3 FEMUR NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01230","description":"ANESTHESIA OPEN PROCEDURES UPPER 2/3 FEMUR NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PROCEDURES UPPER 2/3 FEMUR NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01230","description":"ANESTHESIA OPEN PROCEDURES UPPER 2/3 FEMUR NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX HIP JOINT HIP DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01212","description":"ANESTHESIA OPEN PX HIP JOINT HIP DISARTICULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX HIP JOINT HIP DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01212","description":"ANESTHESIA OPEN PX HIP JOINT HIP DISARTICULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX REVISION TOT HIP ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01215","description":"ANESTHESIA OPEN PX REVISION TOT HIP ARTHROPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX REVISION TOT HIP ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01215","description":"ANESTHESIA OPEN PX REVISION TOT HIP ARTHROPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX TOTAL ANKLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01486","description":"ANESTHESIA OPEN PX TOTAL ANKLE REPLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX TOTAL ANKLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01486","description":"ANESTHESIA OPEN PX TOTAL ANKLE REPLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX TOTAL HIP ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01214","description":"ANESTHESIA OPEN PX TOTAL HIP ARTHROPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX TOTAL HIP ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01214","description":"ANESTHESIA OPEN PX TOTAL HIP ARTHROPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX UPPER 2/3 FEMUR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01232","description":"ANESTHESIA OPEN PX UPPER 2/3 FEMUR AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX UPPER 2/3 FEMUR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01232","description":"ANESTHESIA OPEN PX UPPER 2/3 FEMUR AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN REVISION TOTAL HIP ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01215","description":"ANESTHESIA OPEN REVISION TOTAL HIP ARTHROPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN TENOTOMY ELBOW TO SHOULDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01712","description":"ANESTHESIA OPEN TENOTOMY ELBOW TO SHOULDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN TOTAL ANKLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01486","description":"ANESTHESIA OPEN TOTAL ANKLE REPLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN TOTAL HIP ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01214","description":"ANESTHESIA OPEN TOTAL HIP ARTHROPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHROSCOPIC PX ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01740","description":"ANESTHESIA OPEN/SURG ARTHROSCOPIC PX ELBOW NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHROSCOPIC PX ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01740","description":"ANESTHESIA OPEN/SURG ARTHROSCOPIC PX ELBOW NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHRS ELBW OSTEOTOMY HUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01742","description":"ANESTHESIA OPEN/SURG ARTHRS ELBW OSTEOTOMY HUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHRS ELBW OSTEOTOMY HUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01742","description":"ANESTHESIA OPEN/SURG ARTHRS ELBW OSTEOTOMY HUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHRS OSTEOTOMY HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01742","description":"ANESTHESIA OPEN/SURG ARTHRS OSTEOTOMY HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHRS PX ELBOW RADICAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01756","description":"ANESTHESIA OPEN/SURG ARTHRS PX ELBOW RADICAL PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHRS PX ELBOW RADICAL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01756","description":"ANESTHESIA OPEN/SURG ARTHRS PX ELBOW RADICAL PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHRS RADICAL PROC ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01756","description":"ANESTHESIA OPEN/SURG ARTHRS RADICAL PROC ELBOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00470","description":"ANESTHESIA PARTIAL RIB RESECTION NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00470","description":"ANESTHESIA PARTIAL RIB RESECTION NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION RADICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00474","description":"ANESTHESIA PARTIAL RIB RESECTION RADICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION RADICAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00474","description":"ANESTHESIA PARTIAL RIB RESECTION RADICAL PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION RADICAL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00474","description":"ANESTHESIA PARTIAL RIB RESECTION RADICAL PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION THORACOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00472","description":"ANESTHESIA PARTIAL RIB RESECTION THORACOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION THORACOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00472","description":"ANESTHESIA PARTIAL RIB RESECTION THORACOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PERINEAL PROSTATECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00908","description":"ANESTHESIA PERINEAL PROSTATECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PERINEAL PROSTATECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00908","description":"ANESTHESIA PERINEAL PROSTATECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PROCEDURES IN LUMBAR REGION NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00630","description":"ANESTHESIA PROCEDURES IN LUMBAR REGION NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PROCEDURES IN LUMBAR REGION NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00630","description":"ANESTHESIA PROCEDURES IN LUMBAR REGION NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PROCEDURES ON BONY PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01120","description":"ANESTHESIA PROCEDURES ON BONY PELVIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PROCEDURES ON BONY PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01120","description":"ANESTHESIA PROCEDURES ON BONY PELVIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES FOREARM WRIST and HAND NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01840","description":"ANESTHESIA PX ARTERIES FOREARM WRIST and HAND NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES FOREARM WRIST and HAND NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01840","description":"ANESTHESIA PX ARTERIES FOREARM WRIST and HAND NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES LWR LEG W/BYPASS GRF NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01500","description":"ANESTHESIA PX ARTERIES LWR LEG W/BYPASS GRF NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES LWR LEG W/BYPASS GRF NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01500","description":"ANESTHESIA PX ARTERIES LWR LEG W/BYPASS GRF NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES SHOULDER and AXILLA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01650","description":"ANESTHESIA PX ARTERIES SHOULDER and AXILLA NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES SHOULDER and AXILLA NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01650","description":"ANESTHESIA PX ARTERIES SHOULDER and AXILLA NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES UPPER ARM and ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01770","description":"ANESTHESIA PX ARTERIES UPPER ARM and ELBOW NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES UPPER ARM and ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01770","description":"ANESTHESIA PX ARTERIES UPPER ARM and ELBOW NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES UPPER LEG NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01270","description":"ANESTHESIA PX ARTERIES UPPER LEG NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES UPPER LEG NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01270","description":"ANESTHESIA PX ARTERIES UPPER LEG NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES UPR ARM and ELBW EMBOLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01772","description":"ANESTHESIA PX ARTERIES UPR ARM and ELBW EMBOLECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES UPR ARM and ELBW EMBOLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01772","description":"ANESTHESIA PX ARTERIES UPR ARM and ELBW EMBOLECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX CERVICAL SPINE and CORD NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00600","description":"ANESTHESIA PX CERVICAL SPINE and CORD NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX CERVICAL SPINE and CORD NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00600","description":"ANESTHESIA PX CERVICAL SPINE and CORD NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX CLAVICLE and SCAPULA BIOPSY CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00454","description":"ANESTHESIA PX CLAVICLE and SCAPULA BIOPSY CLAVICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX CLAVICLE and SCAPULA BIOPSY CLAVICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00454","description":"ANESTHESIA PX CLAVICLE and SCAPULA BIOPSY CLAVICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX CLAVICLE AND SCAPULA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00450","description":"ANESTHESIA PX CLAVICLE AND SCAPULA NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX CLAVICLE AND SCAPULA NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00450","description":"ANESTHESIA PX CLAVICLE AND SCAPULA NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX INTEG SYS RAD/MODIFIED RAD BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00404","description":"ANESTHESIA PX INTEG SYS RAD/MODIFIED RAD BREAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX INTEG SYS RAD/MODIFIED RAD BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00404","description":"ANESTHESIA PX INTEG SYS RAD/MODIFIED RAD BREAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX INTEG SYS RECONSTRUCTIVE PX BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00402","description":"ANESTHESIA PX INTEG SYS RECONSTRUCTIVE PX BREAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX INTEG SYS RECONSTRUCTIVE PX BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00402","description":"ANESTHESIA PX INTEG SYS RECONSTRUCTIVE PX BREAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX INVOLVING PLASTIC REPAIR CLEFT LIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00102","description":"ANESTHESIA PX INVOLVING PLASTIC REPAIR CLEFT LIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX INVOLVING PLASTIC REPAIR CLEFT LIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00102","description":"ANESTHESIA PX INVOLVING PLASTIC REPAIR CLEFT LIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX LOWER ANTERIOR ABDOMINAL WALL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00800","description":"ANESTHESIA PX LOWER ANTERIOR ABDOMINAL WALL NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX LOWER ANTERIOR ABDOMINAL WALL NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00800","description":"ANESTHESIA PX LOWER ANTERIOR ABDOMINAL WALL NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX LOWER POSTERIOR ABDOMINAL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00820","description":"ANESTHESIA PX LOWER POSTERIOR ABDOMINAL WALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX LOWER POSTERIOR ABDOMINAL WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00820","description":"ANESTHESIA PX LOWER POSTERIOR ABDOMINAL WALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX LUMBAR REGION LUMBAR SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00632","description":"ANESTHESIA PX LUMBAR REGION LUMBAR SYMPATHECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX LUMBAR REGION LUMBAR SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00632","description":"ANESTHESIA PX LUMBAR REGION LUMBAR SYMPATHECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX MAJOR LOWER ABDOMINAL VESSELS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00880","description":"ANESTHESIA PX MAJOR LOWER ABDOMINAL VESSELS NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX MAJOR LOWER ABDOMINAL VESSELS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00880","description":"ANESTHESIA PX MAJOR LOWER ABDOMINAL VESSELS NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX MALE GENITALIA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00920","description":"ANESTHESIA PX MALE GENITALIA NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX MALE GENITALIA NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00920","description":"ANESTHESIA PX MALE GENITALIA NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX MALE GENITALIA SEMINAL VESICLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00922","description":"ANESTHESIA PX MALE GENITALIA SEMINAL VESICLES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX MALE GENITALIA SEMINAL VESICLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00922","description":"ANESTHESIA PX MALE GENITALIA SEMINAL VESICLES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE CORNEAL TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00144","description":"ANESTHESIA PX ON EYE CORNEAL TRANSPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE CORNEAL TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00144","description":"ANESTHESIA PX ON EYE CORNEAL TRANSPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE IRIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00147","description":"ANESTHESIA PX ON EYE IRIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE IRIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00147","description":"ANESTHESIA PX ON EYE IRIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE LENS SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00142","description":"ANESTHESIA PX ON EYE LENS SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE LENS SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00142","description":"ANESTHESIA PX ON EYE LENS SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00140","description":"ANESTHESIA PX ON EYE NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00140","description":"ANESTHESIA PX ON EYE NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE OPHTHALMOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00148","description":"ANESTHESIA PX ON EYE OPHTHALMOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE OPHTHALMOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00148","description":"ANESTHESIA PX ON EYE OPHTHALMOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE VITREORETINAL SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00145","description":"ANESTHESIA PX ON EYE VITREORETINAL SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE VITREORETINAL SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00145","description":"ANESTHESIA PX ON EYE VITREORETINAL SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON FACIAL BONES OR SKULL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00190","description":"ANESTHESIA PX ON FACIAL BONES OR SKULL NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON FACIAL BONES OR SKULL NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00190","description":"ANESTHESIA PX ON FACIAL BONES OR SKULL NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON NOSE and ACCESSORY SINUSES NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00160","description":"ANESTHESIA PX ON NOSE and ACCESSORY SINUSES NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON NOSE and ACCESSORY SINUSES NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00160","description":"ANESTHESIA PX ON NOSE and ACCESSORY SINUSES NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON SALIVARY GLANDS WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00100","description":"ANESTHESIA PX ON SALIVARY GLANDS WITH BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON SALIVARY GLANDS WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00100","description":"ANESTHESIA PX ON SALIVARY GLANDS WITH BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX THORACIC SPINE and CORD NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00620","description":"ANESTHESIA PX THORACIC SPINE and CORD NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX THORACIC SPINE and CORD NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00620","description":"ANESTHESIA PX THORACIC SPINE and CORD NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX UPPER ANTERIOR ABDOMINAL WALL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00700","description":"ANESTHESIA PX UPPER ANTERIOR ABDOMINAL WALL NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX UPPER ANTERIOR ABDOMINAL WALL NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00700","description":"ANESTHESIA PX UPPER ANTERIOR ABDOMINAL WALL NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX UPPER POSTERIOR ABDOMINAL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00730","description":"ANESTHESIA PX UPPER POSTERIOR ABDOMINAL WALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX UPPER POSTERIOR ABDOMINAL WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00730","description":"ANESTHESIA PX UPPER POSTERIOR ABDOMINAL WALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS FOREARM WRIST and HAND NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01850","description":"ANESTHESIA PX VEINS FOREARM WRIST and HAND NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS FOREARM WRIST and HAND NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01850","description":"ANESTHESIA PX VEINS FOREARM WRIST and HAND NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS KNEE and POPLITEAL AREA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01430","description":"ANESTHESIA PX VEINS KNEE and POPLITEAL AREA NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS KNEE and POPLITEAL AREA NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01430","description":"ANESTHESIA PX VEINS KNEE and POPLITEAL AREA NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS OF LOWER LEG NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01520","description":"ANESTHESIA PX VEINS OF LOWER LEG NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS OF LOWER LEG NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01520","description":"ANESTHESIA PX VEINS OF LOWER LEG NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS UPPER ARM and ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01780","description":"ANESTHESIA PX VEINS UPPER ARM and ELBOW NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS UPPER ARM and ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01780","description":"ANESTHESIA PX VEINS UPPER ARM and ELBOW NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS UPR ARM and ELBOW PHLEBORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01782","description":"ANESTHESIA PX VEINS UPR ARM and ELBOW PHLEBORRHAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS UPR ARM and ELBOW PHLEBORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01782","description":"ANESTHESIA PX VEINS UPR ARM and ELBOW PHLEBORRHAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA RADICAL PERINEAL PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00904","description":"ANESTHESIA RADICAL PERINEAL PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA RADICAL PERINEAL PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00904","description":"ANESTHESIA RADICAL PERINEAL PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA RADICAL/MODIFIED RADICAL BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00404","description":"ANESTHESIA RADICAL/MODIFIED RADICAL BREAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA RECONSTRUCTION BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00402","description":"ANESTHESIA RECONSTRUCTION BREAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA RECONSTRUCTIVE PROCEDURES OF EYELID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00103","description":"ANESTHESIA RECONSTRUCTIVE PROCEDURES OF EYELID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA RECONSTRUCTIVE PROCEDURES OF EYELID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00103","description":"ANESTHESIA RECONSTRUCTIVE PROCEDURES OF EYELID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA SALIVARY GLANDS WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00100","description":"ANESTHESIA SALIVARY GLANDS WITH BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA TENOPLASTY ELBOW TO SHOULDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01714","description":"ANESTHESIA TENOPLASTY ELBOW TO SHOULDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THER IVNTL RAD INTRATHORACIC/JUGULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01932","description":"ANESTHESIA THER IVNTL RAD INTRATHORACIC/JUGULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THER IVNTL RAD INTRATHORACIC/JUGULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01932","description":"ANESTHESIA THER IVNTL RAD INTRATHORACIC/JUGULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THER IVNTL RAD PX ARTERIAL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01924","description":"ANESTHESIA THER IVNTL RAD PX ARTERIAL NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THER IVNTL RAD PX ARTERIAL NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01924","description":"ANESTHESIA THER IVNTL RAD PX ARTERIAL NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THER IVNTL RAD PX INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01933","description":"ANESTHESIA THER IVNTL RAD PX INTRACRANIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THER IVNTL RAD PX INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01933","description":"ANESTHESIA THER IVNTL RAD PX INTRACRANIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THER IVNTL RADIOLOGICAL ARTERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01924","description":"ANESTHESIA THER IVNTL RADIOLOGICAL ARTERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACIC SPINE AND CORD NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00620","description":"ANESTHESIA THORACIC SPINE AND CORD NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACOTOMY PROCEDURES DECORTICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00542","description":"ANESTHESIA THORACOTOMY PROCEDURES DECORTICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACOTOMY PROCEDURES DECORTICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00542","description":"ANESTHESIA THORACOTOMY PROCEDURES DECORTICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACOTOMY PROCEDURES NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00540","description":"ANESTHESIA THORACOTOMY PROCEDURES NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACOTOMY PROCEDURES NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00540","description":"ANESTHESIA THORACOTOMY PROCEDURES NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACOTOMY PX W/1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00541","description":"ANESTHESIA THORACOTOMY PX W/1 LUNG VNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACOTOMY PX W/1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00541","description":"ANESTHESIA THORACOTOMY PX W/1 LUNG VNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA TRACHEOBRONCHIAL RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00539","description":"ANESTHESIA TRACHEOBRONCHIAL RECONSTRUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA TRACHEOBRONCHIAL RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00539","description":"ANESTHESIA TRACHEOBRONCHIAL RECONSTRUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA TRANSURETHRAL PX RESECTION PROSTATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00914","description":"ANESTHESIA TRANSURETHRAL PX RESECTION PROSTATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA TRANSURETHRAL PX RESECTION PROSTATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00914","description":"ANESTHESIA TRANSURETHRAL PX RESECTION PROSTATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA TRANSURETHRAL RESECTION OF PROSTATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00914","description":"ANESTHESIA TRANSURETHRAL RESECTION OF PROSTATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER 2/3 FEMUR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01232","description":"ANESTHESIA UPPER 2/3 FEMUR AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER ANTERIOR ABDOMINAL WALL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00700","description":"ANESTHESIA UPPER ANTERIOR ABDOMINAL WALL NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER GI ENDOSCOPIC PX ERCP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00732","description":"ANESTHESIA UPPER GI ENDOSCOPIC PX ERCP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER GI ENDOSCOPIC PX ERCP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00732","description":"ANESTHESIA UPPER GI ENDOSCOPIC PX ERCP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER GI ENDOSCOPIC PX NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00731","description":"ANESTHESIA UPPER GI ENDOSCOPIC PX NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER GI ENDOSCOPIC PX NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00731","description":"ANESTHESIA UPPER GI ENDOSCOPIC PX NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER POSTERIOR ABDOMINAL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00730","description":"ANESTHESIA UPPER POSTERIOR ABDOMINAL WALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01960","description":"ANESTHESIA VAGINAL DELIVERY ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01960","description":"ANESTHESIA VAGINAL DELIVERY ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL HYSTERECTOMY INCL BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00944","description":"ANESTHESIA VAGINAL HYSTERECTOMY INCL BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PROCEDURE W/BIOPSY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00940","description":"ANESTHESIA VAGINAL PROCEDURE W/BIOPSY NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PROCEDURE W/BIOPSY NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00940","description":"ANESTHESIA VAGINAL PROCEDURE W/BIOPSY NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PX CERVICAL CERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00948","description":"ANESTHESIA VAGINAL PX CERVICAL CERCLAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PX CERVICAL CERCLAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00948","description":"ANESTHESIA VAGINAL PX CERVICAL CERCLAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PX CULDOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00950","description":"ANESTHESIA VAGINAL PX CULDOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PX CULDOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00950","description":"ANESTHESIA VAGINAL PX CULDOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PX VAGINAL HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00944","description":"ANESTHESIA VAGINAL PX VAGINAL HYSTERECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PX VAGINAL HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00944","description":"ANESTHESIA VAGINAL PX VAGINAL HYSTERECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VASCULAR SHUNT/SHUNT REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01844","description":"ANESTHESIA VASCULAR SHUNT/SHUNT REVISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VASCULAR SHUNT/SHUNT REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01844","description":"ANESTHESIA VASCULAR SHUNT/SHUNT REVISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VEINS FOREARM WRIST AND HAND NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01850","description":"ANESTHESIA VEINS FOREARM WRIST AND HAND NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VEINS KNEE AND POPLITEAL AREA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01430","description":"ANESTHESIA VEINS KNEE AND POPLITEAL AREA NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VEINS OF LOWER LEG NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01520","description":"ANESTHESIA VEINS OF LOWER LEG NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VEINS SHOULDER AND AXILLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01670","description":"ANESTHESIA VEINS SHOULDER AND AXILLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VEINS UPPER ARM AND ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01780","description":"ANESTHESIA VEINS UPPER ARM AND ELBOW NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VEINS UPPER ARM AND ELBOW PHLEBORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01782","description":"ANESTHESIA VEINS UPPER ARM AND ELBOW PHLEBORRHAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VULVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00906","description":"ANESTHESIA VULVECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VULVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00906","description":"ANESTHESIA VULVECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGINA ABSENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1012F","description":"ANGINA ABSENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINA ABSENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1012F","description":"ANGINA ABSENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINA PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1011F","description":"ANGINA PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINA PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1011F","description":"ANGINA PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINAL SYMPTOMS AND LEVEL ACTIVITY ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1002F","description":"ANGINAL SYMPTOMS AND LEVEL ACTIVITY ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINAL SYMPTOMS AND LEVEL ACTIVITY ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1002F","description":"ANGINAL SYMPTOMS AND LEVEL ACTIVITY ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75733","description":"ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75733","description":"ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75731","description":"ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75731","description":"ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY EXTREMITY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75716","description":"ANGIOGRAPHY EXTREMITY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY EXTREMITY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75716","description":"ANGIOGRAPHY EXTREMITY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY EXTREMITY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75710","description":"ANGIOGRAPHY EXTREMITY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY EXTREMITY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75710","description":"ANGIOGRAPHY EXTREMITY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY INTERNAL MAMMARY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75756","description":"ANGIOGRAPHY INTERNAL MAMMARY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY INTERNAL MAMMARY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75756","description":"ANGIOGRAPHY INTERNAL MAMMARY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75736","description":"ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75736","description":"ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75743","description":"ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75743","description":"ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75741","description":"ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75741","description":"ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY SPINAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75705","description":"ANGIOGRAPHY SPINAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY SPINAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75705","description":"ANGIOGRAPHY SPINAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75726","description":"ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75726","description":"ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35400","description":"ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35400","description":"ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOTENSIN I-CONVERTING ENZYME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82164","description":"ANGIOTENSIN I-CONVERTING ENZYME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOTENSIN II","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82163","description":"ANGIOTENSIN II","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75898","description":"ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75898","description":"ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75746","description":"ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75746","description":"ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75774","description":"ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75774","description":"ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANIMAL INOCULATION SMALL ANIMAL W/OBS and DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87003","description":"ANIMAL INOCULATION SMALL ANIMAL W/OBS and DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANK FT ORTHOS MX-LIG ANK SUPT PREFB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1906","description":"ANK FT ORTHOS MX-LIG ANK SUPT PREFB OFF SHELF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANK FT ORTHOS MX-LIG ANK SUPT PREFB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1906","description":"ANK FT ORTHOS MX-LIG ANK SUPT PREFB OFF SHELF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANK FT ORTHOSIS PLASTIC/OTH MATERIAL CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1940","description":"ANK FT ORTHOSIS PLASTIC/OTH MATERIAL CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANK SYMES METL FRME MOLD LEATHR SOCKT ARTIC ANK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5060","description":"ANK SYMES METL FRME MOLD LEATHR SOCKT ARTIC ANK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE CONTROL ORTHOSIS STIRRUP STYL RIGID PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4350","description":"ANKLE CONTROL ORTHOSIS STIRRUP STYL RIGID PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27889","description":"ANKLE DISARTICULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27889","description":"ANKLE DISARTICULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FO RIGID ANT TIB TC FIBER/ Equal to MATL CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1932","description":"ANKLE FO RIGID ANT TIB TC FIBER/ Equal to MATL CUSTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS ANKLE JOINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1971","description":"ANKLE FOOT ORTHOSIS ANKLE JOINT PREFABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS PLASTIC/OTH MATL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1930","description":"ANKLE FOOT ORTHOSIS PLASTIC/OTH MATL PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS SPIRAL PLASTIC CUSTOM-FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1950","description":"ANKLE FOOT ORTHOSIS SPIRAL PLASTIC CUSTOM-FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS SPIRAL PREFABRICATED CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1951","description":"ANKLE FOOT ORTHOSIS SPIRAL PREFABRICATED CUSTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE ORTH ANKLE GAUNT/SIM PREFAB OFF-THE-SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1902","description":"ANKLE ORTH ANKLE GAUNT/SIM PREFAB OFF-THE-SHELF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE ORTH ANKLE GAUNTLET/SIMILAR CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1904","description":"ANKLE ORTH ANKLE GAUNTLET/SIMILAR CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE ORTHOSIS SUPRAMALLEOLAR WITH STRAPS CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1907","description":"ANKLE ORTHOSIS SUPRAMALLEOLAR WITH STRAPS CUSTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE SYMES MOLD PT MODEL SACH FOOT REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5703","description":"ANKLE SYMES MOLD PT MODEL SACH FOOT REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE SYMES MOLDED SOCKET SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5050","description":"ANKLE SYMES MOLDED SOCKET SACH FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL ALCOHOL MISUSE SCREENING 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0442","description":"ANNUAL ALCOHOL MISUSE SCREENING 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL ALCOHOL MISUSE SCREENING 5 TO 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0442","description":"ANNUAL ALCOHOL MISUSE SCREENING 5 TO 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL ALCOHOL MISUSE SCREENING 5 TO 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0442","description":"ANNUAL ALCOHOL MISUSE SCREENING 5 TO 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL DEPRESSION SCREENING 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0444","description":"ANNUAL DEPRESSION SCREENING 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL DEPRESSION SCREENING, 5 TO 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0444","description":"ANNUAL DEPRESSION SCREENING, 5 TO 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL DEPRESSION SCREENING, 5 TO 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0444","description":"ANNUAL DEPRESSION SCREENING, 5 TO 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL FCE--FCE INTENSV BEHV TX CV DZ IND 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0446","description":"ANNUAL FCE--FCE INTENSV BEHV TX CV DZ IND 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL FCE--FCE INTENSV BEHV TX CV DZ IND 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0446","description":"ANNUAL FCE--FCE INTENSV BEHV TX CV DZ IND 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL WELLNESS VISIT; PERSONALIZ PPS INIT VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0438","description":"ANNUAL WELLNESS VISIT; PERSONALIZ PPS INIT VISIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL WELLNESS VISIT; PERSONALIZ PPS INIT VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0438","description":"ANNUAL WELLNESS VISIT; PERSONALIZ PPS INIT VISIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL WELLNESS VST; PERSONALIZED PPS SUBSQT VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0439","description":"ANNUAL WELLNESS VST; PERSONALIZED PPS SUBSQT VST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL WELLNESS VST; PERSONALIZED PPS SUBSQT VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0439","description":"ANNUAL WELLNESS VST; PERSONALIZED PPS SUBSQT VST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99170","description":"ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99170","description":"ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOPLASTY PLASTIC OPERATION STRICTURE ADULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46700","description":"ANOPLASTY PLASTIC OPERATION STRICTURE ADULT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOPLASTY PLASTIC OPERATION STRICTURE ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46700","description":"ANOPLASTY PLASTIC OPERATION STRICTURE ADULT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOPLASTY PLASTIC OPERATION STRICTURE INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46705","description":"ANOPLASTY PLASTIC OPERATION STRICTURE INFANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOPLASTY PLASTIC OPERATION STRICTURE INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46705","description":"ANOPLASTY PLASTIC OPERATION STRICTURE INFANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANORECTAL MYOMECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45108","description":"ANORECTAL MYOMECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANORECTAL MYOMECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45108","description":"ANORECTAL MYOMECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46611","description":"ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46611","description":"ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSC RMVL MULT TUMORS CAUTERY/SNARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46612","description":"ANOSC RMVL MULT TUMORS CAUTERY/SNARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSC RMVL MULT TUMORS CAUTERY/SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46612","description":"ANOSC RMVL MULT TUMORS CAUTERY/SNARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY ABLATION LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46615","description":"ANOSCOPY ABLATION LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY ABLATION LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46615","description":"ANOSCOPY ABLATION LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46614","description":"ANOSCOPY CONTROL BLEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46614","description":"ANOSCOPY CONTROL BLEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46600","description":"ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46600","description":"ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46606","description":"ANOSCOPY W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46606","description":"ANOSCOPY W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46604","description":"ANOSCOPY W/DILATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46604","description":"ANOSCOPY W/DILATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46608","description":"ANOSCOPY W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46608","description":"ANOSCOPY W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/RMVL LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46610","description":"ANOSCOPY W/RMVL LESION CAUTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/RMVL LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46610","description":"ANOSCOPY W/RMVL LESION CAUTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45990","description":"ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45990","description":"ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING I and R SPECLR MICROSCOPY and NDTHL ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92286","description":"ANT SGM IMAGING I and R SPECLR MICROSCOPY and NDTHL ALYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING I and R SPECLR MICROSCOPY and NDTHL ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92286","description":"ANT SGM IMAGING I and R SPECLR MICROSCOPY and NDTHL ALYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING W/FLUOROSCEIN ANGIO and I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92287","description":"ANT SGM IMAGING W/FLUOROSCEIN ANGIO and I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING W/I and R W/FLUORESCEIN ANGRPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92287","description":"ANT SGM IMAGING W/I and R W/FLUORESCEIN ANGRPH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING W/I and R W/FLUORESCEIN ANGRPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92287","description":"ANT SGM IMAGING W/I and R W/FLUORESCEIN ANGRPH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING W/MICROSCOPY ENDOTHELIAL ANALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92286","description":"ANT SGM IMAGING W/MICROSCOPY ENDOTHELIAL ANALY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANT VESICOURETHROPEXY/URETHROPEXY COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51841","description":"ANT VESICOURETHROPEXY/URETHROPEXY COMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANT VESICOURETHROPEXY/URETHROPEXY COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51841","description":"ANT VESICOURETHROPEXY/URETHROPEXY COMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANT VESICOURETHROPEXY/URETHROPEXY SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51840","description":"ANT VESICOURETHROPEXY/URETHROPEXY SMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANT VESICOURETHROPEXY/URETHROPEXY SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51840","description":"ANT VESICOURETHROPEXY/URETHROPEXY SMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ and INTERPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74425","description":"ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ and INTERPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ and INTERPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74425","description":"ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ and INTERPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTEPARTUM CARE ONLY 4-6 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59425","description":"ANTEPARTUM CARE ONLY 4-6 VISITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTEPARTUM CARE ONLY 4-6 VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59425","description":"ANTEPARTUM CARE ONLY 4-6 VISITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTEPARTUM CARE ONLY 7 OR GT VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59426","description":"ANTEPARTUM CARE ONLY 7 OR GT VISITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTEPARTUM CARE ONLY 7 OR GT VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59426","description":"ANTEPARTUM CARE ONLY 7 OR GT VISITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57240","description":"ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57240","description":"ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22845","description":"ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22845","description":"ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22846","description":"ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22846","description":"ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 8 OR GT VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22847","description":"ANTERIOR INSTRUMENTATION 8 OR GT VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 8 OR GT VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22847","description":"ANTERIOR INSTRUMENTATION 8 OR GT VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR TIBIAL TUBERCLEPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27418","description":"ANTERIOR TIBIAL TUBERCLEPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR TIBIAL TUBERCLEPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27418","description":"ANTERIOR TIBIAL TUBERCLEPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-D IMMUNE GLOBULIN RCVD 26-30 WKS GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4178F","description":"ANTI-D IMMUNE GLOBULIN RCVD 26-30 WKS GESTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-D IMMUNE GLOBULIN RCVD 26-30 WKS GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4178F","description":"ANTI-D IMMUNE GLOBULIN RCVD 26-30 WKS GESTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9839","description":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9839","description":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INFLAMMATORY/ANALGESIC AGT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4016F","description":"ANTI-INFLAMMATORY/ANALGESIC AGT PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INFLAMMATORY/ANALGESIC AGT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4016F","description":"ANTI-INFLAMMATORY/ANALGESIC AGT PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INFLAMMATORY/ANALGESIC SYMPTOM RELIEF ASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1007F","description":"ANTI-INFLAMMATORY/ANALGESIC SYMPTOM RELIEF ASSES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INFLAMMATORY/ANALGESIC SYMPTOM RELIEF ASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1007F","description":"ANTI-INFLAMMATORY/ANALGESIC SYMPTOM RELIEF ASSES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INHIBITOR PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7198","description":"ANTI-INHIBITOR PER IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INHIBITOR PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7198","description":"ANTI-INHIBITOR PER IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-PHOSPHATIDYLSERINE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86148","description":"ANTI-PHOSPHATIDYLSERINE ANTIBODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC NEITHER PRESCRIBED NOR DISPENSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4124F","description":"ANTIBIOTIC NEITHER PRESCRIBED NOR DISPENSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC NEITHER PRESCRIBED NOR DISPENSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4124F","description":"ANTIBIOTIC NEITHER PRESCRIBED NOR DISPENSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC NOT PRESCRIBED OR DISPENSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8712","description":"ANTIBIOTIC NOT PRESCRIBED OR DISPENSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC NOT PRESCRIBED OR DISPENSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8712","description":"ANTIBIOTIC NOT PRESCRIBED OR DISPENSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC PRESCRIBED OR DISPENSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4120F","description":"ANTIBIOTIC PRESCRIBED OR DISPENSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC PRESCRIBED OR DISPENSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4120F","description":"ANTIBIOTIC PRESCRIBED OR DISPENSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC REGIMEN PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9498","description":"ANTIBIOTIC REGIMEN PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC REGIMEN PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9498","description":"ANTIBIOTIC REGIMEN PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ACTINOMYCES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86602","description":"ANTIBODY ACTINOMYCES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ADENOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86603","description":"ANTIBODY ADENOVIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ASPERGILLUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86606","description":"ANTIBODY ASPERGILLUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86609","description":"ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BARTONELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86611","description":"ANTIBODY BARTONELLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BLASTOMYCES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86612","description":"ANTIBODY BLASTOMYCES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BORDETELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86615","description":"ANTIBODY BORDETELLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BORRELIA BURGDORFERI CONFIRMATORY TST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86617","description":"ANTIBODY BORRELIA BURGDORFERI CONFIRMATORY TST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BORRELIA BURGDORFERI LYME DISEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86618","description":"ANTIBODY BORRELIA BURGDORFERI LYME DISEASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BORRELIA RELAPSING FEVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86619","description":"ANTIBODY BORRELIA RELAPSING FEVER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BRUCELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86622","description":"ANTIBODY BRUCELLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CAMPYLOBACTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86625","description":"ANTIBODY CAMPYLOBACTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CANDIDA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86628","description":"ANTIBODY CANDIDA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CHLAMYDIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86631","description":"ANTIBODY CHLAMYDIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CHLAMYDIA IGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86632","description":"ANTIBODY CHLAMYDIA IGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY COCCIDIOIDES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86635","description":"ANTIBODY COCCIDIOIDES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY COXIELLA BURNETII Q FEVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86638","description":"ANTIBODY COXIELLA BURNETII Q FEVER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CRYPTOCOCCUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86641","description":"ANTIBODY CRYPTOCOCCUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CYTOMEGALOVIRUS CMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86644","description":"ANTIBODY CYTOMEGALOVIRUS CMV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CYTOMEGALOVIRUS CMV IGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86645","description":"ANTIBODY CYTOMEGALOVIRUS CMV IGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY DIPHTHERIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86648","description":"ANTIBODY DIPHTHERIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY EHRLICHIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86666","description":"ANTIBODY EHRLICHIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ELUTION RBC EACH ELUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86860","description":"ANTIBODY ELUTION RBC EACH ELUTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENCEPHALITIS CALIFORNIA LA CROSSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86651","description":"ANTIBODY ENCEPHALITIS CALIFORNIA LA CROSSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENCEPHALITIS EASTERN EQUINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86652","description":"ANTIBODY ENCEPHALITIS EASTERN EQUINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENCEPHALITIS ST. LOUIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86653","description":"ANTIBODY ENCEPHALITIS ST. LOUIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENCEPHALITIS WESTRN EQUINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86654","description":"ANTIBODY ENCEPHALITIS WESTRN EQUINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENTEROVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86658","description":"ANTIBODY ENTEROVIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY EPSTEIN-BARR EB VIRUS EARLY ANTIGEN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86663","description":"ANTIBODY EPSTEIN-BARR EB VIRUS EARLY ANTIGEN EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86664","description":"ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86665","description":"ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY FRANCISELLA TULARENSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86668","description":"ANTIBODY FRANCISELLA TULARENSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86671","description":"ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY GIARDIA LAMBLIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86674","description":"ANTIBODY GIARDIA LAMBLIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HAEMOPHILUS INFLUENZA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86684","description":"ANTIBODY HAEMOPHILUS INFLUENZA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HELICOBACTER PYLORI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86677","description":"ANTIBODY HELICOBACTER PYLORI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HELMINTH NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86682","description":"ANTIBODY HELMINTH NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HEP DELTA AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86692","description":"ANTIBODY HEP DELTA AGENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86694","description":"ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HERPES SMPLX TYPE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86695","description":"ANTIBODY HERPES SMPLX TYPE 1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HERPES SMPLX TYPE 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86696","description":"ANTIBODY HERPES SMPLX TYPE 2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HISTOPLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86698","description":"ANTIBODY HISTOPLASMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HIV-1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86701","description":"ANTIBODY HIV-1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HIV-1 AND HIV-2 SINGLE RESULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86703","description":"ANTIBODY HIV-1 AND HIV-2 SINGLE RESULT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HIV-2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86702","description":"ANTIBODY HIV-2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HTLV-I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86687","description":"ANTIBODY HTLV-I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HTLV-II","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86688","description":"ANTIBODY HTLV-II","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HTLV/HIV ANTIBODY CONFIRMATORY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86689","description":"ANTIBODY HTLV/HIV ANTIBODY CONFIRMATORY TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86021","description":"ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY IDENTIFICATION PLATELET ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86022","description":"ANTIBODY IDENTIFICATION PLATELET ANTIBODIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY IDENTIFICATION PLATELET IMMUNOGL ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86023","description":"ANTIBODY IDENTIFICATION PLATELET IMMUNOGL ASSAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY INFLUENZA VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86710","description":"ANTIBODY INFLUENZA VIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LEGIONELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86713","description":"ANTIBODY LEGIONELLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LEISHMANIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86717","description":"ANTIBODY LEISHMANIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LEPTOSPIRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86720","description":"ANTIBODY LEPTOSPIRA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LISTERIA MONOCYTOGENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86723","description":"ANTIBODY LISTERIA MONOCYTOGENES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LYMPHOCYTIC CHORIOMENINGITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86727","description":"ANTIBODY LYMPHOCYTIC CHORIOMENINGITIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY MUCORMYCOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86732","description":"ANTIBODY MUCORMYCOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY MUMPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86735","description":"ANTIBODY MUMPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY MYCOPLSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86738","description":"ANTIBODY MYCOPLSM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY NEISSERIA MENINGITIDIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86741","description":"ANTIBODY NEISSERIA MENINGITIDIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY NOCARDIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86744","description":"ANTIBODY NOCARDIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY PARVOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86747","description":"ANTIBODY PARVOVIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY PLASMODIUM MALARIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86750","description":"ANTIBODY PLASMODIUM MALARIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY PROTOZOA NES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86753","description":"ANTIBODY PROTOZOA NES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86756","description":"ANTIBODY RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY RICKETTSIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86757","description":"ANTIBODY RICKETTSIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ROTAVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86759","description":"ANTIBODY ROTAVIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY RUBELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86762","description":"ANTIBODY RUBELLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY RUBEOLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86765","description":"ANTIBODY RUBEOLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY SALMONELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86768","description":"ANTIBODY SALMONELLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY SCREEN RBC EACH SERUM TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86850","description":"ANTIBODY SCREEN RBC EACH SERUM TECHNIQUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY SHIGELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86771","description":"ANTIBODY SHIGELLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TETANUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86774","description":"ANTIBODY TETANUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TOXOPLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86777","description":"ANTIBODY TOXOPLASMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TOXOPLASMA IGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86778","description":"ANTIBODY TOXOPLASMA IGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TREPONEMA PALLIDUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86780","description":"ANTIBODY TREPONEMA PALLIDUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TRICHINELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86784","description":"ANTIBODY TRICHINELLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY VARICELLA-ZOSTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86787","description":"ANTIBODY VARICELLA-ZOSTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86790","description":"ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY WEST NILE VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86789","description":"ANTIBODY WEST NILE VIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY WEST NILE VIRUS IGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86788","description":"ANTIBODY WEST NILE VIRUS IGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY YERSINIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86793","description":"ANTIBODY YERSINIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTICOAGULANT THERAPY PRESCRIBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4075F","description":"ANTICOAGULANT THERAPY PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICOAGULANT THERAPY PRESCRIBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4075F","description":"ANTICOAGULANT THERAPY PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICONVUL MED THERAPY 6 MOS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4230F","description":"ANTICONVUL MED THERAPY 6 MOS OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICONVUL MED THERAPY 6 MOS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4230F","description":"ANTICONVUL MED THERAPY 6 MOS OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANT PHARMACOTHERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4064F","description":"ANTIDEPRESSANT PHARMACOTHERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANT PHARMACOTHERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4064F","description":"ANTIDEPRESSANT PHARMACOTHERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANT RXTHXY CONSIDER AND NOT PRESCRIBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4063F","description":"ANTIDEPRESSANT RXTHXY CONSIDER AND NOT PRESCRIBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANT RXTHXY CONSIDER AND NOT PRESCRIBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4063F","description":"ANTIDEPRESSANT RXTHXY CONSIDER AND NOT PRESCRIBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIEMETIC DRUG ORAL NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8597","description":"ANTIEMETIC DRUG ORAL NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIEMETIC DRUG ORAL NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8597","description":"ANTIEMETIC DRUG ORAL NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHISTAMINE/DECONGESTANT NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4134F","description":"ANTIHISTAMINE/DECONGESTANT NOT PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHISTAMINE/DECONGESTANT NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4134F","description":"ANTIHISTAMINE/DECONGESTANT NOT PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHISTAMINE/DECONGESTANT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4133F","description":"ANTIHISTAMINE/DECONGESTANT PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHISTAMINE/DECONGESTANT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4133F","description":"ANTIHISTAMINE/DECONGESTANT PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHUMAN GLOBULIN DIRECT EACH ANTISERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86880","description":"ANTIHUMAN GLOBULIN DIRECT EACH ANTISERUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86885","description":"ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHUMAN GLOBULIN INDIRECT EACH ANTIBODY TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86886","description":"ANTIHUMAN GLOBULIN INDIRECT EACH ANTIBODY TITER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTINUCLEAR ANTIBODIES ANA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86038","description":"ANTINUCLEAR ANTIBODIES ANA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTINUCLEAR ANTIBODIES ANA TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86039","description":"ANTINUCLEAR ANTIBODIES ANA TITER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPSYCHOTIC PHARMACOTHERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4065F","description":"ANTIPSYCHOTIC PHARMACOTHERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPSYCHOTIC PHARMACOTHERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4065F","description":"ANTIPSYCHOTIC PHARMACOTHERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTISTREPTOLYSIN O SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86063","description":"ANTISTREPTOLYSIN O SCREEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTISTREPTOLYSIN O TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86060","description":"ANTISTREPTOLYSIN O TITER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTITHROMBIN III PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7197","description":"ANTITHROMBIN III PER IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTITHROMBIN III PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7197","description":"ANTITHROMBIN III PER IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ANY FASTING/DIR LDL-C LAB TEST RSLT LT or equal to 190 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9663","description":"ANY FASTING/DIR LDL-C LAB TEST RSLT LT or equal to 190 M","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANY LDL-C LABORATORY RESULT GT or equal to 190 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9663","description":"ANY LDL-C LABORATORY RESULT GT or equal to 190 MG/DL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANY LDL-C LABORATORY RESULT GT or equal to 190 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9663","description":"ANY LDL-C LABORATORY RESULT GT or equal to 190 MG/DL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM 5-5.4CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9002F","description":"AORTIC ANEURYSM 5-5.4CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM 5-5.4CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9002F","description":"AORTIC ANEURYSM 5-5.4CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM 6 OR GT CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9004F","description":"AORTIC ANEURYSM 6 OR GT CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM 6 OR GT CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9004F","description":"AORTIC ANEURYSM 6 OR GT CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM LT 5CM MAX DIAM CENTERLINE/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9001F","description":"AORTIC ANEURYSM LT 5CM MAX DIAM CENTERLINE/AXIAL CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM LT 5CM MAX DIAM CENTERLINE/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9001F","description":"AORTIC ANEURYSM LT 5CM MAX DIAM CENTERLINE/AXIAL CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ARYSM 5.5-5.9CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9003F","description":"AORTIC ARYSM 5.5-5.9CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ARYSM 5.5-5.9CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9003F","description":"AORTIC ARYSM 5.5-5.9CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33800","description":"AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33800","description":"AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75630","description":"AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75630","description":"AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75625","description":"AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75625","description":"AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY THORACIC SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75605","description":"AORTOGRAPHY THORACIC SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY THORACIC SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75605","description":"AORTOGRAPHY THORACIC SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75600","description":"AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75600","description":"AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AORTOPLASTY SUPRAVALVULAR STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33417","description":"AORTOPLASTY SUPRAVALVULAR STENOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AORTOPLASTY SUPRAVALVULAR STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33417","description":"AORTOPLASTY SUPRAVALVULAR STENOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APNEA HYPOPNA IND/RDI NOT MSR TM DX RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8844","description":"APNEA HYPOPNA IND/RDI NOT MSR TM DX RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APNEA MONITOR WITH RECORDING FEATURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0619","description":"APNEA MONITOR WITH RECORDING FEATURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APNEA MONITOR WITH RECORDING FEATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0619","description":"APNEA MONITOR WITH RECORDING FEATURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APNEA MONITOR WITHOUT RECORDING FEATURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0618","description":"APNEA MONITOR WITHOUT RECORDING FEATURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APNEA MONITOR WITHOUT RECORDING FEATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0618","description":"APNEA MONITOR WITHOUT RECORDING FEATURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APOLIPOPROTEIN EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82172","description":"APOLIPOPROTEIN EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT 1ST and SUBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20696","description":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT 1ST and SUBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT 1ST and SUBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20696","description":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT 1ST and SUBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT EXCHANGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20697","description":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT EXCHANGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT EXCHANGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20697","description":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT EXCHANGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA GT or equal to 100SCM ADL 100S","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15274","description":"APP SKN SUB GRFT T/A/L AREA GT or equal to 100SCM ADL 100S","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA GT or equal to 100SCM ADL 100S","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15274","description":"APP SKN SUB GRFT T/A/L AREA GT or equal to 100SCM ADL 100S","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA/100SQ CM OR LT 1ST 25","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15271","description":"APP SKN SUB GRFT T/A/L AREA/100SQ CM OR LT 1ST 25","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA/100SQ CM OR LT 1ST 25","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15271","description":"APP SKN SUB GRFT T/A/L AREA/100SQ CM OR LT 1ST 25","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15272","description":"APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15272","description":"APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15273","description":"APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15273","description":"APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44955","description":"APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44955","description":"APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPENDEC RPTD APPENDIX ABSC/PRITONITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44960","description":"APPENDEC RPTD APPENDIX ABSC/PRITONITIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPENDEC RPTD APPENDIX ABSC/PRITONITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44960","description":"APPENDEC RPTD APPENDIX ABSC/PRITONITIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPENDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44950","description":"APPENDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL CLUBFOOT CAST MOLDING/MANJ LONG/SHORT LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29450","description":"APPL CLUBFOOT CAST MOLDING/MANJ LONG/SHORT LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29450","description":"APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29450","description":"APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20660","description":"APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20660","description":"APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO 6 OR GT PINS THIN SKULL OSTEOLOGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20664","description":"APPL HALO 6 OR GT PINS THIN SKULL OSTEOLOGY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21100","description":"APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21100","description":"APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO CRANIAL 6 OR GT PINS THIN SKULL OSTEOLOGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20664","description":"APPL HALO CRANIAL 6 OR GT PINS THIN SKULL OSTEOLOGY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO CRANIAL 6 OR GT PINS THIN SKULL OSTEOLOGY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20664","description":"APPL HALO CRANIAL 6 OR GT PINS THIN SKULL OSTEOLOGY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL HIP SPICA CAST ONE and ONE-HALF SPICA/BOTH LEGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29325","description":"APPL HIP SPICA CAST ONE and ONE-HALF SPICA/BOTH LEGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL HIP SPICA CAST ONE and ONE-HALF SPICA/BOTH LEGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29325","description":"APPL HIP SPICA CAST ONE and ONE-HALF SPICA/BOTH LEGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21110","description":"APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21110","description":"APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MLTLAYR CMPRN SYS LEG BELW KNE W/ANKLE and FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29581","description":"APPL MLTLAYR CMPRN SYS LEG BELW KNE W/ANKLE and FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MLTLAYR CMPRN SYS LEG BELW KNE W/ANKLE and FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29581","description":"APPL MLTLAYR CMPRN SYS LEG BELW KNE W/ANKLE and FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MLTLAYR COMPRES LEG BELOW KNEE W/ANKLE FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29581","description":"APPL MLTLAYR COMPRES LEG BELOW KNEE W/ANKLE FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MLTLAYR COMPRES SYS UPARM LWARM HAND AND FING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29584","description":"APPL MLTLAYR COMPRES SYS UPARM LWARM HAND AND FING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS CONTRAST BATHS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97034","description":"APPL MODALITY 1 OR GT AREAS CONTRAST BATHS EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS ELEC STIMJ EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97032","description":"APPL MODALITY 1 OR GT AREAS ELEC STIMJ EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS HUBBARD TANK EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97036","description":"APPL MODALITY 1 OR GT AREAS HUBBARD TANK EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS IONTOPHORESIS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97033","description":"APPL MODALITY 1 OR GT AREAS IONTOPHORESIS EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS PARAFFIN BATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97018","description":"APPL MODALITY 1 OR GT AREAS PARAFFIN BATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS PARAFFIN BATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97018","description":"APPL MODALITY 1 OR GT AREAS PARAFFIN BATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS TRACTION MECHANICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97012","description":"APPL MODALITY 1 OR GT AREAS TRACTION MECHANICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS TRACTION MECHANICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97012","description":"APPL MODALITY 1 OR GT AREAS TRACTION MECHANICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS ULTRASOUND EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97035","description":"APPL MODALITY 1 OR GT AREAS ULTRASOUND EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS ULTRAVIOLET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97028","description":"APPL MODALITY 1 OR GT AREAS ULTRAVIOLET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS ULTRAVIOLET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97028","description":"APPL MODALITY 1 OR GT AREAS ULTRAVIOLET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS VASOPNEUMATIC DEVICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97016","description":"APPL MODALITY 1 OR GT AREAS VASOPNEUMATIC DEVICES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS VASOPNEUMATIC DEVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97016","description":"APPL MODALITY 1 OR GT AREAS VASOPNEUMATIC DEVICES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus AREAS CONTRAST BATHS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97034","description":"APPL MODALITY 1 Plus AREAS CONTRAST BATHS EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus AREAS CONTRAST BATHS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97034","description":"APPL MODALITY 1 Plus AREAS CONTRAST BATHS EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus AREAS ESTIM EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97032","description":"APPL MODALITY 1 Plus AREAS ESTIM EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus AREAS ESTIM EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97032","description":"APPL MODALITY 1 Plus AREAS ESTIM EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus AREAS HUBBARD TANK EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97036","description":"APPL MODALITY 1 Plus AREAS HUBBARD TANK EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus AREAS HUBBARD TANK EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97036","description":"APPL MODALITY 1 Plus AREAS HUBBARD TANK EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus AREAS IONTOPHORESIS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97033","description":"APPL MODALITY 1 Plus AREAS IONTOPHORESIS EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus AREAS IONTOPHORESIS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97033","description":"APPL MODALITY 1 Plus AREAS IONTOPHORESIS EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus AREAS ULTRASOUND EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97035","description":"APPL MODALITY 1 Plus AREAS ULTRASOUND EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus AREAS ULTRASOUND EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97035","description":"APPL MODALITY 1 Plus AREAS ULTRASOUND EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MULTILAYR CMPRN SYS UPR ARM F/ARM HAND and FNGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29584","description":"APPL MULTILAYR CMPRN SYS UPR ARM F/ARM HAND and FNGR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MULTILAYR CMPRN SYS UPR ARM F/ARM HAND and FNGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29584","description":"APPL MULTILAYR CMPRN SYS UPR ARM F/ARM HAND and FNGR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61800","description":"APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61800","description":"APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHO TO HIPS W/HEAD MINERVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29040","description":"APPLICATION BODY CAST SHO TO HIPS W/HEAD MINERVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHO TO HIPS W/HEAD MINERVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29040","description":"APPLICATION BODY CAST SHO TO HIPS W/HEAD MINERVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29035","description":"APPLICATION BODY CAST SHOULDER HIPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29046","description":"APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29046","description":"APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS HEAD MINERVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29040","description":"APPLICATION BODY CAST SHOULDER HIPS HEAD MINERVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29044","description":"APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29044","description":"APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER TO HIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29035","description":"APPLICATION BODY CAST SHOULDER TO HIPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER TO HIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29035","description":"APPLICATION BODY CAST SHOULDER TO HIPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST ELBOW FINGER SHORT ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29075","description":"APPLICATION CAST ELBOW FINGER SHORT ARM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST ELBOW TO FINGER SHORT ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29075","description":"APPLICATION CAST ELBOW TO FINGER SHORT ARM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST ELBOW TO FINGER SHORT ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29075","description":"APPLICATION CAST ELBOW TO FINGER SHORT ARM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST FIGURE-OF-8","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29049","description":"APPLICATION CAST FIGURE-OF-8","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST FIGURE-OF-EIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29049","description":"APPLICATION CAST FIGURE-OF-EIGHT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST FIGURE-OF-EIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29049","description":"APPLICATION CAST FIGURE-OF-EIGHT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29086","description":"APPLICATION CAST FINGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29086","description":"APPLICATION CAST FINGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST HAND AND LOWER FOREARM GAUNTLET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29085","description":"APPLICATION CAST HAND AND LOWER FOREARM GAUNTLET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST HAND AND LOWER FOREARM GAUNTLET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29085","description":"APPLICATION CAST HAND AND LOWER FOREARM GAUNTLET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST PLASTER VELPEAU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29058","description":"APPLICATION CAST PLASTER VELPEAU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST PLASTER VELPEAU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29058","description":"APPLICATION CAST PLASTER VELPEAU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST SHOULDER HAND LONG ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29065","description":"APPLICATION CAST SHOULDER HAND LONG ARM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST SHOULDER SPICA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29055","description":"APPLICATION CAST SHOULDER SPICA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST SHOULDER SPICA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29055","description":"APPLICATION CAST SHOULDER SPICA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST SHOULDER TO HAND LONG ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29065","description":"APPLICATION CAST SHOULDER TO HAND LONG ARM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST SHOULDER TO HAND LONG ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29065","description":"APPLICATION CAST SHOULDER TO HAND LONG ARM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CYLINDER CAST THIGH ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29365","description":"APPLICATION CYLINDER CAST THIGH ANKLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CYLINDER CAST THIGH TO ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29365","description":"APPLICATION CYLINDER CAST THIGH TO ANKLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CYLINDER CAST THIGH TO ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29365","description":"APPLICATION CYLINDER CAST THIGH TO ANKLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION FINGER SPLINT DYNAMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29131","description":"APPLICATION FINGER SPLINT DYNAMIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION FINGER SPLINT DYNAMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29131","description":"APPLICATION FINGER SPLINT DYNAMIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION FINGER SPLINT STATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29130","description":"APPLICATION FINGER SPLINT STATIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION FINGER SPLINT STATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29130","description":"APPLICATION FINGER SPLINT STATIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO CRANIAL INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20661","description":"APPLICATION HALO CRANIAL INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO CRANIAL INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20661","description":"APPLICATION HALO CRANIAL INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO FEMORAL INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20663","description":"APPLICATION HALO FEMORAL INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO FEMORAL INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20663","description":"APPLICATION HALO FEMORAL INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO PELVIC INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20662","description":"APPLICATION HALO PELVIC INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO PELVIC INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20662","description":"APPLICATION HALO PELVIC INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO TYPE BODY CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29000","description":"APPLICATION HALO TYPE BODY CAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO TYPE BODY CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29000","description":"APPLICATION HALO TYPE BODY CAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HIP SPICA CAST 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29305","description":"APPLICATION HIP SPICA CAST 1 LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HIP SPICA CAST 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29305","description":"APPLICATION HIP SPICA CAST 1 LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG ARM SPLINT SHOULDER HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29105","description":"APPLICATION LONG ARM SPLINT SHOULDER HAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG ARM SPLINT SHOULDER TO HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29105","description":"APPLICATION LONG ARM SPLINT SHOULDER TO HAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG ARM SPLINT SHOULDER TO HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29105","description":"APPLICATION LONG ARM SPLINT SHOULDER TO HAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST BRACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29358","description":"APPLICATION LONG LEG CAST BRACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST BRACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29358","description":"APPLICATION LONG LEG CAST BRACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST THIGH-TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29345","description":"APPLICATION LONG LEG CAST THIGH-TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST THIGH-TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29345","description":"APPLICATION LONG LEG CAST THIGH-TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29355","description":"APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29355","description":"APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29505","description":"APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG SPLINT THIGH TO ANKLE/TOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29505","description":"APPLICATION LONG LEG SPLINT THIGH TO ANKLE/TOES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG SPLINT THIGH TO ANKLE/TOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29505","description":"APPLICATION LONG LEG SPLINT THIGH TO ANKLE/TOES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT AREAS DIATHERMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97024","description":"APPLICATION MODALITY 1 OR GT AREAS DIATHERMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT AREAS DIATHERMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97024","description":"APPLICATION MODALITY 1 OR GT AREAS DIATHERMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT AREAS INFRARED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97026","description":"APPLICATION MODALITY 1 OR GT AREAS INFRARED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT AREAS INFRARED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97026","description":"APPLICATION MODALITY 1 OR GT AREAS INFRARED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT AREAS WHIRLPOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97022","description":"APPLICATION MODALITY 1 OR GT AREAS WHIRLPOOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT AREAS WHIRLPOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97022","description":"APPLICATION MODALITY 1 OR GT AREAS WHIRLPOOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20692","description":"APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20692","description":"APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION PATELLAR TENDON BEARING CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29435","description":"APPLICATION PATELLAR TENDON BEARING CAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION PATELLAR TENDON BEARING CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29435","description":"APPLICATION PATELLAR TENDON BEARING CAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RIGHT AND LEFT PULMONARY ARTERY BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33620","description":"APPLICATION RIGHT AND LEFT PULMONARY ARTERY BAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RIGHT AND LEFT PULMONARY ARTERY BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33620","description":"APPLICATION RIGHT AND LEFT PULMONARY ARTERY BAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RIGID TOTAL CONTACT LEG CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29445","description":"APPLICATION RIGID TOTAL CONTACT LEG CAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RIGID TOTAL CONTACT LEG CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29445","description":"APPLICATION RIGID TOTAL CONTACT LEG CAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RISSER JACKET LOCALIZER BODY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29010","description":"APPLICATION RISSER JACKET LOCALIZER BODY ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RISSER JACKET LOCALIZER BODY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29010","description":"APPLICATION RISSER JACKET LOCALIZER BODY ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29015","description":"APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29015","description":"APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT ARM SPLINT DYNAMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29126","description":"APPLICATION SHORT ARM SPLINT DYNAMIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT ARM SPLINT DYNAMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29126","description":"APPLICATION SHORT ARM SPLINT DYNAMIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29125","description":"APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29125","description":"APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG CAST BELOW KNEE-TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29405","description":"APPLICATION SHORT LEG CAST BELOW KNEE-TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG CAST BELOW KNEE-TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29405","description":"APPLICATION SHORT LEG CAST BELOW KNEE-TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG CAST WALKING/AMBULATORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29425","description":"APPLICATION SHORT LEG CAST WALKING/AMBULATORY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG CAST WALKING/AMBULATORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29425","description":"APPLICATION SHORT LEG CAST WALKING/AMBULATORY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG SPLINT CALF FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29515","description":"APPLICATION SHORT LEG SPLINT CALF FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG SPLINT CALF TO FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29515","description":"APPLICATION SHORT LEG SPLINT CALF TO FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG SPLINT CALF TO FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29515","description":"APPLICATION SHORT LEG SPLINT CALF TO FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20690","description":"APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20690","description":"APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLINC CLNR INCONT AND OSTOMY APPLINCS PER 16 OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5131","description":"APPLINC CLNR INCONT AND OSTOMY APPLINCS PER 16 OZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLINC CLNR INCONT AND OSTOMY APPLINCS PER 16 OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5131","description":"APPLINC CLNR INCONT AND OSTOMY APPLINCS PER 16 OZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APPROP ACE/ARB THXP MONIT TEST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4188F","description":"APPROP ACE/ARB THXP MONIT TEST ORDRD/DONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP ACE/ARB THXP MONIT TEST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4188F","description":"APPROP ACE/ARB THXP MONIT TEST ORDRD/DONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP ANTICONVUL THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4191F","description":"APPROP ANTICONVUL THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP ANTICONVUL THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4191F","description":"APPROP ANTICONVUL THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP DIGOXIN THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4189F","description":"APPROP DIGOXIN THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP DIGOXIN THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4189F","description":"APPROP DIGOXIN THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP DIURETIC THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4190F","description":"APPROP DIURETIC THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP DIURETIC THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4190F","description":"APPROP DIURETIC THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP METHOD OFFLOADING PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4269F","description":"APPROP METHOD OFFLOADING PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP METHOD OFFLOADING PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4269F","description":"APPROP METHOD OFFLOADING PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROPRIATE EMPIRIC ANTIBIOTIC PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4045F","description":"APPROPRIATE EMPIRIC ANTIBIOTIC PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROPRIATE EMPIRIC ANTIBIOTIC PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4045F","description":"APPROPRIATE EMPIRIC ANTIBIOTIC PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROPRIATE ORAL REHYD SOLUTION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4056F","description":"APPROPRIATE ORAL REHYD SOLUTION RECOMMENDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROPRIATE ORAL REHYD SOLUTION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4056F","description":"APPROPRIATE ORAL REHYD SOLUTION RECOMMENDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APREPITANT ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8501","description":"APREPITANT ORAL 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"APREPITANT ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8501","description":"APREPITANT ORAL 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AQMBF PET REST AND PHARMACOLOGIC STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78434","description":"AQMBF PET REST AND PHARMACOLOGIC STRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AQMBF PET REST AND PHARMACOLOGIC STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78434","description":"AQMBF PET REST AND PHARMACOLOGIC STRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AQUEOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8612","description":"AQUEOUS SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66180","description":"AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66180","description":"AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AREO MASK USED W/ DME NEB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7015","description":"AREO MASK USED W/ DME NEB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AREO MASK USED W/ DME NEB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7015","description":"AREO MASK USED W/ DME NEB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARFORMOTEROL INHAL SOL NONCOMP UNIT DOSE 15 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7605","description":"ARFORMOTEROL INHAL SOL NONCOMP UNIT DOSE 15 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARFORMOTEROL INHAL SOL NONCOMP UNIT DOSE 15 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7605","description":"ARFORMOTEROL INHAL SOL NONCOMP UNIT DOSE 15 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARM PAD REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0019","description":"ARM PAD REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARM TROUGH WITH OR WITHOUT HAND SUPPORT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2209","description":"ARM TROUGH WITH OR WITHOUT HAND SUPPORT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARMREST EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0994","description":"ARMREST EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AROSL COMPRS ADJSTBL PRSS LGHT DUTY INTERMIT USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0572","description":"AROSL COMPRS ADJSTBL PRSS LGHT DUTY INTERMIT USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AROSL COMPRS ADJSTBL PRSS LGHT DUTY INTERMIT USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0572","description":"AROSL COMPRS ADJSTBL PRSS LGHT DUTY INTERMIT USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL ANY METHOD TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27740","description":"ARREST EPIPHYSEAL ANY METHOD TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL ANY METHOD TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27740","description":"ARREST EPIPHYSEAL ANY METHOD TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL DISTAL FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27475","description":"ARREST EPIPHYSEAL DISTAL FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL DISTAL FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27475","description":"ARREST EPIPHYSEAL DISTAL FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27732","description":"ARREST EPIPHYSEAL OPEN DISTAL FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27732","description":"ARREST EPIPHYSEAL OPEN DISTAL FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27730","description":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27730","description":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27734","description":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27734","description":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL TIBIA AND FIBULA PROXIMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27477","description":"ARREST EPIPHYSEAL TIBIA AND FIBULA PROXIMAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL TIBIA AND FIBULA PROXIMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27477","description":"ARREST EPIPHYSEAL TIBIA AND FIBULA PROXIMAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARRST EPIPHYSL ANY METH TIBFIB AND DSTL FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27742","description":"ARRST EPIPHYSL ANY METH TIBFIB AND DSTL FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARRST EPIPHYSL ANY METH TIBFIB AND DSTL FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27742","description":"ARRST EPIPHYSL ANY METH TIBFIB AND DSTL FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27479","description":"ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27479","description":"ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27485","description":"ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27485","description":"ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36600","description":"ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36600","description":"ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36821","description":"ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36821","description":"ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHDSIS POST/POSTERLATRL/POSTINTRBDYADL SPC/SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22634","description":"ARTHDSIS POST/POSTERLATRL/POSTINTRBDYADL SPC/SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22633","description":"ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22551","description":"ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22551","description":"ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22554","description":"ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22554","description":"ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22558","description":"ARTHRD ANT INTERBODY MIN DSC LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22558","description":"ARTHRD ANT INTERBODY MIN DSC LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22556","description":"ARTHRD ANT INTERBODY MIN DSC THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22556","description":"ARTHRD ANT INTERBODY MIN DSC THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22552","description":"ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22552","description":"ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT MIN DISCECT INTERBODY CERV BELOW C2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22554","description":"ARTHRD ANT MIN DISCECT INTERBODY CERV BELOW C2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT MIN DISCECTOMY INTERBODY THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22556","description":"ARTHRD ANT MIN DISCECTOMY INTERBODY THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22585","description":"ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22585","description":"ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22548","description":"ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22548","description":"ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26844","description":"ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26844","description":"ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26843","description":"ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26843","description":"ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26841","description":"ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26841","description":"ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26842","description":"ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26842","description":"ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25830","description":"ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25830","description":"ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27286","description":"ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27286","description":"ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28735","description":"ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28735","description":"ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28730","description":"ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28730","description":"ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22600","description":"ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22600","description":"ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD W/TDN LNGTH and ADVMNT TARSL NVCLR-CUNEIFOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28737","description":"ARTHRD W/TDN LNGTH and ADVMNT TARSL NVCLR-CUNEIFOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD W/TDN LNGTH and ADVMNT TARSL NVCLR-CUNEIFOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28737","description":"ARTHRD W/TDN LNGTH and ADVMNT TARSL NVCLR-CUNEIFOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28760","description":"ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28760","description":"ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/O US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20605","description":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/O US","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/O US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20605","description":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/O US","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/O US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20610","description":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/O US","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/O US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20610","description":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/O US","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ SMALL JT/BURSA W/O US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20600","description":"ARTHROCENTESIS ASPIR and /INJ SMALL JT/BURSA W/O US","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ SMALL JT/BURSA W/O US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20600","description":"ARTHROCENTESIS ASPIR and /INJ SMALL JT/BURSA W/O US","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANKLE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27870","description":"ARTHRODESIS ANKLE OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANKLE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27870","description":"ARTHRODESIS ANKLE OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22585","description":"ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR INTERBODY LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22558","description":"ARTHRODESIS ANTERIOR INTERBODY LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22808","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22808","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22808","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22810","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22810","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22810","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 OR GT VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22812","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 OR GT VRT SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 Plus VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22812","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 Plus VRT SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 Plus VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22812","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 Plus VRT SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22634","description":"ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22634","description":"ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22633","description":"ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22633","description":"ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ELBOW JOINT LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24800","description":"ARTHRODESIS ELBOW JOINT LOCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ELBOW JOINT LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24800","description":"ARTHRODESIS ELBOW JOINT LOCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24802","description":"ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24802","description":"ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GLENOHUMERAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23800","description":"ARTHRODESIS GLENOHUMERAL JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GLENOHUMERAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23800","description":"ARTHRODESIS GLENOHUMERAL JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23802","description":"ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23802","description":"ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28755","description":"ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28755","description":"ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28750","description":"ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28750","description":"ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS HIP JOINT W/OBTAINING GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27284","description":"ARTHRODESIS HIP JOINT W/OBTAINING GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS HIP JOINT W/OBTAINING GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27284","description":"ARTHRODESIS HIP JOINT W/OBTAINING GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26860","description":"ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26860","description":"ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26861","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26861","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26863","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26863","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26862","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26862","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS KNEE ANY TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27580","description":"ARTHRODESIS KNEE ANY TECHNIQUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS KNEE ANY TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27580","description":"ARTHRODESIS KNEE ANY TECHNIQUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22534","description":"ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22534","description":"ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22533","description":"ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22533","description":"ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LATERAL EXTRACAVITARY THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22532","description":"ARTHRODESIS LATERAL EXTRACAVITARY THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LATERAL EXTRACAVITARY THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22532","description":"ARTHRODESIS LATERAL EXTRACAVITARY THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26850","description":"ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26850","description":"ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28740","description":"ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28740","description":"ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26852","description":"ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26852","description":"ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PANTALAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28705","description":"ARTHRODESIS PANTALAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PANTALAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28705","description":"ARTHRODESIS PANTALAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22595","description":"ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22595","description":"ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR CRANIOCERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22590","description":"ARTHRODESIS POSTERIOR CRANIOCERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR CRANIOCERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22590","description":"ARTHRODESIS POSTERIOR CRANIOCERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22632","description":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22632","description":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22630","description":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22630","description":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22632","description":"ARTHRODESIS POSTERIOR INTERBODY EA ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22630","description":"ARTHRODESIS POSTERIOR INTERBODY LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM LT 6 VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22800","description":"ARTHRODESIS POSTERIOR SPINAL DFRM LT 6 VRT SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM LT 6 VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22800","description":"ARTHRODESIS POSTERIOR SPINAL DFRM LT 6 VRT SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 OR GT VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22804","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 OR GT VRT SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 Plus VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22804","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 Plus VRT SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 Plus VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22804","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 Plus VRT SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22802","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22802","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22802","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM UP 6 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22800","description":"ARTHRODESIS POSTERIOR SPINAL DFRM UP 6 VRT SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22614","description":"ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22612","description":"ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/POSTEROLATERAL THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22610","description":"ARTHRODESIS POSTERIOR/POSTEROLATERAL THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22612","description":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22612","description":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22610","description":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22610","description":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PST/PSTLAT CERVICAL BELW C2 SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22600","description":"ARTHRODESIS PST/PSTLAT CERVICAL BELW C2 SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22614","description":"ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22614","description":"ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SACROILIAC JOINT W/OBTAINING GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27280","description":"ARTHRODESIS SACROILIAC JOINT W/OBTAINING GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27280","description":"ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27280","description":"ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SUBTALAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28725","description":"ARTHRODESIS SUBTALAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SUBTALAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28725","description":"ARTHRODESIS SUBTALAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27282","description":"ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27282","description":"ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27871","description":"ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27871","description":"ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS TRIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28715","description":"ARTHRODESIS TRIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS TRIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28715","description":"ARTHRODESIS TRIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25800","description":"ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25800","description":"ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST LIMITED W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25825","description":"ARTHRODESIS WRIST LIMITED W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST LIMITED W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25820","description":"ARTHRODESIS WRIST LIMITED W/O BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST LIMITED W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25820","description":"ARTHRODESIS WRIST LIMITED W/O BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25810","description":"ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25810","description":"ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST W/SLIDING GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25805","description":"ARTHRODESIS WRIST W/SLIDING GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST W/SLIDING GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25805","description":"ARTHRODESIS WRIST W/SLIDING GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST WITH AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25825","description":"ARTHRODESIS WRIST WITH AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST WITH AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25825","description":"ARTHRODESIS WRIST WITH AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27700","description":"ARTHROPLASTY ANKLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27700","description":"ARTHROPLASTY ANKLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE REVISION TOTAL ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27703","description":"ARTHROPLASTY ANKLE REVISION TOTAL ANKLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE REVISION TOTAL ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27703","description":"ARTHROPLASTY ANKLE REVISION TOTAL ANKLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27702","description":"ARTHROPLASTY ANKLE W/IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27702","description":"ARTHROPLASTY ANKLE W/IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24361","description":"ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24361","description":"ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ELBOW W/MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24360","description":"ARTHROPLASTY ELBOW W/MEMBRANE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ELBOW W/MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24360","description":"ARTHROPLASTY ELBOW W/MEMBRANE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27442","description":"ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27442","description":"ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23472","description":"ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23472","description":"ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23470","description":"ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23470","description":"ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26535","description":"ARTHROPLASTY INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26535","description":"ARTHROPLASTY INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26536","description":"ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26536","description":"ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY KNEE TIBIAL PLATEAU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27440","description":"ARTHROPLASTY KNEE TIBIAL PLATEAU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY KNEE TIBIAL PLATEAU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27440","description":"ARTHROPLASTY KNEE TIBIAL PLATEAU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26530","description":"ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26530","description":"ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY PATELLA W/O PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27437","description":"ARTHROPLASTY PATELLA W/O PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY PATELLA W/O PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27437","description":"ARTHROPLASTY PATELLA W/O PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY PATELLA W/PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27438","description":"ARTHROPLASTY PATELLA W/PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY PATELLA W/PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27438","description":"ARTHROPLASTY PATELLA W/PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24365","description":"ARTHROPLASTY RADIAL HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24365","description":"ARTHROPLASTY RADIAL HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY RADIAL HEAD W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24366","description":"ARTHROPLASTY RADIAL HEAD W/IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY RADIAL HEAD W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24366","description":"ARTHROPLASTY RADIAL HEAD W/IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21242","description":"ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21242","description":"ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25444","description":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25444","description":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25445","description":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25445","description":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25441","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25441","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25442","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25442","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25443","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25443","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29851","description":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29851","description":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/O FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29850","description":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/O FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/O FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29850","description":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/O FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29898","description":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29898","description":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29897","description":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29897","description":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29895","description":"ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29895","description":"ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29899","description":"ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29899","description":"ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29894","description":"ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29894","description":"ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29830","description":"ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29830","description":"ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29838","description":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29838","description":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29837","description":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29837","description":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29836","description":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29836","description":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29835","description":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29835","description":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29834","description":"ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29834","description":"ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29860","description":"ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29860","description":"ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29861","description":"ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29861","description":"ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29863","description":"ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29863","description":"ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/ACETABULOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29915","description":"ARTHROSCOPY HIP W/ACETABULOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/ACETABULOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29915","description":"ARTHROSCOPY HIP W/ACETABULOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/FEMOROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29914","description":"ARTHROSCOPY HIP W/FEMOROPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/FEMOROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29914","description":"ARTHROSCOPY HIP W/FEMOROPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/LABRAL REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29916","description":"ARTHROSCOPY HIP W/LABRAL REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/LABRAL REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29916","description":"ARTHROSCOPY HIP W/LABRAL REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL and LATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29883","description":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL and LATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL and LATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29883","description":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL and LATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29882","description":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29882","description":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29870","description":"ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29870","description":"ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE INFECTION LAVAGE AND DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29871","description":"ARTHROSCOPY KNEE INFECTION LAVAGE AND DRAINAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE LATERAL RELEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29873","description":"ARTHROSCOPY KNEE LATERAL RELEASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29868","description":"ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29868","description":"ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29866","description":"ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29866","description":"ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29867","description":"ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29867","description":"ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29874","description":"ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG INFECTION LAVAGE and DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29871","description":"ARTHROSCOPY KNEE SURG INFECTION LAVAGE and DRAINAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG INFECTION LAVAGE and DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29871","description":"ARTHROSCOPY KNEE SURG INFECTION LAVAGE and DRAINAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29884","description":"ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29884","description":"ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29874","description":"ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29874","description":"ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29875","description":"ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29875","description":"ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2 OR GT CMPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29876","description":"ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2 OR GT CMPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2 OR GT CMPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29876","description":"ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2 OR GT CMPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29873","description":"ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29873","description":"ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SYNOVECTOMY 2 OR GT COMPARTMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29876","description":"ARTHROSCOPY KNEE SYNOVECTOMY 2 OR GT COMPARTMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29875","description":"ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29884","description":"ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL and LATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29883","description":"ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL and LATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29882","description":"ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29900","description":"ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29900","description":"ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER AHESIOLYSIS W/WO MANIPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29825","description":"ARTHROSCOPY SHOULDER AHESIOLYSIS W/WO MANIPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER BICEPS TENODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29828","description":"ARTHROSCOPY SHOULDER BICEPS TENODESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER DISTAL CLAVICULECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29824","description":"ARTHROSCOPY SHOULDER DISTAL CLAVICULECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER DX W/WO SYNOVIAL BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29805","description":"ARTHROSCOPY SHOULDER DX W/WO SYNOVIAL BIOPSY SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29827","description":"ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURG DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29823","description":"ARTHROSCOPY SHOULDER SURG DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURG DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29822","description":"ARTHROSCOPY SHOULDER SURG DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURG SYNOVECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29821","description":"ARTHROSCOPY SHOULDER SURG SYNOVECTOMY COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURG SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29820","description":"ARTHROSCOPY SHOULDER SURG SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURGICAL CAPSULORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29806","description":"ARTHROSCOPY SHOULDER SURGICAL CAPSULORRHAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURGICAL REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29819","description":"ARTHROSCOPY SHOULDER SURGICAL REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURGICAL REPAIR SLAP LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29807","description":"ARTHROSCOPY SHOULDER SURGICAL REPAIR SLAP LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29826","description":"ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29907","description":"ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29907","description":"ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29906","description":"ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29906","description":"ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29905","description":"ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29905","description":"ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29804","description":"ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29804","description":"ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29840","description":"ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29840","description":"ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST INFECTION LAVAGE AND DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29843","description":"ARTHROSCOPY WRIST INFECTION LAVAGE AND DRAINAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST INFECTION LAVAGE AND DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29843","description":"ARTHROSCOPY WRIST INFECTION LAVAGE AND DRAINAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29847","description":"ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29847","description":"ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29845","description":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29845","description":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29844","description":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29844","description":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27610","description":"ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27610","description":"ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26100","description":"ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26100","description":"ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26110","description":"ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26110","description":"ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26105","description":"ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26105","description":"ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25107","description":"ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25107","description":"ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ELBOW W/SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24102","description":"ARTHROTOMY ELBOW W/SYNOVECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ELBOW W/SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24102","description":"ARTHROTOMY ELBOW W/SYNOVECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24100","description":"ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24100","description":"ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23100","description":"ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23100","description":"ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23040","description":"ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23040","description":"ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27033","description":"ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27033","description":"ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY HIP W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27030","description":"ARTHROTOMY HIP W/DRAINAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY HIP W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27030","description":"ARTHROTOMY HIP W/DRAINAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27330","description":"ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27330","description":"ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY TEMPOROMANDIBULAR JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21010","description":"ARTHROTOMY TEMPOROMANDIBULAR JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY TEMPOROMANDIBULAR JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21010","description":"ARTHROTOMY TEMPOROMANDIBULAR JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/BIOPSY HIP JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27052","description":"ARTHROTOMY W/BIOPSY HIP JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/BIOPSY HIP JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27052","description":"ARTHROTOMY W/BIOPSY HIP JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/BIOPSY SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27050","description":"ARTHROTOMY W/BIOPSY SACROILIAC JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/BIOPSY SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27050","description":"ARTHROTOMY W/BIOPSY SACROILIAC JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/MENISCUS REPAIR KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27403","description":"ARTHROTOMY W/MENISCUS REPAIR KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/MENISCUS REPAIR KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27403","description":"ARTHROTOMY W/MENISCUS REPAIR KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27625","description":"ARTHROTOMY W/SYNOVECTOMY ANKLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27625","description":"ARTHROTOMY W/SYNOVECTOMY ANKLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27626","description":"ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27626","description":"ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY HIP JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27054","description":"ARTHROTOMY W/SYNOVECTOMY HIP JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY HIP JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27054","description":"ARTHROTOMY W/SYNOVECTOMY HIP JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27334","description":"ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27334","description":"ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY WRIST JOINT WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25100","description":"ARTHROTOMY WRIST JOINT WITH BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY WRIST JOINT WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25100","description":"ARTHROTOMY WRIST JOINT WITH BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25105","description":"ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25105","description":"ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27130","description":"ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27130","description":"ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ELBOW W/DISTAL HUM and PROX UR PROSTC RPLCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24363","description":"ARTHRP ELBOW W/DISTAL HUM and PROX UR PROSTC RPLCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ELBOW W/DISTAL HUM and PROX UR PROSTC RPLCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24363","description":"ARTHRP ELBOW W/DISTAL HUM and PROX UR PROSTC RPLCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ELBOW W/IMPLT and FSCA LATA LIGAMENT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24362","description":"ARTHRP ELBOW W/IMPLT and FSCA LATA LIGAMENT RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ELBOW W/IMPLT and FSCA LATA LIGAMENT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24362","description":"ARTHRP ELBOW W/IMPLT and FSCA LATA LIGAMENT RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT and PRTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27443","description":"ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT and PRTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT and PRTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27443","description":"ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT and PRTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25447","description":"ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25447","description":"ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25447","description":"ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNE CONDYLE AND PLATU MEDIAL AND LAT COMPARTMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27447","description":"ARTHRP KNE CONDYLE AND PLATU MEDIAL AND LAT COMPARTMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNE CONDYLE AND PLATU MEDIAL AND LAT COMPARTMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27447","description":"ARTHRP KNE CONDYLE AND PLATU MEDIAL AND LAT COMPARTMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNEE CONDYLE and PLATEAU MEDIAL/LAT CMPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27446","description":"ARTHRP KNEE CONDYLE and PLATEAU MEDIAL/LAT CMPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNEE CONDYLE and PLATEAU MEDIAL/LAT CMPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27446","description":"ARTHRP KNEE CONDYLE and PLATEAU MEDIAL/LAT CMPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNEE TIBIAL PLATEAU DBRDMT AND PRTL SYNVCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27441","description":"ARTHRP KNEE TIBIAL PLATEAU DBRDMT AND PRTL SYNVCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNEE TIBIAL PLATEAU DBRDMT AND PRTL SYNVCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27441","description":"ARTHRP KNEE TIBIAL PLATEAU DBRDMT AND PRTL SYNVCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26531","description":"ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26531","description":"ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21240","description":"ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21240","description":"ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21243","description":"ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21243","description":"ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/CARPUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25446","description":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/CARPUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/ENTIR CARPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25446","description":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/ENTIR CARPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/ENTIR CARPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25446","description":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/ENTIR CARPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25332","description":"ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25332","description":"ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29892","description":"ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29892","description":"ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29855","description":"ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29855","description":"ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29856","description":"ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29856","description":"ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29888","description":"ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29888","description":"ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29889","description":"ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29889","description":"ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS ANKLE EXC OSTCHNDRL DFCT TALUS and /TIB DRLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29891","description":"ARTHRS ANKLE EXC OSTCHNDRL DFCT TALUS and /TIB DRLG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS ANKLE EXC OSTCHNDRL DFCT TALUS and /TIB DRLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29891","description":"ARTHRS ANKLE EXC OSTCHNDRL DFCT TALUS and /TIB DRLG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29891","description":"ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29862","description":"ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29862","description":"ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNE SURG ABRASION ARTHRP/MLT DRLG/MICROFX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29879","description":"ARTHRS KNE SURG ABRASION ARTHRP/MLT DRLG/MICROFX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNE SURG ABRASION ARTHRP/MLT DRLG/MICROFX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29879","description":"ARTHRS KNE SURG ABRASION ARTHRP/MLT DRLG/MICROFX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29881","description":"ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29879","description":"ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29877","description":"ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29885","description":"ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE DRILLING OSTEOCHOND DISSECANS LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29886","description":"ARTHRS KNEE DRILLING OSTEOCHOND DISSECANS LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29887","description":"ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DEBRIDEMENT/SHVG ARTCLR CRTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29877","description":"ARTHRS KNEE SURG DEBRIDEMENT/SHVG ARTCLR CRTLG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DEBRIDEMENT/SHVG ARTCLR CRTLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29877","description":"ARTHRS KNEE SURG DEBRIDEMENT/SHVG ARTCLR CRTLG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRILLING NTC OSTEO DISS LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29886","description":"ARTHRS KNEE SURG DRILLING NTC OSTEO DISS LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRILLING NTC OSTEO DISS LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29886","description":"ARTHRS KNEE SURG DRILLING NTC OSTEO DISS LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRLG OSTEO DISS GRFG W/WO FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29885","description":"ARTHRS KNEE SURG DRLG OSTEO DISS GRFG W/WO FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRLG OSTEO DISS GRFG W/WO FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29885","description":"ARTHRS KNEE SURG DRLG OSTEO DISS GRFG W/WO FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRLG OSTEO DISS LES W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29887","description":"ARTHRS KNEE SURG DRLG OSTEO DISS LES W/INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRLG OSTEO DISS LES W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29887","description":"ARTHRS KNEE SURG DRLG OSTEO DISS LES W/INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG MENISCECTOMY MED and LAT W/SHAVING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29880","description":"ARTHRS KNEE SURG MENISCECTOMY MED and LAT W/SHAVING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG MENISCECTOMY MED and LAT W/SHAVING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29880","description":"ARTHRS KNEE SURG MENISCECTOMY MED and LAT W/SHAVING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29881","description":"ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29881","description":"ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE W/MENISCECTOMY MED and LAT W/SHAVING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29880","description":"ARTHRS KNEE W/MENISCECTOMY MED and LAT W/SHAVING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29901","description":"ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29901","description":"ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29902","description":"ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29902","description":"ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29800","description":"ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29800","description":"ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS WRST EXC and /RPR TRIANG FIBROCART and /JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29846","description":"ARTHRS WRST EXC and /RPR TRIANG FIBROCART and /JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS WRST EXC and /RPR TRIANG FIBROCART and /JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29846","description":"ARTHRS WRST EXC and /RPR TRIANG FIBROCART and /JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23044","description":"ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23044","description":"ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ACROMCLAV/STRNCLAV JT W/BX and /EXC CRTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23101","description":"ARTHRT ACROMCLAV/STRNCLAV JT W/BX and /EXC CRTLG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ACROMCLAV/STRNCLAV JT W/BX and /EXC CRTLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23101","description":"ARTHRT ACROMCLAV/STRNCLAV JT W/BX and /EXC CRTLG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27620","description":"ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27620","description":"ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24006","description":"ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24006","description":"ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24000","description":"ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24000","description":"ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW W/JNT EXPL W/WOBX W/WORMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24101","description":"ARTHRT ELBOW W/JNT EXPL W/WOBX W/WORMVL LOOSE/FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW W/JT EXPL W/WOBX W/O RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24101","description":"ARTHRT ELBOW W/JT EXPL W/WOBX W/O RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW W/JT EXPL W/WOBX W/O RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24101","description":"ARTHRT ELBOW W/JT EXPL W/WOBX W/O RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26070","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26070","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26080","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26080","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26075","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26075","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23107","description":"ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23107","description":"ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23106","description":"ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23106","description":"ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23105","description":"ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23105","description":"ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT KNE W/EXPL DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27310","description":"ARTHRT KNE W/EXPL DRG/RMVL FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT KNE W/EXPL DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27310","description":"ARTHRT KNE W/EXPL DRG/RMVL FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27331","description":"ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27331","description":"ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27612","description":"ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27612","description":"ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25040","description":"ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25040","description":"ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28050","description":"ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28050","description":"ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL and LAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27333","description":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL and LAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL and LAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27333","description":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL and LAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27332","description":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27332","description":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28024","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28024","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28022","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28022","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28020","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28020","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/SYNVCT KNE ANT and POST W/POP AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27335","description":"ARTHRT W/SYNVCT KNE ANT and POST W/POP AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/SYNVCT KNE ANT and POST W/POP AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27335","description":"ARTHRT W/SYNVCT KNE ANT and POST W/POP AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25101","description":"ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25101","description":"ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRTOMY W/BX INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28054","description":"ARTHRTOMY W/BX INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRTOMY W/BX INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28054","description":"ARTHRTOMY W/BX INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28052","description":"ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28052","description":"ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTIFICIAL CORNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8609","description":"ARTIFICIAL CORNEA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTIFICIAL LARYNX ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8500","description":"ARTIFICIAL LARYNX ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36640","description":"ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36640","description":"ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36625","description":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36625","description":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36620","description":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36620","description":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN F/ARM VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36820","description":"ARVEN ANAST OPN F/ARM VEIN TRPOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN F/ARM VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36820","description":"ARVEN ANAST OPN F/ARM VEIN TRPOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36819","description":"ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36819","description":"ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36818","description":"ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36818","description":"ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ IA EMBOLIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61710","description":"ARYSM VASC MALFRMJ IA EMBOLIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ IA EMBOLIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61710","description":"ARYSM VASC MALFRMJ IA EMBOLIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61705","description":"ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61705","description":"ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61708","description":"ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61708","description":"ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31400","description":"ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31400","description":"ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP and AORTIC ROOT RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33863","description":"AS-AORT GRF W/CARD BYP and AORTIC ROOT RPLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP and AORTIC ROOT RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33863","description":"AS-AORT GRF W/CARD BYP and AORTIC ROOT RPLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33864","description":"ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33864","description":"ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8958","description":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8958","description":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIR and /NJX RENAL CYST/PELVIS NEEDLE PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50390","description":"ASPIR and /NJX RENAL CYST/PELVIS NEEDLE PRQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIR and /NJX RENAL CYST/PELVIS NEEDLE PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50390","description":"ASPIR and /NJX RENAL CYST/PELVIS NEEDLE PRQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION AND INJECTION TREATMENT BONE CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20615","description":"ASPIRATION AND INJECTION TREATMENT BONE CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION AND INJECTION TREATMENT BONE CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20615","description":"ASPIRATION AND INJECTION TREATMENT BONE CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION AND/OR INJECTION THYROID CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60300","description":"ASPIRATION AND/OR INJECTION THYROID CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION AND/OR INJECTION THYROID CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60300","description":"ASPIRATION AND/OR INJECTION THYROID CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51102","description":"ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51102","description":"ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51100","description":"ASPIRATION BLADDER NEEDLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51100","description":"ASPIRATION BLADDER NEEDLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER TROCAR/INTRACATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51101","description":"ASPIRATION BLADDER TROCAR/INTRACATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER TROCAR/INTRACATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51101","description":"ASPIRATION BLADDER TROCAR/INTRACATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION and /INJECTION GANGLION CYST ANY LOCATJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20612","description":"ASPIRATION and /INJECTION GANGLION CYST ANY LOCATJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION and /INJECTION GANGLION CYST ANY LOCATJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20612","description":"ASPIRATION and /INJECTION GANGLION CYST ANY LOCATJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67015","description":"ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67015","description":"ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8598","description":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1055","description":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8598","description":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1055","description":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR CLOPIDOGREL PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4086F","description":"ASPIRIN OR CLOPIDOGREL PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR CLOPIDOGREL PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4086F","description":"ASPIRIN OR CLOPIDOGREL PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN RECVD W/IN 24 HRS PRIOR ED ARRIVAL/STAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4084F","description":"ASPIRIN RECVD W/IN 24 HRS PRIOR ED ARRIVAL/STAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN RECVD W/IN 24 HRS PRIOR ED ARRIVAL/STAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4084F","description":"ASPIRIN RECVD W/IN 24 HRS PRIOR ED ARRIVAL/STAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN/ANOTH AP TX NOT USED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1057","description":"ASPIRIN/ANOTH AP TX NOT USED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN/ANOTH AP TX NOT USED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1057","description":"ASPIRIN/ANOTH AP TX NOT USED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN/OTH ANTITHROMBOTIC NOT USED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8599","description":"ASPIRIN/OTH ANTITHROMBOTIC NOT USED RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN/OTH ANTITHROMBOTIC NOT USED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8599","description":"ASPIRIN/OTH ANTITHROMBOTIC NOT USED RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ACETYLCHOLINESTERASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82013","description":"ASSAY OF ACETYLCHOLINESTERASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALCOHOL (ETHANOL) BREATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82075","description":"ASSAY OF ALCOHOL (ETHANOL) BREATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALCOHOL BREATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82075","description":"ASSAY OF ALCOHOL BREATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALDOLASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82085","description":"ASSAY OF ALDOLASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALDOSTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82088","description":"ASSAY OF ALDOSTERONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALUMINUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82108","description":"ASSAY OF ALUMINUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF AMMONIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82140","description":"ASSAY OF AMMONIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF AMYLASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82150","description":"ASSAY OF AMYLASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ARSENIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82175","description":"ASSAY OF ARSENIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ASCORBIC ACID BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82180","description":"ASSAY OF ASCORBIC ACID BLOOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF B-HEXOSAMINIDASE EACH ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83080","description":"ASSAY OF B-HEXOSAMINIDASE EACH ASSAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF BLOOD/URIC ACID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84550","description":"ASSAY OF BLOOD/URIC ACID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF C-PEPTIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84681","description":"ASSAY OF C-PEPTIDE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CALPROTECTIN FECAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83993","description":"ASSAY OF CALPROTECTIN FECAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CHROMIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82495","description":"ASSAY OF CHROMIUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CITRATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82507","description":"ASSAY OF CITRATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF COPPER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82525","description":"ASSAY OF COPPER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CREATINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82540","description":"ASSAY OF CREATINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CRYOFIBRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82585","description":"ASSAY OF CRYOFIBRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CYANIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82600","description":"ASSAY OF CYANIDE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DIBUCAINE NUMBER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82638","description":"ASSAY OF DIBUCAINE NUMBER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ERYTHROPOIETIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82668","description":"ASSAY OF ERYTHROPOIETIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTRADIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82670","description":"ASSAY OF ESTRADIOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTRIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82677","description":"ASSAY OF ESTRIOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTROGENS FRACTIONATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82671","description":"ASSAY OF ESTROGENS FRACTIONATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTROGENS TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82672","description":"ASSAY OF ESTROGENS TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTRONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82679","description":"ASSAY OF ESTRONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ETHYLENE GLYCOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82693","description":"ASSAY OF ETHYLENE GLYCOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ETIOCHOLANOLONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82696","description":"ASSAY OF ETIOCHOLANOLONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FERRITIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82728","description":"ASSAY OF FERRITIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FLUORIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82735","description":"ASSAY OF FLUORIDE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FOLIC ACID RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82747","description":"ASSAY OF FOLIC ACID RBC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FOLIC ACID SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82746","description":"ASSAY OF FOLIC ACID SERUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FREE THYROXINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84439","description":"ASSAY OF FREE THYROXINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FRUCTOSE SEMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82757","description":"ASSAY OF FRUCTOSE SEMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GALACTOKINASE RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82759","description":"ASSAY OF GALACTOKINASE RBC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GALACTOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82760","description":"ASSAY OF GALACTOSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82784","description":"ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GAMMAGLOBULIN IGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82785","description":"ASSAY OF GAMMAGLOBULIN IGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GASTRIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82941","description":"ASSAY OF GASTRIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUCAGON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82943","description":"ASSAY OF GLUCAGON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUCOSIDASE BETA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82963","description":"ASSAY OF GLUCOSIDASE BETA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTAMATE DEHYDROGENASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82965","description":"ASSAY OF GLUTAMATE DEHYDROGENASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTAMYLTRASE GAMMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82977","description":"ASSAY OF GLUTAMYLTRASE GAMMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTATHIONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82978","description":"ASSAY OF GLUTATHIONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTATHIONE REDUCTASE RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82979","description":"ASSAY OF GLUTATHIONE REDUCTASE RBC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLYCATED PROTEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82985","description":"ASSAY OF GLYCATED PROTEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GROWTH HORMONE HUMAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83003","description":"ASSAY OF GROWTH HORMONE HUMAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HAPTOGLOBIN PHENOTYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83012","description":"ASSAY OF HAPTOGLOBIN PHENOTYPES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HAPTOGLOBIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83010","description":"ASSAY OF HAPTOGLOBIN QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HEMOGLOBIN PLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83051","description":"ASSAY OF HEMOGLOBIN PLASMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HEMOGLOBIN URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83069","description":"ASSAY OF HEMOGLOBIN URINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HEMOSIDERIN QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83070","description":"ASSAY OF HEMOSIDERIN QUALITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HISTAMINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83088","description":"ASSAY OF HISTAMINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HOMOCYSTEINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83090","description":"ASSAY OF HOMOCYSTEINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HOMOVANILLIC ACID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83150","description":"ASSAY OF HOMOVANILLIC ACID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYCORTICOSTEROIDS 17","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83491","description":"ASSAY OF HYDROXYCORTICOSTEROIDS 17","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83497","description":"ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYPROGESTERONE 17-D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83498","description":"ASSAY OF HYDROXYPROGESTERONE 17-D","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYPROLINE FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83500","description":"ASSAY OF HYDROXYPROLINE FREE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYPROLINE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83505","description":"ASSAY OF HYDROXYPROLINE TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF INSULIN FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83527","description":"ASSAY OF INSULIN FREE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF INSULIN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83525","description":"ASSAY OF INSULIN TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF INTRINSIC FACTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83528","description":"ASSAY OF INTRINSIC FACTOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF IRON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83540","description":"ASSAY OF IRON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF KETOGENIC STEROIDS FRACTIONATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83582","description":"ASSAY OF KETOGENIC STEROIDS FRACTIONATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF KETOSTEROIDS 17- TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83586","description":"ASSAY OF KETOSTEROIDS 17- TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF L7383TRANSFERRIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84466","description":"ASSAY OF L7383TRANSFERRIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF LACTATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83605","description":"ASSAY OF LACTATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83655","description":"ASSAY OF LEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF LIPASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83690","description":"ASSAY OF LIPASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MAGNESIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83735","description":"ASSAY OF MAGNESIUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MALATE DEHYDROGENASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83775","description":"ASSAY OF MALATE DEHYDROGENASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MANGANESE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83785","description":"ASSAY OF MANGANESE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MERCURY QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83825","description":"ASSAY OF MERCURY QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF NEPHELOMETRY EACH ANALYTE NES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83883","description":"ASSAY OF NEPHELOMETRY EACH ANALYTE NES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF NICKEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83885","description":"ASSAY OF NICKEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF NUCLEOTIDASE 5'-","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83915","description":"ASSAY OF NUCLEOTIDASE 5'-","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OSMOLALITY BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83930","description":"ASSAY OF OSMOLALITY BLOOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OSMOLALITY URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83935","description":"ASSAY OF OSMOLALITY URINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OSTEOCALCIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83937","description":"ASSAY OF OSTEOCALCIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OXALATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83945","description":"ASSAY OF OXALATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PARATHORMONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83970","description":"ASSAY OF PARATHORMONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHENCYCLIDINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83992","description":"ASSAY OF PHENCYCLIDINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHENYLALANINE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84030","description":"ASSAY OF PHENYLALANINE BLOOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHENYLKETONES QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84035","description":"ASSAY OF PHENYLKETONES QUALITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ACID PROSTATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84066","description":"ASSAY OF PHOSPHATASE ACID PROSTATIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ACID TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84060","description":"ASSAY OF PHOSPHATASE ACID TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ALKALINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84075","description":"ASSAY OF PHOSPHATASE ALKALINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84078","description":"ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84080","description":"ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHOHEXOSE ISOMERASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84087","description":"ASSAY OF PHOSPHOHEXOSE ISOMERASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHORUS INORGANIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84100","description":"ASSAY OF PHOSPHORUS INORGANIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHORUS INORGANIC URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84105","description":"ASSAY OF PHOSPHORUS INORGANIC URINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84110","description":"ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROGESTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84144","description":"ASSAY OF PROGESTERONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROINSULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84206","description":"ASSAY OF PROINSULIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROLACTIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84146","description":"ASSAY OF PROLACTIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROSTAGLNDIN EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84150","description":"ASSAY OF PROSTAGLNDIN EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84152","description":"ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84154","description":"ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84153","description":"ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PYRIDOXAL PHOSPHATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84207","description":"ASSAY OF PYRIDOXAL PHOSPHATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PYRUVATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84210","description":"ASSAY OF PYRUVATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PYRUVATE KINASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84220","description":"ASSAY OF PYRUVATE KINASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF QUININE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84228","description":"ASSAY OF QUININE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF RECEPTOR ASSAY ESTROGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84233","description":"ASSAY OF RECEPTOR ASSAY ESTROGEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF RECEPTOR ASSAY PROGESTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84234","description":"ASSAY OF RECEPTOR ASSAY PROGESTERONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF RENIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84244","description":"ASSAY OF RENIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF RIBOFLAVIN-VITAMIN B-2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84252","description":"ASSAY OF RIBOFLAVIN-VITAMIN B-2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SELENIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84255","description":"ASSAY OF SELENIUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SEROTONIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84260","description":"ASSAY OF SEROTONIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SEX HORMONE BINDING GLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84270","description":"ASSAY OF SEX HORMONE BINDING GLOBULIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SIALIC ACID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84275","description":"ASSAY OF SIALIC ACID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SILICA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84285","description":"ASSAY OF SILICA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SODIUM OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84302","description":"ASSAY OF SODIUM OTHER SOURCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SOMATOMEDIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84305","description":"ASSAY OF SOMATOMEDIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SOMATOSTATIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84307","description":"ASSAY OF SOMATOSTATIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SULFATE URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84392","description":"ASSAY OF SULFATE URINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TESTOSTERONE FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84402","description":"ASSAY OF TESTOSTERONE FREE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TESTOSTERONE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84403","description":"ASSAY OF TESTOSTERONE TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THIAMINE-VITAMIN B-1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84425","description":"ASSAY OF THIAMINE-VITAMIN B-1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THIOCYANATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84430","description":"ASSAY OF THIOCYANATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROGLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84432","description":"ASSAY OF THYROGLOBULIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROID STIMULATING HORMONE TSH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84443","description":"ASSAY OF THYROID STIMULATING HORMONE TSH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE BINDING GLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84442","description":"ASSAY OF THYROXINE BINDING GLOBULIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE REQUIRING ELUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84437","description":"ASSAY OF THYROXINE REQUIRING ELUTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84436","description":"ASSAY OF THYROXINE TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TOCOPHEROL ALPHA VITAMIN E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84446","description":"ASSAY OF TOCOPHEROL ALPHA VITAMIN E","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TOTAL ESTRADIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82670","description":"ASSAY OF TOTAL ESTRADIOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TOTAL HYDROXYPROLINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83505","description":"ASSAY OF TOTAL HYDROXYPROLINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRANSCORTIN CORTISOL BINDING GLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84449","description":"ASSAY OF TRANSCORTIN CORTISOL BINDING GLOBULIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRANSFERRIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84466","description":"ASSAY OF TRANSFERRIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRIGLYCERIDES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84478","description":"ASSAY OF TRIGLYCERIDES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRIIODOTHYRONINE T3 FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84481","description":"ASSAY OF TRIIODOTHYRONINE T3 FREE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84480","description":"ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TROPONIN QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84512","description":"ASSAY OF TROPONIN QUALITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TROPONIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84484","description":"ASSAY OF TROPONIN QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRYPSIN DUODENAL FLUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84485","description":"ASSAY OF TRYPSIN DUODENAL FLUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRYPSIN FECES QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84488","description":"ASSAY OF TRYPSIN FECES QUALITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TYROSINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84510","description":"ASSAY OF TYROSINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UREA NITROGEN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84520","description":"ASSAY OF UREA NITROGEN QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UREA NITROGEN SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84525","description":"ASSAY OF UREA NITROGEN SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UREA NITROGEN URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84540","description":"ASSAY OF UREA NITROGEN URINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF URIC ACID OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84560","description":"ASSAY OF URIC ACID OTHER SOURCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF URINE SODIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84300","description":"ASSAY OF URINE SODIUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UROBILINOGEN FECES QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84577","description":"ASSAY OF UROBILINOGEN FECES QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UROBILINOGEN URINE QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84578","description":"ASSAY OF UROBILINOGEN URINE QUALITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84583","description":"ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VANILLYLMANDELIC ACID URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84585","description":"ASSAY OF VANILLYLMANDELIC ACID URINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VASOACTIVE INTESTINAL PEPTIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84586","description":"ASSAY OF VASOACTIVE INTESTINAL PEPTIDE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84588","description":"ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VITAMIN A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84590","description":"ASSAY OF VITAMIN A","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VITAMIN K","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84597","description":"ASSAY OF VITAMIN K","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84591","description":"ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VOLATILES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84600","description":"ASSAY OF VOLATILES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ZINC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84630","description":"ASSAY OF ZINC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 30 MI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99192","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 30 MI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 30 MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99192","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 30 MI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 45 MI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99191","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 45 MI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 45 MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99191","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 45 MI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH EA HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99190","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH EA HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH EA HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99190","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH EA HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT APHASIA W/INTERP and REPORT PER HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96105","description":"ASSESSMENT APHASIA W/INTERP and REPORT PER HOUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT APHASIA W/INTERP and REPORT PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96105","description":"ASSESSMENT APHASIA W/INTERP and REPORT PER HOUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT TINNITUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92625","description":"ASSESSMENT TINNITUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT TINNITUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92625","description":"ASSESSMENT TINNITUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97755","description":"ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97755","description":"ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA DISCHARGE PLAN PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5250F","description":"ASTHMA DISCHARGE PLAN PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA DISCHARGE PLAN PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5250F","description":"ASTHMA DISCHARGE PLAN PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA IMPAIRMENT ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2015F","description":"ASTHMA IMPAIRMENT ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA IMPAIRMENT ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2015F","description":"ASTHMA IMPAIRMENT ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA NOT WC SPEC CTR TOOL NOT USED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9434","description":"ASTHMA NOT WC SPEC CTR TOOL NOT USED RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA NOT WC SPEC CTR TOOL NOT USED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9434","description":"ASTHMA NOT WC SPEC CTR TOOL NOT USED RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2016F","description":"ASTHMA RISK ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2016F","description":"ASTHMA RISK ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA SYMPTOMS EVALUATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1005F","description":"ASTHMA SYMPTOMS EVALUATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA SYMPTOMS EVALUATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1005F","description":"ASTHMA SYMPTOMS EVALUATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA WELL-CNTRL ACT C-ACT ACQ/ATAQ SC RSLT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9432","description":"ASTHMA WELL-CNTRL ACT C-ACT ACQ/ATAQ SC RSLT DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA WELL-CNTRL ACT C-ACT ACQ/ATAQ SC RSLT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9432","description":"ASTHMA WELL-CNTRL ACT C-ACT ACQ/ATAQ SC RSLT DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASYMPT CAROT STEN NO ISCHEM/STRK CAROT/VRTBROBAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9005F","description":"ASYMPT CAROT STEN NO ISCHEM/STRK CAROT/VRTBROBAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASYMPT CAROT STEN NO ISCHEM/STRK CAROT/VRTBROBAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9005F","description":"ASYMPT CAROT STEN NO ISCHEM/STRK CAROT/VRTBROBAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BDY TEMPERATURE MSR GT or equal to 35.5 DEG C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9771","description":"AT LEAST 1 BDY TEMPERATURE MSR GT or equal to 35.5 DEG C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BDY TEMPERATURE MSR GT or equal to 35.5 DEG C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9771","description":"AT LEAST 1 BDY TEMPERATURE MSR GT or equal to 35.5 DEG C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BODY TEMPERATURE MSR GT or equal to 35.5 DEG C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9771","description":"AT LEAST 1 BODY TEMPERATURE MSR GT or equal to 35.5 DEG C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BT MSR GT or equal to 35.5 DC NOT ACHV ANES ET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9773","description":"AT LEAST 1 BT MSR GT or equal to 35.5 DC NOT ACHV ANES ET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BT MSR GT or equal to 35.5 DC NOT ACHV ANES ET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9773","description":"AT LEAST 1 BT MSR GT or equal to 35.5 DC NOT ACHV ANES ET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BT MSR GT or equal to 35.5 DEGC NOT ACHV ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9773","description":"AT LEAST 1 BT MSR GT or equal to 35.5 DEGC NOT ACHV ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORD FOR HIGH-RISK MED SAME DRUG CLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9367","description":"AT LEAST 2 ORD FOR HIGH-RISK MED SAME DRUG CLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORD FOR HIGH-RISK MED SAME DRUG CLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9367","description":"AT LEAST 2 ORD FOR HIGH-RISK MED SAME DRUG CLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORD FOR SAME HIGH-RISK MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9367","description":"AT LEAST 2 ORD FOR SAME HIGH-RISK MED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORDERS HIGH-RISK MEDS SM CLS NOT ORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9368","description":"AT LEAST 2 ORDERS HIGH-RISK MEDS SM CLS NOT ORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORDERS HIGH-RISK MEDS SM CLS NOT ORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9368","description":"AT LEAST 2 ORDERS HIGH-RISK MEDS SM CLS NOT ORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORDERS SAME HIGH-RISK MEDS NOT ORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9368","description":"AT LEAST 2 ORDERS SAME HIGH-RISK MEDS NOT ORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATOMIC ABSRPJ SPECTROSCOPY EA ANALYTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82190","description":"ATOMIC ABSRPJ SPECTROSCOPY EA ANALYTE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLATE and RCNSTJ W/OTHER PROCEDURE LIMITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33257","description":"ATRIA ABLATE and RCNSTJ W/OTHER PROCEDURE LIMITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLATE and RCNSTJ W/OTHER PROCEDURE LIMITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33257","description":"ATRIA ABLATE and RCNSTJ W/OTHER PROCEDURE LIMITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLTJ and RCNSTJ W/OTHER PX EXTEN W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33259","description":"ATRIA ABLTJ and RCNSTJ W/OTHER PX EXTEN W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLTJ and RCNSTJ W/OTHER PX EXTEN W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33259","description":"ATRIA ABLTJ and RCNSTJ W/OTHER PX EXTEN W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLTJ and RCNSTJ W/OTHER PX EXTENSIV W/O BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33258","description":"ATRIA ABLTJ and RCNSTJ W/OTHER PX EXTENSIV W/O BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLTJ and RCNSTJ W/OTHER PX EXTENSIV W/O BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33258","description":"ATRIA ABLTJ and RCNSTJ W/OTHER PX EXTENSIV W/O BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33735","description":"ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33735","description":"ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33736","description":"ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33736","description":"ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99464","description":"ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99464","description":"ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AUD OI DEVC EXT SP EXCL TRNSDUCR/ACTUATR REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8691","description":"AUD OI DEVC EXT SP EXCL TRNSDUCR/ACTUATR REPL EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AUD OSSEOINTEGRATED DEVC ABUT LENGTH REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8693","description":"AUD OSSEOINTEGRATED DEVC ABUT LENGTH REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AUDITORY OSSEOINTEGRATED DEVC INT/EXT COMPONENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8690","description":"AUDITORY OSSEOINTEGRATED DEVC INT/EXT COMPONENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AURICULAR PROSTHESIS PROVIDED BY A NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8045","description":"AURICULAR PROSTHESIS PROVIDED BY A NON-PHYSICIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AURICULAR/PERIAURICULAR PAIN ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1116F","description":"AURICULAR/PERIAURICULAR PAIN ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AURICULAR/PERIAURICULAR PAIN ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1116F","description":"AURICULAR/PERIAURICULAR PAIN ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTO EXT DEFIB W/INTGR ECG ANALY GARMENT TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0606","description":"AUTO EXT DEFIB W/INTGR ECG ANALY GARMENT TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AUTO EXT DEFIB W/INTGR ECG ANALY GARMENT TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0606","description":"AUTO EXT DEFIB W/INTGR ECG ANALY GARMENT TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20938","description":"AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20938","description":"AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20937","description":"AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20937","description":"AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86890","description":"AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOGOUS CHONDROCYTE IMPLANTATION KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27412","description":"AUTOLOGOUS CHONDROCYTE IMPLANTATION KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOGOUS CHONDROCYTE IMPLANTATION KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27412","description":"AUTOLOGOUS CHONDROCYTE IMPLANTATION KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOGOUS CULTURED CHONDROCYTES IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7330","description":"AUTOLOGOUS CULTURED CHONDROCYTES IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOGOUS CULTURED CHONDROCYTES IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7330","description":"AUTOLOGOUS CULTURED CHONDROCYTES IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AUTOMATIC GRASP ADD UPPER LIMB ELEC PROSTH DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6881","description":"AUTOMATIC GRASP ADD UPPER LIMB ELEC PROSTH DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11732","description":"AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11732","description":"AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11730","description":"AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11730","description":"AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY LYMPHADENECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38745","description":"AXILLARY LYMPHADENECTOMY COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY LYMPHADENECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38745","description":"AXILLARY LYMPHADENECTOMY COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY LYMPHADENECTOMY SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38740","description":"AXILLARY LYMPHADENECTOMY SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY LYMPHADENECTOMY SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38740","description":"AXILLARY LYMPHADENECTOMY SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AZATHIOPRINE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7500","description":"AZATHIOPRINE ORAL 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AZATHIOPRINE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7500","description":"AZATHIOPRINE ORAL 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AZATHIOPRINE PARENTERAL100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7501","description":"AZATHIOPRINE PARENTERAL100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"AZATHIOPRINE PARENTERAL100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7501","description":"AZATHIOPRINE PARENTERAL100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Acne surgery","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10040","description":"Acne surgery","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Air fluidized bed","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0194","description":"Air fluidized bed","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Air fluidized bed","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0194","description":"Air fluidized bed","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Air pressure mattress","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0186","description":"Air pressure mattress","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Air pressure mattress","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0186","description":"Air pressure mattress","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Androstanediol glucuronide","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82154","description":"Androstanediol glucuronide","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Appendectomy","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44950","description":"Appendectomy","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Appendectomy","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44950","description":"Appendectomy","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Axillary crutch extension","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0978","description":"Axillary crutch extension","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"B CELLS TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86355","description":"B CELLS TOTAL COUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27170","description":"B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27170","description":"B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65757","description":"BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65757","description":"BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON DILAT URETERAL STRICTURE W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50706","description":"BALLOON DILAT URETERAL STRICTURE W/IMG GID RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON DILAT URETERAL STRICTURE W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50706","description":"BALLOON DILAT URETERAL STRICTURE W/IMG GID RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BANDING PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33690","description":"BANDING PULMONARY ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BANDING PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33690","description":"BANDING PULMONARY ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BARIUM SWALLOW TEST NOT ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3200F","description":"BARIUM SWALLOW TEST NOT ORDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARIUM SWALLOW TEST NOT ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3200F","description":"BARIUM SWALLOW TEST NOT ORDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARIUM SWALLOW TEST ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3142F","description":"BARIUM SWALLOW TEST ORDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARIUM SWALLOW TEST ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3142F","description":"BARIUM SWALLOW TEST ORDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASELINE FLOW CYTOMETRY W/DIAG/PRIOR INITG TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3170F","description":"BASELINE FLOW CYTOMETRY W/DIAG/PRIOR INITG TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASELINE FLOW CYTOMETRY W/DIAG/PRIOR INITG TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3170F","description":"BASELINE FLOW CYTOMETRY W/DIAG/PRIOR INITG TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC METABOLIC PANEL CALCIUM IONIZED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80047","description":"BASIC METABOLIC PANEL CALCIUM IONIZED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BASIC METABOLIC PANEL CALCIUM TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80048","description":"BASIC METABOLIC PANEL CALCIUM TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BASIC RADIATION DOSIMETRY CALCULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77300","description":"BASIC RADIATION DOSIMETRY CALCULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BASIC RADIATION DOSIMETRY CALCULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77300","description":"BASIC RADIATION DOSIMETRY CALCULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BATT CHRGR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0495","description":"BATT CHRGR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BATT CHRGR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0495","description":"BATT CHRGR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BATT CLPS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0497","description":"BATT CLPS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BATT CLPS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0497","description":"BATT CLPS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY CHARGER 12 VOLT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7366","description":"BATTERY CHARGER 12 VOLT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY CHARGER SIX VOLT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7362","description":"BATTERY CHARGER SIX VOLT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY FOR PNEUMATIC VAD REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0503","description":"BATTERY FOR PNEUMATIC VAD REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY FOR PNEUMATIC VAD REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0503","description":"BATTERY FOR PNEUMATIC VAD REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY LITHIUM-ION ELEC/PNEUMATIC VAD REPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0506","description":"BATTERY LITHIUM-ION ELEC/PNEUMATIC VAD REPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY LITHIUM-ION ELEC/PNEUMATIC VAD REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0506","description":"BATTERY LITHIUM-ION ELEC/PNEUMATIC VAD REPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY NOT LITHIUM-ION ELEC/PNEUMAT VAD REPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0496","description":"BATTERY NOT LITHIUM-ION ELEC/PNEUMAT VAD REPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY NOT LITHIUM-ION ELEC/PNEUMAT VAD REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0496","description":"BATTERY NOT LITHIUM-ION ELEC/PNEUMAT VAD REPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BE MOLD SCKT ENDOSKEL SYS W/SFT PROSTH TISS SHAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6400","description":"BE MOLD SCKT ENDOSKEL SYS W/SFT PROSTH TISS SHAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BED CRADLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0280","description":"BED CRADLE ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BED PAN FRACTURE METAL OR PLASTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0276","description":"BED PAN FRACTURE METAL OR PLASTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BED PAN STANDARD METAL OR PLASTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0275","description":"BED PAN STANDARD METAL OR PLASTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BEDSID DRAIN BOTTLE W/WO TUBING RIGD/XPNDABLE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5102","description":"BEDSID DRAIN BOTTLE W/WO TUBING RIGD/XPNDABLE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BEDSID DRAIN BOTTLE W/WO TUBING RIGD/XPNDABLE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5102","description":"BEDSID DRAIN BOTTLE W/WO TUBING RIGD/XPNDABLE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BEDSID DRN BAG DAY/NGT W/WO ANTI-REFLX DEVC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4357","description":"BEDSID DRN BAG DAY/NGT W/WO ANTI-REFLX DEVC EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BEDSID DRN BAG DAY/NGT W/WO ANTI-REFLX DEVC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4357","description":"BEDSID DRN BAG DAY/NGT W/WO ANTI-REFLX DEVC EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BEDSIDE RAILS FULL-LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0310","description":"BEDSIDE RAILS FULL-LENGTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BEDSIDE RAILS HALF-LENGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0305","description":"BEDSIDE RAILS HALF-LENGTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BEDSIDE RAILS HALF-LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0305","description":"BEDSIDE RAILS HALF-LENGTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BELOW ELBOW MOLDED SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6110","description":"BELOW ELBOW MOLDED SOCKET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BELOW ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6935","description":"BELOW ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BELOW ELBOW OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6930","description":"BELOW ELBOW OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BELOW KNEE MOLD SOCKET SHIN SACH FT ENDOSKEL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5301","description":"BELOW KNEE MOLD SOCKET SHIN SACH FT ENDOSKEL SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BELOW KNEE MOLDED SOCKET SHIN SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5100","description":"BELOW KNEE MOLDED SOCKET SHIN SACH FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BELOW KNEE PLSTC SOCKT JNT AND THIGH LACER SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5105","description":"BELOW KNEE PLSTC SOCKT JNT AND THIGH LACER SACH FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BELT/VEST/BAG CARRY ANY TYPE VAD REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0499","description":"BELT/VEST/BAG CARRY ANY TYPE VAD REPLACE ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BELT/VEST/BAG CARRY ANY TYPE VAD REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0499","description":"BELT/VEST/BAG CARRY ANY TYPE VAD REPLACE ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BELW ELB MOLD DBL WALL SCKT STEP-UP HNG 1/2 CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6120","description":"BELW ELB MOLD DBL WALL SCKT STEP-UP HNG 1/2 CUFF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BELW ELB MOLD SOCKT FLXIBLE ELB HINGE TRICP PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6100","description":"BELW ELB MOLD SOCKT FLXIBLE ELB HINGE TRICP PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BELW ELB STUMP ACTVATD LOCK HINGE HALF CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6130","description":"BELW ELB STUMP ACTVATD LOCK HINGE HALF CUFF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BETA 2 GLYCOPROTEIN I ANTIBODY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86146","description":"BETA 2 GLYCOPROTEIN I ANTIBODY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BETA BLOCKER GIVEN W/IN 24 HRS PRIOR SURG INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4115F","description":"BETA BLOCKER GIVEN W/IN 24 HRS PRIOR SURG INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA BLOCKER GIVEN W/IN 24 HRS PRIOR SURG INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4115F","description":"BETA BLOCKER GIVEN W/IN 24 HRS PRIOR SURG INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA BLOCKER THERAPY RXD/CURRENTLY BEING TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4008F","description":"BETA BLOCKER THERAPY RXD/CURRENTLY BEING TAKEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA BLOCKER THERAPY RXD/CURRENTLY BEING TAKEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4008F","description":"BETA BLOCKER THERAPY RXD/CURRENTLY BEING TAKEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-2 MICROGLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82232","description":"BETA-2 MICROGLOBULIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8452","description":"BETA-BLOCKER THERAPY NOT PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8452","description":"BETA-BLOCKER THERAPY NOT PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY NOT PRSC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9188","description":"BETA-BLOCKER THERAPY NOT PRSC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY NOT PRSC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9188","description":"BETA-BLOCKER THERAPY NOT PRSC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8450","description":"BETA-BLOCKER THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8450","description":"BETA-BLOCKER THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY PRSC/CURRENTLY BEING TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9189","description":"BETA-BLOCKER THERAPY PRSC/CURRENTLY BEING TAKEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY PRSC/CURRENTLY BEING TAKEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9189","description":"BETA-BLOCKER THERAPY PRSC/CURRENTLY BEING TAKEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER TX LVEF LT 40 PCT NOT PRSCR RSN DOC CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8451","description":"BETA-BLOCKER TX LVEF LT 40 PCT NOT PRSCR RSN DOC CLIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKR TX LVEF LT or equal to 40 PCT NOT PRESCR RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8451","description":"BETA-BLOCKR TX LVEF LT or equal to 40 PCT NOT PRESCR RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKR TX LVEF LT or equal to 40 PCT NOT PRESCR RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8451","description":"BETA-BLOCKR TX LVEF LT or equal to 40 PCT NOT PRESCR RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BICORONAL TRANSZYGMTC and /LEFORT I W/O BONE GRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61586","description":"BICORONAL TRANSZYGMTC and /LEFORT I W/O BONE GRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BICORONAL TRANSZYGMTC and /LEFORT I W/O BONE GRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61586","description":"BICORONAL TRANSZYGMTC and /LEFORT I W/O BONE GRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BILE ACIDS CHOLYLGLYCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82240","description":"BILE ACIDS CHOLYLGLYCINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BILE ACIDS TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82239","description":"BILE ACIDS TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47552","description":"BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47552","description":"BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47554","description":"BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47554","description":"BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC INTRAOPERATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47550","description":"BILIARY NDSC INTRAOPERATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC INTRAOPERATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47550","description":"BILIARY NDSC INTRAOPERATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47556","description":"BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47556","description":"BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47553","description":"BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47553","description":"BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47555","description":"BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47555","description":"BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82248","description":"BILIRUBIN DIRECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN FECES QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82252","description":"BILIRUBIN FECES QUALITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82247","description":"BILIRUBIN TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN TOTAL TRANSCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88720","description":"BILIRUBIN TOTAL TRANSCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92504","description":"BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92504","description":"BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOFEEDBACK TRAINING ANY MODALITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90901","description":"BIOFEEDBACK TRAINING ANY MODALITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOFEEDBACK TRAINING ANY MODALITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90901","description":"BIOFEEDBACK TRAINING ANY MODALITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOIMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93701","description":"BIOIMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOIMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93701","description":"BIOIMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93701","description":"BIOMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE OPEN DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20245","description":"BIOPSY BONE OPEN DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE OPEN DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20245","description":"BIOPSY BONE OPEN DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE OPEN SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20240","description":"BIOPSY BONE OPEN SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE OPEN SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20240","description":"BIOPSY BONE OPEN SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE TROCAR/NEEDLE DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20225","description":"BIOPSY BONE TROCAR/NEEDLE DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE TROCAR/NEEDLE DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20225","description":"BIOPSY BONE TROCAR/NEEDLE DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20220","description":"BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20220","description":"BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BREAST OPEN INCISIONAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19101","description":"BIOPSY BREAST OPEN INCISIONAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BREAST OPEN INCISIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19101","description":"BIOPSY BREAST OPEN INCISIONAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57500","description":"BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57500","description":"BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CONJUNCTIVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68100","description":"BIOPSY CONJUNCTIVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CONJUNCTIVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68100","description":"BIOPSY CONJUNCTIVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CORNEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65410","description":"BIOPSY CORNEA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CORNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65410","description":"BIOPSY CORNEA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69105","description":"BIOPSY EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69105","description":"BIOPSY EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTERNAL EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69100","description":"BIOPSY EXTERNAL EAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTERNAL EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69100","description":"BIOPSY EXTERNAL EAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY FLOOR MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41108","description":"BIOPSY FLOOR MOUTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY FLOOR MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41108","description":"BIOPSY FLOOR MOUTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY INTRANASAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30100","description":"BIOPSY INTRANASAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY INTRANASAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30100","description":"BIOPSY INTRANASAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LACRIMAL GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68510","description":"BIOPSY LACRIMAL GLAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LACRIMAL GLAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68510","description":"BIOPSY LACRIMAL GLAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68525","description":"BIOPSY LACRIMAL SAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68525","description":"BIOPSY LACRIMAL SAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LIVER NEEDLE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47000","description":"BIOPSY LIVER NEEDLE PERCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LIVER NEEDLE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47000","description":"BIOPSY LIVER NEEDLE PERCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LIVER WEDGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47100","description":"BIOPSY LIVER WEDGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LIVER WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47100","description":"BIOPSY LIVER WEDGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20205","description":"BIOPSY MUSCLE DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20205","description":"BIOPSY MUSCLE DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20206","description":"BIOPSY MUSCLE PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20206","description":"BIOPSY MUSCLE PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20200","description":"BIOPSY MUSCLE SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20200","description":"BIOPSY MUSCLE SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NAIL UNIT SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11755","description":"BIOPSY NAIL UNIT SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NAIL UNIT SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11755","description":"BIOPSY NAIL UNIT SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42804","description":"BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42804","description":"BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64795","description":"BIOPSY NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64795","description":"BIOPSY NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OF LIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40490","description":"BIOPSY OF LIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OROPHARYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42800","description":"BIOPSY OROPHARYNX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OROPHARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42800","description":"BIOPSY OROPHARYNX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OVARY UNI/BI SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58900","description":"BIOPSY OVARY UNI/BI SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OVARY UNI/BI SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58900","description":"BIOPSY OVARY UNI/BI SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PALATE UVULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42100","description":"BIOPSY PALATE UVULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PALATE UVULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42100","description":"BIOPSY PALATE UVULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PANCREA PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48102","description":"BIOPSY PANCREA PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PANCREA PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48102","description":"BIOPSY PANCREA PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PANCREAS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48100","description":"BIOPSY PANCREAS OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PANCREAS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48100","description":"BIOPSY PANCREAS OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PLEURA PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32400","description":"BIOPSY PLEURA PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PLEURA PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32400","description":"BIOPSY PLEURA PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SALIVARY GLAND INCISIONAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42405","description":"BIOPSY SALIVARY GLAND INCISIONAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SALIVARY GLAND INCISIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42405","description":"BIOPSY SALIVARY GLAND INCISIONAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SALIVARY GLAND NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42400","description":"BIOPSY SALIVARY GLAND NEEDLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SALIVARY GLAND NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42400","description":"BIOPSY SALIVARY GLAND NEEDLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE BACK/FLANK DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21925","description":"BIOPSY SOFT TISSUE BACK/FLANK DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE BACK/FLANK DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21925","description":"BIOPSY SOFT TISSUE BACK/FLANK DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21920","description":"BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21920","description":"BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE FOREARM and /WRIST DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25066","description":"BIOPSY SOFT TISSUE FOREARM and /WRIST DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE FOREARM and /WRIST DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25066","description":"BIOPSY SOFT TISSUE FOREARM and /WRIST DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE FOREARM and /WRIST SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25065","description":"BIOPSY SOFT TISSUE FOREARM and /WRIST SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE FOREARM and /WRIST SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25065","description":"BIOPSY SOFT TISSUE FOREARM and /WRIST SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27614","description":"BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27614","description":"BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27613","description":"BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27613","description":"BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE NECK/THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21550","description":"BIOPSY SOFT TISSUE NECK/THORAX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE NECK/THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21550","description":"BIOPSY SOFT TISSUE NECK/THORAX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE PELVIS AND HIP AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27040","description":"BIOPSY SOFT TISSUE PELVIS AND HIP AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE PELVIS AND HIP AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27040","description":"BIOPSY SOFT TISSUE PELVIS AND HIP AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE PELVIS and HIP DEEP/SUBFSCAL/IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27041","description":"BIOPSY SOFT TISSUE PELVIS and HIP DEEP/SUBFSCAL/IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE PELVIS and HIP DEEP/SUBFSCAL/IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27041","description":"BIOPSY SOFT TISSUE PELVIS and HIP DEEP/SUBFSCAL/IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE SHOULDER DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23066","description":"BIOPSY SOFT TISSUE SHOULDER DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE SHOULDER DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23066","description":"BIOPSY SOFT TISSUE SHOULDER DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23065","description":"BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23065","description":"BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27324","description":"BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27324","description":"BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27323","description":"BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27323","description":"BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24066","description":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24066","description":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24065","description":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24065","description":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62269","description":"BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62269","description":"BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY STOMACH LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43605","description":"BIOPSY STOMACH LAPAROTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY STOMACH LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43605","description":"BIOPSY STOMACH LAPAROTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY THYROID PERCUTANEOUS CORE NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60100","description":"BIOPSY THYROID PERCUTANEOUS CORE NEEDLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY THYROID PERCUTANEOUS CORE NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60100","description":"BIOPSY THYROID PERCUTANEOUS CORE NEEDLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TONGUE ANTERIOR TWO-THIRDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41100","description":"BIOPSY TONGUE ANTERIOR TWO-THIRDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TONGUE ANTERIOR TWO-THIRDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41100","description":"BIOPSY TONGUE ANTERIOR TWO-THIRDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TONGUE POSTERIOR ONE-THIRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41105","description":"BIOPSY TONGUE POSTERIOR ONE-THIRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TONGUE POSTERIOR ONE-THIRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41105","description":"BIOPSY TONGUE POSTERIOR ONE-THIRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53200","description":"BIOPSY URETHRA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53200","description":"BIOPSY URETHRA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VAGINAL MUCOSA EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57105","description":"BIOPSY VAGINAL MUCOSA EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VAGINAL MUCOSA EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57105","description":"BIOPSY VAGINAL MUCOSA EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VAGINAL MUCOSA SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57100","description":"BIOPSY VAGINAL MUCOSA SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VAGINAL MUCOSA SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57100","description":"BIOPSY VAGINAL MUCOSA SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20251","description":"BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20251","description":"BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VERTEBRAL BODY OPEN THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20250","description":"BIOPSY VERTEBRAL BODY OPEN THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VERTEBRAL BODY OPEN THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20250","description":"BIOPSY VERTEBRAL BODY OPEN THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VESTIBULE MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40808","description":"BIOPSY VESTIBULE MOUTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VESTIBULE MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40808","description":"BIOPSY VESTIBULE MOUTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VULVA/PERINEUM 1 LESION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56605","description":"BIOPSY VULVA/PERINEUM 1 LESION SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VULVA/PERINEUM 1 LESION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56605","description":"BIOPSY VULVA/PERINEUM 1 LESION SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VULVA/PERINEUM EACH ADDL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56606","description":"BIOPSY VULVA/PERINEUM EACH ADDL LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VULVA/PERINEUM EACH ADDL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56606","description":"BIOPSY VULVA/PERINEUM EACH ADDL LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOTINIDASE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82261","description":"BIOTINIDASE EACH SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BISPHOS THXPY VENOUS ORDERED OR RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4100F","description":"BISPHOS THXPY VENOUS ORDERED OR RECEIVED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BISPHOS THXPY VENOUS ORDERED OR RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4100F","description":"BISPHOS THXPY VENOUS ORDERED OR RECEIVED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BK PAIN AND FXN ASSESSED CERTAIN ASPECTS OF CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1130F","description":"BK PAIN AND FXN ASSESSED CERTAIN ASPECTS OF CARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BK PAIN AND FXN ASSESSED CERTAIN ASPECTS OF CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1130F","description":"BK PAIN AND FXN ASSESSED CERTAIN ASPECTS OF CARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREP CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47143","description":"BKBENCH PREP CADAVER DONOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREP CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47143","description":"BKBENCH PREP CADAVER DONOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREP CADAVER/LIVING DONOR INTESTINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44715","description":"BKBENCH PREP CADAVER/LIVING DONOR INTESTINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREP CADAVER/LIVING DONOR INTESTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44715","description":"BKBENCH PREP CADAVER/LIVING DONOR INTESTINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33944","description":"BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33944","description":"BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33933","description":"BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33933","description":"BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32856","description":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32856","description":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32855","description":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32855","description":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48551","description":"BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48551","description":"BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50323","description":"BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50323","description":"BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR WHL LVR GRF I AND V VI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47145","description":"BKBENCH PREPJ CADAVER DONOR WHL LVR GRF I AND V VI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR WHL LVR GRF I AND V VI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47145","description":"BKBENCH PREPJ CADAVER DONOR WHL LVR GRF I AND V VI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER WHOLE LIVER GRF I AND IV VII","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47144","description":"BKBENCH PREPJ CADAVER WHOLE LIVER GRF I AND IV VII","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER WHOLE LIVER GRF I AND IV VII","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47144","description":"BKBENCH PREPJ CADAVER WHOLE LIVER GRF I AND IV VII","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50325","description":"BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50325","description":"BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50329","description":"BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50329","description":"BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48552","description":"BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48552","description":"BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44721","description":"BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44721","description":"BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44720","description":"BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44720","description":"BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ LVR GRF ARTL ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47147","description":"BKBENCH RCNSTJ LVR GRF ARTL ANAST EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ LVR GRF ARTL ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47147","description":"BKBENCH RCNSTJ LVR GRF ARTL ANAST EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47146","description":"BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47146","description":"BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50327","description":"BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50327","description":"BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50328","description":"BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50328","description":"BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLADDER INSTILLATION ANTICARCINOGENIC AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51720","description":"BLADDER INSTILLATION ANTICARCINOGENIC AGENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLADDER INSTILLATION ANTICARCINOGENIC AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51720","description":"BLADDER INSTILLATION ANTICARCINOGENIC AGENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLADDER PRESSURE MEASUREMENT DURING FILLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51726","description":"BLADDER PRESSURE MEASUREMENT DURING FILLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLADDER PRESSURE MEASUREMENT DURING FILLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51726","description":"BLADDER PRESSURE MEASUREMENT DURING FILLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86079","description":"BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLD BANK PHYS SVCS DIFFC CROSS MATCH and /EVAL REP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86077","description":"BLD BANK PHYS SVCS DIFFC CROSS MATCH and /EVAL REP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86078","description":"BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85008","description":"BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLD GLU MONITOR W/INTEGRATED LANCING/BLD SAMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2101","description":"BLD GLU MONITOR W/INTEGRATED LANCING/BLD SAMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLD GLU MONITOR W/INTEGRATED VOICE SYNTHESIZER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2100","description":"BLD GLU MONITOR W/INTEGRATED VOICE SYNTHESIZER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLD GLU TEST/REAGT STRIPS HOME BLD GLU MON-50","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4253","description":"BLD GLU TEST/REAGT STRIPS HOME BLD GLU MON-50","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLD GLU TEST/REAGT STRIPS HOME BLD GLU MON-50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4253","description":"BLD GLU TEST/REAGT STRIPS HOME BLD GLU MON-50","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLD PRESS RCD DUR INPT S ER V UC V AND PT SR BP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9789","description":"BLD PRESS RCD DUR INPT S ER V UC V AND PT SR BP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD PRESS RCD DUR INPT STAYS ER OR URGT CR VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9789","description":"BLD PRESS RCD DUR INPT STAYS ER OR URGT CR VISIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD PRESS RCD DUR INPT STAYS ER OR URGT CR VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9789","description":"BLD PRESS RCD DUR INPT STAYS ER OR URGT CR VISIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38205","description":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38205","description":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38206","description":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38206","description":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLDR IRRIGATION SMPL LAVAGE and /INSTLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51700","description":"BLDR IRRIGATION SMPL LAVAGE and /INSTLJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLDR IRRIGATION SMPL LAVAGE and /INSTLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51700","description":"BLDR IRRIGATION SMPL LAVAGE and /INSTLJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLEEDING TIME TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85002","description":"BLEEDING TIME TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY LOWER EYELID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15820","description":"BLEPHAROPLASTY LOWER EYELID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY LOWER EYELID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15820","description":"BLEPHAROPLASTY LOWER EYELID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY LOWER EYELID HERNIATED FAT PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15821","description":"BLEPHAROPLASTY LOWER EYELID HERNIATED FAT PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY LOWER EYELID W/HERNIATED FAT PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15821","description":"BLEPHAROPLASTY LOWER EYELID W/HERNIATED FAT PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY LOWER EYELID W/HERNIATED FAT PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15821","description":"BLEPHAROPLASTY LOWER EYELID W/HERNIATED FAT PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY UPPER EYELID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15822","description":"BLEPHAROPLASTY UPPER EYELID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY UPPER EYELID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15822","description":"BLEPHAROPLASTY UPPER EYELID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15823","description":"BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15823","description":"BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROTOMY DRAINAGE ABSCESS EYELID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67700","description":"BLEPHAROTOMY DRAINAGE ABSCESS EYELID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROTOMY DRAINAGE ABSCESS EYELID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67700","description":"BLEPHAROTOMY DRAINAGE ABSCESS EYELID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD CLOT RETRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85170","description":"BLOOD CLOT RETRACTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85004","description":"BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT COMPLETE AUTO AND AUTO DIFRNTL WBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85025","description":"BLOOD COUNT COMPLETE AUTO AND AUTO DIFRNTL WBC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT COMPLETE AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85027","description":"BLOOD COUNT COMPLETE AUTOMATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT HEMATOCRIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85014","description":"BLOOD COUNT HEMATOCRIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT HEMOGLOBIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85018","description":"BLOOD COUNT HEMOGLOBIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT LEUKOCYTE WBC AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85048","description":"BLOOD COUNT LEUKOCYTE WBC AUTOMATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT MANUAL CELL COUNT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85032","description":"BLOOD COUNT MANUAL CELL COUNT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85009","description":"BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT PLATELET AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85049","description":"BLOOD COUNT PLATELET AUTOMATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RED BLOOD CELL AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85041","description":"BLOOD COUNT RED BLOOD CELL AUTOMATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RETICULOCYTE AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85044","description":"BLOOD COUNT RETICULOCYTE AUTOMATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RETICULOCYTE AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85045","description":"BLOOD COUNT RETICULOCYTE AUTOMATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RETICULOCYTE MANUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85044","description":"BLOOD COUNT RETICULOCYTE MANUAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RETICULOCYTES AUTO 1 OR GT CELL MEAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85046","description":"BLOOD COUNT RETICULOCYTES AUTO 1 OR GT CELL MEAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85007","description":"BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT SPUN MICROHEMATOCRIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85013","description":"BLOOD COUNT SPUN MICROHEMATOCRIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD EXCHANGE TRANSFUSION NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36450","description":"BLOOD EXCHANGE TRANSFUSION NEWBORN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD EXCHANGE TRANSFUSION NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36450","description":"BLOOD EXCHANGE TRANSFUSION NEWBORN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD EXCHANGE TRANSFUSION OTHER THAN NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36455","description":"BLOOD EXCHANGE TRANSFUSION OTHER THAN NEWBORN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD EXCHANGE TRANSFUSION OTHER THAN NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36455","description":"BLOOD EXCHANGE TRANSFUSION OTHER THAN NEWBORN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD GASES ANY COMBINATION PH PCO2 PO2 CO2 HCO3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82803","description":"BLOOD GASES ANY COMBINATION PH PCO2 PO2 CO2 HCO3","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82274","description":"BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82270","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82272","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82271","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE MEASURED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2000F","description":"BLOOD PRESSURE MEASURED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE MEASURED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2000F","description":"BLOOD PRESSURE MEASURED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE MSR NOT PERF/DOC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8478","description":"BLOOD PRESSURE MSR NOT PERF/DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE MSR NOT PERF/DOC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8478","description":"BLOOD PRESSURE MSR NOT PERF/DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8785","description":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8785","description":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85060","description":"BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86902","description":"BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING ANTIGEN SCREEN PATIENT SERUM/UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86904","description":"BLOOD TYPING ANTIGEN SCREEN PATIENT SERUM/UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86905","description":"BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING SEROLOGIC ABO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86900","description":"BLOOD TYPING SEROLOGIC ABO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING SEROLOGIC RH (D)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86901","description":"BLOOD TYPING SEROLOGIC RH (D)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING SEROLOGIC RH PHENOTYPING COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86906","description":"BLOOD TYPING SEROLOGIC RH PHENOTYPING COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC ABOVE NORMAL PARAM and F/U PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8417","description":"BMI DOC ABOVE NORMAL PARAM and F/U PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC ABOVE NORMAL PARAM and F/U PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8417","description":"BMI DOC ABOVE NORMAL PARAM and F/U PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC BLW NML PARAM and A F/U PLAN IS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8418","description":"BMI DOC BLW NML PARAM and A F/U PLAN IS DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC BLW NML PARAM and A F/U PLAN IS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8418","description":"BMI DOC BLW NML PARAM and A F/U PLAN IS DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OUT NML PARAM NO F/U PLN DOC NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8419","description":"BMI DOC OUT NML PARAM NO F/U PLN DOC NO RSN GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OUT NML PARAM NO F/U PLN DOC NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8419","description":"BMI DOC OUT NML PARAM NO F/U PLN DOC NO RSN GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OUTSD NL PARAM F/U PLAN NOT CMPL DOC RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9716","description":"BMI DOC OUTSD NL PARAM F/U PLAN NOT CMPL DOC RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OUTSD NL PARAM F/U PLAN NOT CMPL DOC RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9716","description":"BMI DOC OUTSD NL PARAM F/U PLAN NOT CMPL DOC RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OUTSD NORM LMT F/U PLAN NOT CMPL DOC RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9716","description":"BMI DOC OUTSD NORM LMT F/U PLAN NOT CMPL DOC RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC W/I NORMAL PARAM and NO F/U PLAN REQUIRED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8420","description":"BMI DOC W/I NORMAL PARAM and NO F/U PLAN REQUIRED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC W/I NORMAL PARAM and NO F/U PLAN REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8420","description":"BMI DOC W/I NORMAL PARAM and NO F/U PLAN REQUIRED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8421","description":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8421","description":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BODY MASS INDEX DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3008F","description":"BODY MASS INDEX DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BODY MASS INDEX DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3008F","description":"BODY MASS INDEX DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE and /JOINT IMAGING 3 PHASE STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78315","description":"BONE and /JOINT IMAGING 3 PHASE STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE and /JOINT IMAGING 3 PHASE STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78315","description":"BONE and /JOINT IMAGING 3 PHASE STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE and /JOINT IMAGING LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78300","description":"BONE and /JOINT IMAGING LIMITED AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE and /JOINT IMAGING LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78300","description":"BONE and /JOINT IMAGING LIMITED AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE and /JOINT IMAGING MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78305","description":"BONE and /JOINT IMAGING MULTIPLE AREAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE and /JOINT IMAGING MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78305","description":"BONE and /JOINT IMAGING MULTIPLE AREAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE and /JOINT IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78306","description":"BONE and /JOINT IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE and /JOINT IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78306","description":"BONE and /JOINT IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE AGE STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77072","description":"BONE AGE STUDIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE AGE STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77072","description":"BONE AGE STUDIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE DENSITY 1 OR GT SITES 1 PHOTON ABSORPTIOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78350","description":"BONE DENSITY 1 OR GT SITES 1 PHOTON ABSORPTIOMETRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE DENSITY 1 OR GT SITES 1 PHOTON ABSORPTIOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78350","description":"BONE DENSITY 1 OR GT SITES 1 PHOTON ABSORPTIOMETRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE DENSTY 1 OR GT SITES DUAL PHOTON ABSORPTIOMETR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78351","description":"BONE DENSTY 1 OR GT SITES DUAL PHOTON ABSORPTIOMETR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE DENSTY 1 OR GT SITES DUAL PHOTON ABSORPTIOMETR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78351","description":"BONE DENSTY 1 OR GT SITES DUAL PHOTON ABSORPTIOMETR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT ANY DONOR AREA MAJOR/LARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20902","description":"BONE GRAFT ANY DONOR AREA MAJOR/LARGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT ANY DONOR AREA MAJOR/LARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20902","description":"BONE GRAFT ANY DONOR AREA MAJOR/LARGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT ANY DONOR AREA MINOR/SMALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20900","description":"BONE GRAFT ANY DONOR AREA MINOR/SMALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT ANY DONOR AREA MINOR/SMALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20900","description":"BONE GRAFT ANY DONOR AREA MINOR/SMALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANAST ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20956","description":"BONE GRAFT MICROVASCULAR ANAST ILIAC CREST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANAST ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20956","description":"BONE GRAFT MICROVASCULAR ANAST ILIAC CREST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANAST METATARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20957","description":"BONE GRAFT MICROVASCULAR ANAST METATARSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANAST METATARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20957","description":"BONE GRAFT MICROVASCULAR ANAST METATARSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20955","description":"BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20955","description":"BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20962","description":"BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20962","description":"BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE LENGTH STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77073","description":"BONE LENGTH STUDIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE LENGTH STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77073","description":"BONE LENGTH STUDIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW BLOOD SUPPLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77084","description":"BONE MARROW BLOOD SUPPLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38230","description":"BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38230","description":"BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38232","description":"BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38232","description":"BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78102","description":"BONE MARROW IMAGING LIMITED AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78102","description":"BONE MARROW IMAGING LIMITED AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78103","description":"BONE MARROW IMAGING MULTIPLE AREAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78103","description":"BONE MARROW IMAGING MULTIPLE AREAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78104","description":"BONE MARROW IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78104","description":"BONE MARROW IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW SMEAR INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85097","description":"BONE MARROW SMEAR INTERPRETATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE SCAN NOT PRIOR INITIAT TX/DX PROSTATE CA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3270F","description":"BONE SCAN NOT PRIOR INITIAT TX/DX PROSTATE CA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE SCAN NOT PRIOR INITIAT TX/DX PROSTATE CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3270F","description":"BONE SCAN NOT PRIOR INITIAT TX/DX PROSTATE CA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE SCAN PRIOR INITIAT TX/DX PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3269F","description":"BONE SCAN PRIOR INITIAT TX/DX PROSTATE CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE SCAN PRIOR INITIAT TX/DX PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3269F","description":"BONE SCAN PRIOR INITIAT TX/DX PROSTATE CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BOTULINUM TOXIN TYPE A PER UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0585","description":"BOTULINUM TOXIN TYPE A PER UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BOTULINUM TOXIN TYPE A PER UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0585","description":"BOTULINUM TOXIN TYPE A PER UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BP HAS SYSTOLIC VALUE LT 140 DIASTOLIC VALUE LT 90","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9273","description":"BP HAS SYSTOLIC VALUE LT 140 DIASTOLIC VALUE LT 90","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP HAS SYSTOLIC VALUE LT 140 DIASTOLIC VALUE LT 90","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9273","description":"BP HAS SYSTOLIC VALUE LT 140 DIASTOLIC VALUE LT 90","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP NOT MSR BY VAS W/I 3 MOS PRE and AT 3 MOS P/O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9943","description":"BP NOT MSR BY VAS W/I 3 MOS PRE and AT 3 MOS P/O","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP NOT MSR BY VAS W/I 3 MOS PREOP and AT 1 YR P/O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9946","description":"BP NOT MSR BY VAS W/I 3 MOS PREOP and AT 1 YR P/O","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP NOT MSR VAS/NPS W/I 3 MOS PREOP and AT 1 YR P/O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9946","description":"BP NOT MSR VAS/NPS W/I 3 MOS PREOP and AT 1 YR P/O","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP NOT MSR VAS/NPS W/I 3 MOS PREOP and AT 1 YR P/O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9946","description":"BP NOT MSR VAS/NPS W/I 3 MOS PREOP and AT 1 YR P/O","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP NOT MSR VAS/NUM PS AT THREE MONTHS POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9943","description":"BP NOT MSR VAS/NUM PS AT THREE MONTHS POSTOP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP NOT MSR VAS/NUM PS AT THREE MONTHS POSTOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9943","description":"BP NOT MSR VAS/NUM PS AT THREE MONTHS POSTOP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP SYS Equal to 140 DIA Equal to 90/SYS LT 140 DIA Equal t","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9274","description":"BP SYS Equal to 140 DIA Equal to 90/SYS LT 140 DIA Equal t","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP SYS Equal to 140 DIA Equal to 90/SYS LT 140 DIA Equal t","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9274","description":"BP SYS Equal to 140 DIA Equal to 90/SYS LT 140 DIA Equal t","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOBIFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35646","description":"BPG OTH/THN VEIN AORTOBIFEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOBIFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35646","description":"BPG OTH/THN VEIN AORTOBIFEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35631","description":"BPG OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35631","description":"BPG OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35647","description":"BPG OTH/THN VEIN AORTOFEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35647","description":"BPG OTH/THN VEIN AORTOFEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35637","description":"BPG OTH/THN VEIN AORTOILIAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35637","description":"BPG OTH/THN VEIN AORTOILIAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOSUBCLA/INNOMINATE/CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35626","description":"BPG OTH/THN VEIN AORTOSUBCLA/INNOMINATE/CAROTID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOSUBCLA/INNOMINATE/CAROTID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35626","description":"BPG OTH/THN VEIN AORTOSUBCLA/INNOMINATE/CAROTID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35650","description":"BPG OTH/THN VEIN AXILLARY-AXILLARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-AXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35650","description":"BPG OTH/THN VEIN AXILLARY-AXILLARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35621","description":"BPG OTH/THN VEIN AXILLARY-FEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35621","description":"BPG OTH/THN VEIN AXILLARY-FEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35654","description":"BPG OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35654","description":"BPG OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35623","description":"BPG OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35623","description":"BPG OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35606","description":"BPG OTH/THN VEIN CAROTID-SUBCLAVIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35606","description":"BPG OTH/THN VEIN CAROTID-SUBCLAVIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35642","description":"BPG OTH/THN VEIN CAROTID-VERTEBRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35642","description":"BPG OTH/THN VEIN CAROTID-VERTEBRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN COM CRTD-IPSILATERAL INT CRTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35601","description":"BPG OTH/THN VEIN COM CRTD-IPSILATERAL INT CRTD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN COM CRTD-IPSILATERAL INT CRTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35601","description":"BPG OTH/THN VEIN COM CRTD-IPSILATERAL INT CRTD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRNL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35666","description":"BPG OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRNL ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRNL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35666","description":"BPG OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRNL ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35661","description":"BPG OTH/THN VEIN FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35661","description":"BPG OTH/THN VEIN FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35656","description":"BPG OTH/THN VEIN FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35656","description":"BPG OTH/THN VEIN FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35665","description":"BPG OTH/THN VEIN ILIOFEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35665","description":"BPG OTH/THN VEIN ILIOFEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN ILIOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35663","description":"BPG OTH/THN VEIN ILIOILIAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN ILIOILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35663","description":"BPG OTH/THN VEIN ILIOILIAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35671","description":"BPG OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35671","description":"BPG OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SPLENORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35636","description":"BPG OTH/THN VEIN SPLENORENAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SPLENORENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35636","description":"BPG OTH/THN VEIN SPLENORENAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35616","description":"BPG OTH/THN VEIN SUBCLAVIAN-AXILLARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-AXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35616","description":"BPG OTH/THN VEIN SUBCLAVIAN-AXILLARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35612","description":"BPG OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35612","description":"BPG OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35645","description":"BPG OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35645","description":"BPG OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRADYKININ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82286","description":"BRADYKININ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING LT 4 STATIC VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78600","description":"BRAIN IMAGING LT 4 STATIC VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING LT 4 STATIC VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78600","description":"BRAIN IMAGING LT 4 STATIC VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING LT 4 STATIC VIEWS W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78601","description":"BRAIN IMAGING LT 4 STATIC VIEWS W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING LT 4 STATIC VIEWS W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78601","description":"BRAIN IMAGING LT 4 STATIC VIEWS W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78606","description":"BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78606","description":"BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING MINIMUM 4 STATIC VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78605","description":"BRAIN IMAGING MINIMUM 4 STATIC VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING MINIMUM 4 STATIC VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78605","description":"BRAIN IMAGING MINIMUM 4 STATIC VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING PET METABOLIC EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78608","description":"BRAIN IMAGING PET METABOLIC EVALUATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING PET METABOLIC EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78608","description":"BRAIN IMAGING PET METABOLIC EVALUATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING PET PERFUSION EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78609","description":"BRAIN IMAGING PET PERFUSION EVALUATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING PET PERFUSION EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78609","description":"BRAIN IMAGING PET PERFUSION EVALUATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING VASCULAR FLOW ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78610","description":"BRAIN IMAGING VASCULAR FLOW ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING VASCULAR FLOW ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78610","description":"BRAIN IMAGING VASCULAR FLOW ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRAKE ATTACHMENT WHEELED WALKER REPLACEMENT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0159","description":"BRAKE ATTACHMENT WHEELED WALKER REPLACEMENT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST AUGMENTATION WITH IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19325","description":"BREAST AUGMENTATION WITH IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST AUGMENTATION WITH IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19325","description":"BREAST AUGMENTATION WITH IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8002","description":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM BIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8001","description":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM UNI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROS MASTECTOMY BRA W/O INTEG PROS FORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8000","description":"BREAST PROS MASTECTOMY BRA W/O INTEG PROS FORM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROSTH SILICONE/EQUAL W/O INTEGRAL ADHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8030","description":"BREAST PROSTH SILICONE/EQUAL W/O INTEGRAL ADHES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROSTHESIS MASTECTOMY FORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8020","description":"BREAST PROSTHESIS MASTECTOMY FORM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROSTHESIS SILICONE/EQUAL W/NTEGRAL ADHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8031","description":"BREAST PROSTHESIS SILICONE/EQUAL W/NTEGRAL ADHES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP MANUAL ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0602","description":"BREAST PUMP MANUAL ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION 1PEDICLED TRAM FLAP ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19368","description":"BREAST RECONSTRUCTION 1PEDICLED TRAM FLAP ANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION 1PEDICLED TRAM FLAP ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19368","description":"BREAST RECONSTRUCTION 1PEDICLED TRAM FLAP ANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19369","description":"BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19369","description":"BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION FREE FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19364","description":"BREAST RECONSTRUCTION FREE FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19367","description":"BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19367","description":"BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION TRAM 1 PEDCL MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19368","description":"BREAST RECONSTRUCTION TRAM 1 PEDCL MVASC ANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION TRAM FLAP 1 PEDICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19367","description":"BREAST RECONSTRUCTION TRAM FLAP 1 PEDICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION TRAM FLAP DOUBLE PEDICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19369","description":"BREAST RECONSTRUCTION TRAM FLAP DOUBLE PEDICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION W/FREE FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19364","description":"BREAST RECONSTRUCTION W/FREE FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION W/FREE FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19364","description":"BREAST RECONSTRUCTION W/FREE FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19361","description":"BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19361","description":"BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST REDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19318","description":"BREAST REDUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19318","description":"BREAST REDUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREATH HYDROGEN/METHANE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91065","description":"BREATH HYDROGEN/METHANE TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREATH HYDROGEN/METHANE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91065","description":"BREATH HYDROGEN/METHANE TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREATHING CIRCUITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4618","description":"BREATHING CIRCUITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREATHING RESPONSE TO HYPOXIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94450","description":"BREATHING RESPONSE TO HYPOXIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BREATHING RESPONSE TO HYPOXIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94450","description":"BREATHING RESPONSE TO HYPOXIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRIEF FACE-FACE BEHAV CNSL ALCOHL MISUSE 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0443","description":"BRIEF FACE-FACE BEHAV CNSL ALCOHL MISUSE 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRIEF FACE-FACE BEHAV CNSL ALCOHL MISUSE 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0443","description":"BRIEF FACE-FACE BEHAV CNSL ALCOHL MISUSE 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCDILAT RSPSE SPMTRY PRE AND POST-BRNCDILAT ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94060","description":"BRNCDILAT RSPSE SPMTRY PRE AND POST-BRNCDILAT ADMN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCDILAT RSPSE SPMTRY PRE AND POST-BRNCDILAT ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94060","description":"BRNCDILAT RSPSE SPMTRY PRE AND POST-BRNCDILAT ADMN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC BRUSHING/PROTECTED BRUSHINGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31623","description":"BRNCHSC BRUSHING/PROTECTED BRUSHINGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC BRUSHING/PROTECTED BRUSHINGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31623","description":"BRNCHSC BRUSHING/PROTECTED BRUSHINGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31622","description":"BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31622","description":"BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31638","description":"BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31638","description":"BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/BRNCL ALVEOLAR LAVAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31624","description":"BRNCHSC W/BRNCL ALVEOLAR LAVAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/BRNCL ALVEOLAR LAVAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31624","description":"BRNCHSC W/BRNCL ALVEOLAR LAVAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31641","description":"BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31641","description":"BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31636","description":"BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31636","description":"BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31643","description":"BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31643","description":"BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31630","description":"BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31630","description":"BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94070","description":"BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94070","description":"BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOPLASTY EXCISION STENOSIS AND ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31775","description":"BRONCHOPLASTY EXCISION STENOSIS AND ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOPLASTY EXCISION STENOSIS AND ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31775","description":"BRONCHOPLASTY EXCISION STENOSIS AND ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOPLASTY GRAFT REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31770","description":"BRONCHOPLASTY GRAFT REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOPLASTY GRAFT REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31770","description":"BRONCHOPLASTY GRAFT REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY BALLOON OCCLUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31634","description":"BRONCHOSCOPY BALLOON OCCLUSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY BALLOON OCCLUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31634","description":"BRONCHOSCOPY BALLOON OCCLUSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1 Plus SITES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31625","description":"BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1 Plus SITES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1 Plus SITES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31625","description":"BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1 Plus SITES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31637","description":"BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31637","description":"BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM and /BRON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31629","description":"BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM and /BRON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM and /BRON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31629","description":"BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM and /BRON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31627","description":"BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31627","description":"BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/EXCISION TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31640","description":"BRONCHOSCOPY W/EXCISION TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/EXCISION TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31640","description":"BRONCHOSCOPY W/EXCISION TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31631","description":"BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31631","description":"BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31626","description":"BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31626","description":"BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31635","description":"BRONCHOSCOPY W/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31635","description":"BRONCHOSCOPY W/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31645","description":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31645","description":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31646","description":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31646","description":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31628","description":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31628","description":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31632","description":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31632","description":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31633","description":"BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31633","description":"BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRST RCNSTJ IMMT/DLYD W/TISS EXPANDER SBSQ XPNSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19357","description":"BRST RCNSTJ IMMT/DLYD W/TISS EXPANDER SBSQ XPNSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BRST RCNSTJ W/LATSMS D/SI FLAP WO PRSTHC IMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19361","description":"BRST RCNSTJ W/LATSMS D/SI FLAP WO PRSTHC IMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58954","description":"BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58954","description":"BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/OMENTECTOMY TAH and RAD DEBULKING DISSECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58953","description":"BSO W/OMENTECTOMY TAH and RAD DEBULKING DISSECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/OMENTECTOMY TAH and RAD DEBULKING DISSECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58953","description":"BSO W/OMENTECTOMY TAH and RAD DEBULKING DISSECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/TOT OMENTECTOMY and HYSTERECTOMY MALIGNANC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58956","description":"BSO W/TOT OMENTECTOMY and HYSTERECTOMY MALIGNANC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/TOT OMENTECTOMY and HYSTERECTOMY MALIGNANC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58956","description":"BSO W/TOT OMENTECTOMY and HYSTERECTOMY MALIGNANC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL CP PROD THRU DME CONC 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7634","description":"BUDESONIDE INHAL CP PROD THRU DME CONC 0.25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL CP PROD THRU DME CONC 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7634","description":"BUDESONIDE INHAL CP PROD THRU DME CONC 0.25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7626","description":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7626","description":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE FOR VENTRICULAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61120","description":"BURR HOLE FOR VENTRICULAR PUNCTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE FOR VENTRICULAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61120","description":"BURR HOLE FOR VENTRICULAR PUNCTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61210","description":"BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61210","description":"BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE VENTRICULAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61120","description":"BURR HOLE VENTRICULAR PUNCTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61156","description":"BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61156","description":"BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE W/EVAC and /DRG HEMATOMA EXTRADURAL/SDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61154","description":"BURR HOLE W/EVAC and /DRG HEMATOMA EXTRADURAL/SDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE W/EVAC and /DRG HEMATOMA EXTRADURAL/SDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61154","description":"BURR HOLE W/EVAC and /DRG HEMATOMA EXTRADURAL/SDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE W/EVAC and /DRG HEMATOMA XDRL/SDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61154","description":"BURR HOLE W/EVAC and /DRG HEMATOMA XDRL/SDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61253","description":"BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61253","description":"BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE STTL EXPL N/FLWD OTH SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61250","description":"BURR HOLE/TREPHINE STTL EXPL N/FLWD OTH SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE STTL EXPL N/FLWD OTH SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61250","description":"BURR HOLE/TREPHINE STTL EXPL N/FLWD OTH SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE SUPRATENTORIAL W/O OTH SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61250","description":"BURR HOLE/TREPHINE SUPRATENTORIAL W/O OTH SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61140","description":"BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61140","description":"BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61150","description":"BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61150","description":"BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61151","description":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61151","description":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61151","description":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BUSULFAN ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8510","description":"BUSULFAN ORAL 2 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BUSULFAN ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8510","description":"BUSULFAN ORAL 2 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49180","description":"BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49180","description":"BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX ANORECTAL WALL ANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45100","description":"BX ANORECTAL WALL ANAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX ANORECTAL WALL ANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45100","description":"BX ANORECTAL WALL ANAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19100","description":"BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19100","description":"BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19085","description":"BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19085","description":"BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19081","description":"BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19081","description":"BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19083","description":"BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19083","description":"BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19086","description":"BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19086","description":"BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19082","description":"BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19082","description":"BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19084","description":"BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19084","description":"BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX INTESTINE CAPSULE TUBE PRORAL 1 OR GT SPECIMENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44100","description":"BX INTESTINE CAPSULE TUBE PRORAL 1 OR GT SPECIMENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX INTESTINE CAPSULE TUBE PRORAL 1 OR GT SPECIMENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44100","description":"BX INTESTINE CAPSULE TUBE PRORAL 1 OR GT SPECIMENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX LVR NDL DONE PURPOSE TM OTH MAJOR PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47001","description":"BX LVR NDL DONE PURPOSE TM OTH MAJOR PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX LVR NDL DONE PURPOSE TM OTH MAJOR PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47001","description":"BX LVR NDL DONE PURPOSE TM OTH MAJOR PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42806","description":"BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42806","description":"BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE NEEDLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38505","description":"BX/EXC LYMPH NODE NEEDLE SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE NEEDLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38505","description":"BX/EXC LYMPH NODE NEEDLE SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38525","description":"BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38525","description":"BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38510","description":"BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38510","description":"BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN INT MAMMARY NODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38530","description":"BX/EXC LYMPH NODE OPEN INT MAMMARY NODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN INT MAMMARY NODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38530","description":"BX/EXC LYMPH NODE OPEN INT MAMMARY NODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38500","description":"BX/EXC LYMPH NODE OPEN SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38500","description":"BX/EXC LYMPH NODE OPEN SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38520","description":"BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38520","description":"BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35682","description":"BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35682","description":"BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP AUTOG COMPOSIT 3 OR GT SEG FROM 2 OR GT LOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35683","description":"BYP AUTOG COMPOSIT 3 OR GT SEG FROM 2 OR GT LOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP AUTOG COMPOSIT 3 OR GT SEG FROM 2 OR GT LOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35683","description":"BYP AUTOG COMPOSIT 3 OR GT SEG FROM 2 OR GT LOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35566","description":"BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35566","description":"BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AORTOBIFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35646","description":"BYP OTH/THN VEIN AORTOBIFEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35631","description":"BYP OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AORTOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35647","description":"BYP OTH/THN VEIN AORTOFEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35637","description":"BYP OTH/THN VEIN AORTOILIAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AXILLARY-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35650","description":"BYP OTH/THN VEIN AXILLARY-AXILLARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AXILLARY-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35621","description":"BYP OTH/THN VEIN AXILLARY-FEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35654","description":"BYP OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35623","description":"BYP OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN CAROTID-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35606","description":"BYP OTH/THN VEIN CAROTID-SUBCLAVIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN CAROTID-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35642","description":"BYP OTH/THN VEIN CAROTID-VERTEBRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN COMMON-IPSILATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35601","description":"BYP OTH/THN VEIN COMMON-IPSILATERAL CAROTID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRONEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35666","description":"BYP OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRONEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35661","description":"BYP OTH/THN VEIN FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35656","description":"BYP OTH/THN VEIN FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35665","description":"BYP OTH/THN VEIN ILIOFEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN ILIOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35663","description":"BYP OTH/THN VEIN ILIOILIAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35671","description":"BYP OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN SPLENORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35636","description":"BYP OTH/THN VEIN SPLENORENAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN SUBCLAVIAN-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35616","description":"BYP OTH/THN VEIN SUBCLAVIAN-AXILLARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35612","description":"BYP OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35645","description":"BYP OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35570","description":"BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35570","description":"BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35571","description":"BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35571","description":"BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS COMPOSITE GRAFT PROSTHETIC AND VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35681","description":"BYPASS COMPOSITE GRAFT PROSTHETIC AND VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS COMPOSITE GRAFT PROSTHETIC AND VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35681","description":"BYPASS COMPOSITE GRAFT PROSTHETIC AND VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35632","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35632","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35633","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35633","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35634","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35634","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS NOT VEIN AORTOSUBCLA/CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35626","description":"BYPASS NOT VEIN AORTOSUBCLA/CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35531","description":"BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35531","description":"BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35560","description":"BYPASS W/VEIN AORTORENAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTORENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35560","description":"BYPASS W/VEIN AORTORENAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35526","description":"BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35526","description":"BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35518","description":"BYPASS W/VEIN AXILLARY-AXILLARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-AXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35518","description":"BYPASS W/VEIN AXILLARY-AXILLARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35522","description":"BYPASS W/VEIN AXILLARY-BRACHIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35522","description":"BYPASS W/VEIN AXILLARY-BRACHIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35521","description":"BYPASS W/VEIN AXILLARY-FEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35521","description":"BYPASS W/VEIN AXILLARY-FEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35533","description":"BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35533","description":"BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN BRACHIAL-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35525","description":"BYPASS W/VEIN BRACHIAL-BRACHIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN BRACHIAL-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35525","description":"BYPASS W/VEIN BRACHIAL-BRACHIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35523","description":"BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35523","description":"BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35510","description":"BYPASS W/VEIN CAROTID-BRACHIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35510","description":"BYPASS W/VEIN CAROTID-BRACHIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35509","description":"BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35509","description":"BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35506","description":"BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35506","description":"BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35508","description":"BYPASS W/VEIN CAROTID-VERTEBRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35508","description":"BYPASS W/VEIN CAROTID-VERTEBRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN COMMON-IPSILATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35501","description":"BYPASS W/VEIN COMMON-IPSILATERAL CAROTID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN COMMON-IPSILATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35501","description":"BYPASS W/VEIN COMMON-IPSILATERAL CAROTID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35558","description":"BYPASS W/VEIN FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35558","description":"BYPASS W/VEIN FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35556","description":"BYPASS W/VEIN FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35556","description":"BYPASS W/VEIN FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN HEPATORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35535","description":"BYPASS W/VEIN HEPATORENAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN HEPATORENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35535","description":"BYPASS W/VEIN HEPATORENAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35565","description":"BYPASS W/VEIN ILIOFEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35565","description":"BYPASS W/VEIN ILIOFEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN ILIOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35563","description":"BYPASS W/VEIN ILIOILIAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN ILIOILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35563","description":"BYPASS W/VEIN ILIOILIAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SPLENORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35536","description":"BYPASS W/VEIN SPLENORENAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SPLENORENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35536","description":"BYPASS W/VEIN SPLENORENAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35516","description":"BYPASS W/VEIN SUBCLAVIAN-AXILLARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-AXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35516","description":"BYPASS W/VEIN SUBCLAVIAN-AXILLARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35512","description":"BYPASS W/VEIN SUBCLAVIAN-BRACHIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35512","description":"BYPASS W/VEIN SUBCLAVIAN-BRACHIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35511","description":"BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35511","description":"BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35515","description":"BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35515","description":"BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Biopsy of lip","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40490","description":"Biopsy of lip","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Biopsy of lip","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40490","description":"Biopsy of lip","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Breathing circuits","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4618","description":"Breathing circuits","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Breathing circuits","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4618","description":"Breathing circuits","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"C-REACTIVE PROTEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86140","description":"C-REACTIVE PROTEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"C-REACTIVE PROTEIN HIGH SENSITIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86141","description":"C-REACTIVE PROTEIN HIGH SENSITIVITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"C-reactive protein","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86140","description":"C-reactive protein","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CABERGOLINE ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8515","description":"CABERGOLINE ORAL 0.25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CABERGOLINE ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8515","description":"CABERGOLINE ORAL 0.25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT FOUR OR GT ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33536","description":"CABG W/ARTERIAL GRAFT FOUR OR GT ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT FOUR OR GT ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33536","description":"CABG W/ARTERIAL GRAFT FOUR OR GT ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33533","description":"CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33533","description":"CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33535","description":"CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33535","description":"CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33534","description":"CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33534","description":"CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CADMIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82300","description":"CADMIUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAFFEINE HALOTHANE CONTRACTURE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89049","description":"CAFFEINE HALOTHANE CONTRACTURE TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CALCITONIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82308","description":"CALCITONIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CALCITONIN STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80410","description":"CALCITONIN STIMULATION PANEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM AFTER CALCIUM INFUSION TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82331","description":"CALCIUM AFTER CALCIUM INFUSION TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM IONIZED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82330","description":"CALCIUM IONIZED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82310","description":"CALCIUM TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM URINE QUANTITATIVE TIMED SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82340","description":"CALCIUM URINE QUANTITATIVE TIMED SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CALCULUS INFRARED SPECTROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82365","description":"CALCULUS INFRARED SPECTROSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CALCULUS QUALITATIVE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82355","description":"CALCULUS QUALITATIVE ANALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CALCULUS QUANTITATIVE CHEMICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82360","description":"CALCULUS QUANTITATIVE CHEMICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CALCULUS XRAY DIFFRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82370","description":"CALCULUS XRAY DIFFRACTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAM RLS ASSEM FOOTREST/LEGREST REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0051","description":"CAM RLS ASSEM FOOTREST/LEGREST REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CANALITH REPOSITIONING PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95992","description":"CANALITH REPOSITIONING PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CANALITH REPOSITIONING PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95992","description":"CANALITH REPOSITIONING PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CANCER STAGE DOCD METASTATIC AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3301F","description":"CANCER STAGE DOCD METASTATIC AND REVIEWED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANCER STAGE DOCD METASTATIC AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3301F","description":"CANCER STAGE DOCD METASTATIC AND REVIEWED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANE INCL CANES ALL MATERIAL ADJUSTBLE/FIX W/TIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0100","description":"CANE INCL CANES ALL MATERIAL ADJUSTBLE/FIX W/TIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CANE QUAD/3-PRONG ALL MATL ADJUSTBL/FIX W/TIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0105","description":"CANE QUAD/3-PRONG ALL MATL ADJUSTBL/FIX W/TIPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CANISTER DISPOSABLE USED WITH SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7000","description":"CANISTER DISPOSABLE USED WITH SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CANISTER DISPOSABLE USED WITH SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7000","description":"CANISTER DISPOSABLE USED WITH SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CANISTER NON-DISPOSABLE USED W/SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7001","description":"CANISTER NON-DISPOSABLE USED W/SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CANISTER NON-DISPOSABLE USED W/SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7001","description":"CANISTER NON-DISPOSABLE USED W/SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CANNULA NASAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4615","description":"CANNULA NASAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CANNULATION THORACIC DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38794","description":"CANNULATION THORACIC DUCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CANNULATION THORACIC DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38794","description":"CANNULATION THORACIC DUCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CANTHOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67950","description":"CANTHOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CANTHOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67950","description":"CANTHOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CANTHOTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67715","description":"CANTHOTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CANTHOTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67715","description":"CANTHOTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25320","description":"CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25320","description":"CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSLCTOMY/CAPSUL HIP W/RLS HIP FLXR MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27036","description":"CAPSLCTOMY/CAPSUL HIP W/RLS HIP FLXR MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL and TDN LNGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28262","description":"CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL and TDN LNGTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL and TDN LNGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28262","description":"CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL and TDN LNGTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28270","description":"CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28270","description":"CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULAR CONTRACTURE RELEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23020","description":"CAPSULAR CONTRACTURE RELEASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULAR CONTRACTURE RELEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23020","description":"CAPSULAR CONTRACTURE RELEASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY HIP W/RLS HIP FLXR MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27036","description":"CAPSULECTOMY/CAPSULOTOMY HIP W/RLS HIP FLXR MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY HIP W/RLS HIP FLXR MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27036","description":"CAPSULECTOMY/CAPSULOTOMY HIP W/RLS HIP FLXR MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26525","description":"CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26525","description":"CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26520","description":"CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26520","description":"CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26517","description":"CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26517","description":"CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26518","description":"CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26518","description":"CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26516","description":"CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26516","description":"CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23450","description":"CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23450","description":"CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23462","description":"CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23462","description":"CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23455","description":"CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23455","description":"CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23460","description":"CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23460","description":"CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23465","description":"CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23465","description":"CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23466","description":"CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23466","description":"CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY IPHAL JOINT EACH JOINT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28272","description":"CAPSULOTOMY IPHAL JOINT EACH JOINT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY IPHAL JOINT EACH JOINT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28272","description":"CAPSULOTOMY IPHAL JOINT EACH JOINT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28260","description":"CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28260","description":"CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28261","description":"CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28261","description":"CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDTARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28264","description":"CAPSULOTOMY MIDTARSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDTARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28264","description":"CAPSULOTOMY MIDTARSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27435","description":"CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27435","description":"CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25085","description":"CAPSULOTOMY WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25085","description":"CAPSULOTOMY WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94781","description":"CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94781","description":"CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARBOHYDRATE DEFICIENT TRANSFERRIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82373","description":"CARBOHYDRATE DEFICIENT TRANSFERRIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARBON DIOXIDE BICARBONATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82374","description":"CARBON DIOXIDE BICARBONATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARBOXYHEMOGLOBIN QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82376","description":"CARBOXYHEMOGLOBIN QUALITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARBOXYHEMOGLOBIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82375","description":"CARBOXYHEMOGLOBIN QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARCINOEMBRYONIC ANTIGEN CEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82378","description":"CARCINOEMBRYONIC ANTIGEN CEA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78496","description":"CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78496","description":"CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78473","description":"CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78473","description":"CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78494","description":"CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78494","description":"CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78481","description":"CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78481","description":"CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78483","description":"CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78483","description":"CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78472","description":"CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78472","description":"CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8961","description":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8961","description":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78414","description":"CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78414","description":"CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI FOR VELOCITY FLOW MAPPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75565","description":"CARDIAC MRI FOR VELOCITY FLOW MAPPING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI FOR VELOCITY FLOW MAPPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75565","description":"CARDIAC MRI FOR VELOCITY FLOW MAPPING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI MORPHOLOGY and FUNCTION W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75557","description":"CARDIAC MRI MORPHOLOGY and FUNCTION W/O CONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI MORPHOLOGY and FUNCTION W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75557","description":"CARDIAC MRI MORPHOLOGY and FUNCTION W/O CONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/O CONTRAST W/STRESS IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75559","description":"CARDIAC MRI W/O CONTRAST W/STRESS IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/O CONTRAST W/STRESS IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75559","description":"CARDIAC MRI W/O CONTRAST W/STRESS IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/W/O CONTRAST W/STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75563","description":"CARDIAC MRI W/W/O CONTRAST W/STRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/W/O CONTRAST W/STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75563","description":"CARDIAC MRI W/W/O CONTRAST W/STRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/WO CONTRAST and FURTHER SEQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75561","description":"CARDIAC MRI W/WO CONTRAST and FURTHER SEQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/WO CONTRAST and FURTHER SEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75561","description":"CARDIAC MRI W/WO CONTRAST and FURTHER SEQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC SHUNT DETECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78428","description":"CARDIAC SHUNT DETECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC SHUNT DETECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78428","description":"CARDIAC SHUNT DETECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8962","description":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8962","description":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92971","description":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92971","description":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92970","description":"CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92970","description":"CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOLIPIN ANTIBODY EACH IG CLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86147","description":"CARDIOLIPIN ANTIBODY EACH IG CLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOPULMONARY EXERCISE TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94621","description":"CARDIOPULMONARY EXERCISE TESTING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOPULMONARY EXERCISE TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94621","description":"CARDIOPULMONARY EXERCISE TESTING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOPULMONARY RESUSCITATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92950","description":"CARDIOPULMONARY RESUSCITATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOPULMONARY RESUSCITATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92950","description":"CARDIOPULMONARY RESUSCITATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33315","description":"CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33315","description":"CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33310","description":"CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33310","description":"CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93660","description":"CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93660","description":"CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92960","description":"CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92960","description":"CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92961","description":"CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92961","description":"CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARINAL RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31766","description":"CARINAL RECONSTRUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARINAL RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31766","description":"CARINAL RECONSTRUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARNITINE QUANTITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82379","description":"CARNITINE QUANTITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAROTENE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82380","description":"CAROTENE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAROTID IMAGNG REPORT DIR/INDIR MEAS VESSEL DIAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3100F","description":"CAROTID IMAGNG REPORT DIR/INDIR MEAS VESSEL DIAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAROTID IMAGNG REPORT DIR/INDIR MEAS VESSEL DIAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3100F","description":"CAROTID IMAGNG REPORT DIR/INDIR MEAS VESSEL DIAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARPECTOMY 1 BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25210","description":"CARPECTOMY 1 BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARPECTOMY 1 BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25210","description":"CARPECTOMY 1 BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARPECTOMY ALL BONES PROXIMAL ROW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25215","description":"CARPECTOMY ALL BONES PROXIMAL ROW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARPECTOMY ALL BONES PROXIMAL ROW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25215","description":"CARPECTOMY ALL BONES PROXIMAL ROW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARTILAGE GRAFT COSTOCHONDRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20910","description":"CARTILAGE GRAFT COSTOCHONDRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARTILAGE GRAFT COSTOCHONDRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20910","description":"CARTILAGE GRAFT COSTOCHONDRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARTILAGE GRAFT NASAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20912","description":"CARTILAGE GRAFT NASAL SEPTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CARTILAGE GRAFT NASAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20912","description":"CARTILAGE GRAFT NASAL SEPTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CASES WHICH AN INHALATION ANES USED ONLY FOR IND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9955","description":"CASES WHICH AN INHALATION ANES USED ONLY FOR IND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CASES WHICH AN INHALATION ANES USED ONLY FOR IND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9955","description":"CASES WHICH AN INHALATION ANES USED ONLY FOR IND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4036","description":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4036","description":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES BODY CAST ADULT W/WO HEAD FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4002","description":"CAST SUPPLIES BODY CAST ADULT W/WO HEAD FIBRGLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES BODY CAST ADULT W/WO HEAD FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4002","description":"CAST SUPPLIES BODY CAST ADULT W/WO HEAD FIBRGLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4014","description":"CAST SUPPLIES GAUNTLET CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4014","description":"CAST SUPPLIES GAUNTLET CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4013","description":"CAST SUPPLIES GAUNTLET CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4013","description":"CAST SUPPLIES GAUNTLET CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4016","description":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4016","description":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4015","description":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4015","description":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES HIP SPICA ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4026","description":"CAST SUPPLIES HIP SPICA ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES HIP SPICA ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4026","description":"CAST SUPPLIES HIP SPICA ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES HIP SPICA ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4025","description":"CAST SUPPLIES HIP SPICA ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES HIP SPICA ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4025","description":"CAST SUPPLIES HIP SPICA ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES HIP SPICA PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4028","description":"CAST SUPPLIES HIP SPICA PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES HIP SPICA PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4028","description":"CAST SUPPLIES HIP SPICA PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES HIP SPICA PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4027","description":"CAST SUPPLIES HIP SPICA PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES HIP SPICA PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4027","description":"CAST SUPPLIES HIP SPICA PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LNG LEG CYCLE CAST ADLT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4034","description":"CAST SUPPLIES LNG LEG CYCLE CAST ADLT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LNG LEG CYCLE CAST ADLT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4034","description":"CAST SUPPLIES LNG LEG CYCLE CAST ADLT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4006","description":"CAST SUPPLIES LONG ARM CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4006","description":"CAST SUPPLIES LONG ARM CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4005","description":"CAST SUPPLIES LONG ARM CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4005","description":"CAST SUPPLIES LONG ARM CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4008","description":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4008","description":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4007","description":"CAST SUPPLIES LONG ARM CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4007","description":"CAST SUPPLIES LONG ARM CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4018","description":"CAST SUPPLIES LONG ARM SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4018","description":"CAST SUPPLIES LONG ARM SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4017","description":"CAST SUPPLIES LONG ARM SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4017","description":"CAST SUPPLIES LONG ARM SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4020","description":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4020","description":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4019","description":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4019","description":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4030","description":"CAST SUPPLIES LONG LEG CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4030","description":"CAST SUPPLIES LONG LEG CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4029","description":"CAST SUPPLIES LONG LEG CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4029","description":"CAST SUPPLIES LONG LEG CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4032","description":"CAST SUPPLIES LONG LEG CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4032","description":"CAST SUPPLIES LONG LEG CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4031","description":"CAST SUPPLIES LONG LEG CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4031","description":"CAST SUPPLIES LONG LEG CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CYCLE CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4033","description":"CAST SUPPLIES LONG LEG CYCLE CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CYCLE CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4033","description":"CAST SUPPLIES LONG LEG CYCLE CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CYCLE CAST PED PLASTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4035","description":"CAST SUPPLIES LONG LEG CYCLE CAST PED PLASTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CYCLE CAST PED PLASTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4035","description":"CAST SUPPLIES LONG LEG CYCLE CAST PED PLASTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4042","description":"CAST SUPPLIES LONG LEG SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4042","description":"CAST SUPPLIES LONG LEG SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4041","description":"CAST SUPPLIES LONG LEG SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4041","description":"CAST SUPPLIES LONG LEG SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4044","description":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4044","description":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4043","description":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4043","description":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4010","description":"CAST SUPPLIES SHORT ARM CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4010","description":"CAST SUPPLIES SHORT ARM CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4009","description":"CAST SUPPLIES SHORT ARM CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4009","description":"CAST SUPPLIES SHORT ARM CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4012","description":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4012","description":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4011","description":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4011","description":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4022","description":"CAST SUPPLIES SHORT ARM SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4022","description":"CAST SUPPLIES SHORT ARM SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4021","description":"CAST SUPPLIES SHORT ARM SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4021","description":"CAST SUPPLIES SHORT ARM SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4024","description":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4024","description":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4023","description":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4023","description":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4038","description":"CAST SUPPLIES SHORT LEG CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4038","description":"CAST SUPPLIES SHORT LEG CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4037","description":"CAST SUPPLIES SHORT LEG CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4037","description":"CAST SUPPLIES SHORT LEG CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4040","description":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4040","description":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4039","description":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4039","description":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4046","description":"CAST SUPPLIES SHORT LEG SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4046","description":"CAST SUPPLIES SHORT LEG SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4045","description":"CAST SUPPLIES SHORT LEG SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4045","description":"CAST SUPPLIES SHORT LEG SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4048","description":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4048","description":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4047","description":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4047","description":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHOULDER CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4004","description":"CAST SUPPLIES SHOULDER CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHOULDER CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4004","description":"CAST SUPPLIES SHOULDER CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHOULDER CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4003","description":"CAST SUPPLIES SHOULDER CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHOULDER CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4003","description":"CAST SUPPLIES SHOULDER CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CASTING SPL BODY CAST ADULT W/WO HEAD PLASTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4001","description":"CASTING SPL BODY CAST ADULT W/WO HEAD PLASTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CASTING SPL BODY CAST ADULT W/WO HEAD PLASTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4001","description":"CASTING SPL BODY CAST ADULT W/WO HEAD PLASTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATECHOLAMINES BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82383","description":"CATECHOLAMINES BLOOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATECHOLAMINES FRACTIONATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82384","description":"CATECHOLAMINES FRACTIONATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATECHOLAMINES TOTAL URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82382","description":"CATECHOLAMINES TOTAL URINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATH and SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58340","description":"CATH and SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATH and SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58340","description":"CATH and SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31725","description":"CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31725","description":"CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLACEMENT AND NJX CORONARY ART ANGIO IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93454","description":"CATH PLACEMENT AND NJX CORONARY ART ANGIO IMG S AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLACEMENT AND NJX CORONARY ART ANGIO IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93454","description":"CATH PLACEMENT AND NJX CORONARY ART ANGIO IMG S AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT and NJX CORONARY ART/GRFT ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93455","description":"CATH PLMT and NJX CORONARY ART/GRFT ANGIO IMG S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT and NJX CORONARY ART/GRFT ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93455","description":"CATH PLMT and NJX CORONARY ART/GRFT ANGIO IMG S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT L HRT and ARTS W/NJX and ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93458","description":"CATH PLMT L HRT and ARTS W/NJX and ANGIO IMG S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT L HRT and ARTS W/NJX and ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93458","description":"CATH PLMT L HRT and ARTS W/NJX and ANGIO IMG S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT L HRT/ARTS/GRFTS WNJX and ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93459","description":"CATH PLMT L HRT/ARTS/GRFTS WNJX and ANGIO IMG S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT L HRT/ARTS/GRFTS WNJX and ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93459","description":"CATH PLMT L HRT/ARTS/GRFTS WNJX and ANGIO IMG S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT R HRT and ARTS W/NJX and ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93456","description":"CATH PLMT R HRT and ARTS W/NJX and ANGIO IMG S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT R HRT and ARTS W/NJX and ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93456","description":"CATH PLMT R HRT and ARTS W/NJX and ANGIO IMG S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT R HRT/ARTS/GRFTS W/NJX and ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93457","description":"CATH PLMT R HRT/ARTS/GRFTS W/NJX and ANGIO IMG S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT R HRT/ARTS/GRFTS W/NJX and ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93457","description":"CATH PLMT R HRT/ARTS/GRFTS W/NJX and ANGIO IMG S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATHEPSIN-D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82387","description":"CATHEPSIN-D","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER ASPIRATION NASOTRACHEAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31720","description":"CATHETER ASPIRATION NASOTRACHEAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER ASPIRATION NASOTRACHEAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31720","description":"CATHETER ASPIRATION NASOTRACHEAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36660","description":"CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36660","description":"CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31717","description":"CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31717","description":"CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATHJ UMBILICAL VEIN DX/THER NB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36510","description":"CATHJ UMBILICAL VEIN DX/THER NB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CATHJ UMBILICAL VEIN DX/THER NB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36510","description":"CATHJ UMBILICAL VEIN DX/THER NB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57511","description":"CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57511","description":"CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX ELECTRO/THERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57510","description":"CAUTERY CERVIX ELECTRO/THERMAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX ELECTRO/THERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57510","description":"CAUTERY CERVIX ELECTRO/THERMAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX LASER ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57513","description":"CAUTERY CERVIX LASER ABLATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX LASER ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57513","description":"CAUTERY CERVIX LASER ABLATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL COUNT Equal to GT 500 CELLS/MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3496F","description":"CD4 Plus CELL COUNT Equal to GT 500 CELLS/MM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL COUNT Equal to GT 500 CELLS/MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3496F","description":"CD4 Plus CELL COUNT Equal to GT 500 CELLS/MM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL COUNT LT 200 CELLS/MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3494F","description":"CD4 Plus CELL COUNT LT 200 CELLS/MM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL COUNT LT 200 CELLS/MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3494F","description":"CD4 Plus CELL COUNT LT 200 CELLS/MM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL COUNT 200-499 CELLS/MM (HIV)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3495F","description":"CD4 Plus CELL COUNT 200-499 CELLS/MM (HIV)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL COUNT 200-499 CELLS/MM (HIV)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3495F","description":"CD4 Plus CELL COUNT 200-499 CELLS/MM (HIV)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL PERCENTAGE GT or equal to 15 PCT HIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3498F","description":"CD4 Plus CELL PERCENTAGE GT or equal to 15 PCT HIV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL PERCENTAGE GT or equal to 15 PCT HIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3498F","description":"CD4 Plus CELL PERCENTAGE GT or equal to 15 PCT HIV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL PERCENTAGE LT 15 PCT HIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3497F","description":"CD4 Plus CELL PERCENTAGE LT 15 PCT HIV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL PERCENTAGE LT 15 PCT HIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3497F","description":"CD4 Plus CELL PERCENTAGE LT 15 PCT HIV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL CNT/CD4 Plus CELL PCT DOCD AS DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3500F","description":"CD4 Plus CELL CNT/CD4 Plus CELL PCT DOCD AS DONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL CNT/CD4 Plus CELL PCT DOCD AS DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3500F","description":"CD4 Plus CELL CNT/CD4 Plus CELL PCT DOCD AS DONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CDP-SOT 6 CONDITIONS W/INTERPRETATION and REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92548","description":"CDP-SOT 6 CONDITIONS W/INTERPRETATION and REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CDP-SOT 6 CONDITIONS W/INTERPRETATION and REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92548","description":"CDP-SOT 6 CONDITIONS W/INTERPRETATION and REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89051","description":"CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CELL COUNT MISCELLANEOUS BODY FLUIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89050","description":"CELL COUNT MISCELLANEOUS BODY FLUIDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CELLULAR FUNCTION ASSAY STIMUL AND DETECT BIOMARKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86352","description":"CELLULAR FUNCTION ASSAY STIMUL AND DETECT BIOMARKE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CENTRAL DUAL ENERGY ABSORPTIOMETRY DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3095F","description":"CENTRAL DUAL ENERGY ABSORPTIOMETRY DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRAL DUAL ENERGY ABSORPTIOMETRY DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3095F","description":"CENTRAL DUAL ENERGY ABSORPTIOMETRY DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRAL DUAL ENERGY ABSORPTIOMETRY ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3096F","description":"CENTRAL DUAL ENERGY ABSORPTIOMETRY ORDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRAL DUAL ENERGY ABSORPTIOMETRY ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3096F","description":"CENTRAL DUAL ENERGY ABSORPTIOMETRY ORDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRALIZATION OF WRIST ON ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25335","description":"CENTRALIZATION OF WRIST ON ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CENTRALIZATION OF WRIST ON ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25335","description":"CENTRALIZATION OF WRIST ON ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CENTRALIZATION WRST ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25335","description":"CENTRALIZATION WRST ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CEPHALOGRAM ORTHODONTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70350","description":"CEPHALOGRAM ORTHODONTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CEPHALOGRAM ORTHODONTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70350","description":"CEPHALOGRAM ORTHODONTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE CERVIX PREGNANCY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59325","description":"CERCLAGE CERVIX PREGNANCY ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE CERVIX PREGNANCY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59325","description":"CERCLAGE CERVIX PREGNANCY ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE CERVIX PREGNANCY VAGINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59320","description":"CERCLAGE CERVIX PREGNANCY VAGINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE CERVIX PREGNANCY VAGINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59320","description":"CERCLAGE CERVIX PREGNANCY VAGINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE UTERINE CERVIX NONOBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57700","description":"CERCLAGE UTERINE CERVIX NONOBSTETRICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE UTERINE CERVIX NONOBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57700","description":"CERCLAGE UTERINE CERVIX NONOBSTETRICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78630","description":"CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78630","description":"CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78645","description":"CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78645","description":"CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78635","description":"CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78635","description":"CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID LEAK DETECTION AND LOCALIZATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78650","description":"CEREBROSPINAL FLUID LEAK DETECTION AND LOCALIZATIO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID LEAK DETECTION AND LOCALIZATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78650","description":"CEREBROSPINAL FLUID LEAK DETECTION AND LOCALIZATIO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERULOPLASMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82390","description":"CERULOPLASMIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERV FLEXIBLE THERMOPLASTIC COLLAR MOLDED PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0130","description":"CERV FLEXIBLE THERMOPLASTIC COLLAR MOLDED PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERV MX POST COLLAR OCCIP/MAND SUPPORTS ADJUSTBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0180","description":"CERV MX POST COLLAR OCCIP/MAND SUPPORTS ADJUSTBL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERV MX POST COLLR OCCIP/MAND ADJ CERV and THOR EXT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0200","description":"CERV MX POST COLLR OCCIP/MAND ADJ CERV and THOR EXT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERV MX POST COLLR OCCIP/MAND SUPP ADJ CERV BARS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0190","description":"CERV MX POST COLLR OCCIP/MAND SUPP ADJ CERV BARS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERV THOR LUMB SACRAL IMMOBLIZR INFANT SZ PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1001","description":"CERV THOR LUMB SACRAL IMMOBLIZR INFANT SZ PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERV/VAGINAL CANCER SCR; PELV and CLIN BREAST EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0101","description":"CERV/VAGINAL CANCER SCR; PELV and CLIN BREAST EXAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERV/VAGINAL CANCER SCR; PELV and CLIN BREAST EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0101","description":"CERV/VAGINAL CANCER SCR; PELV and CLIN BREAST EXAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL CANCER SCREENING RESULTS DOCD AND RVWD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3015F","description":"CERVICAL CANCER SCREENING RESULTS DOCD AND RVWD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL CANCER SCREENING RESULTS DOCD AND RVWD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3015F","description":"CERVICAL CANCER SCREENING RESULTS DOCD AND RVWD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL COLLAR MOLDED TO PATIENT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0170","description":"CERVICAL COLLAR MOLDED TO PATIENT MODEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL COLLAR SEMI-RIGID FOAM THOR EXT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0174","description":"CERVICAL COLLAR SEMI-RIGID FOAM THOR EXT PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL COLLAR SEMI-RIGID FOAM TWO PIECE PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0172","description":"CERVICAL COLLAR SEMI-RIGID FOAM TWO PIECE PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL FLEXIBLE NONADJUSTABLE PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0120","description":"CERVICAL FLEXIBLE NONADJUSTABLE PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL FLEXIBLE NONADJUSTABLE PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0120","description":"CERVICAL FLEXIBLE NONADJUSTABLE PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL HEAD HARNESS/HALTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0942","description":"CERVICAL HEAD HARNESS/HALTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38724","description":"CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38724","description":"CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38720","description":"CERVICAL LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38720","description":"CERVICAL LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL SEMI-RIGID ADJUSTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0140","description":"CERVICAL SEMI-RIGID ADJUSTABLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL SEMI-RIGID ADJUSTABLE MOLDED CHIN CUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0150","description":"CERVICAL SEMI-RIGID ADJUSTABLE MOLDED CHIN CUP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL SEMI-RIGID WIRE FRAME OCCIP/MAND PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0160","description":"CERVICAL SEMI-RIGID WIRE FRAME OCCIP/MAND PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL TRACTION DEVICE INFLATABLE AIR BLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0856","description":"CERVICAL TRACTION DEVICE INFLATABLE AIR BLADDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL TRACTION DEVICE INFLATABLE AIR BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0856","description":"CERVICAL TRACTION DEVICE INFLATABLE AIR BLADDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL TRACTION EQUIP NOT RQR ADD STAND/FRAME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0855","description":"CERVICAL TRACTION EQUIP NOT RQR ADD STAND/FRAME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL TRACTION EQUIP NOT RQR ADD STAND/FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0855","description":"CERVICAL TRACTION EQUIP NOT RQR ADD STAND/FRAME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ATTEMPTED VBAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59620","description":"CESAREAN DELIVERY ATTEMPTED VBAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ATTEMPTED VBAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59620","description":"CESAREAN DELIVERY ATTEMPTED VBAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59514","description":"CESAREAN DELIVERY ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59514","description":"CESAREAN DELIVERY ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ONLY W/POSTPARTUM CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59515","description":"CESAREAN DELIVERY ONLY W/POSTPARTUM CARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ONLY W/POSTPARTUM CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59515","description":"CESAREAN DELIVERY ONLY W/POSTPARTUM CARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DLVRY AND POSTPARTUM CARE ATTEMPTED VBA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59622","description":"CESAREAN DLVRY AND POSTPARTUM CARE ATTEMPTED VBA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DLVRY AND POSTPARTUM CARE ATTEMPTED VBA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59622","description":"CESAREAN DLVRY AND POSTPARTUM CARE ATTEMPTED VBA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE CYSTOSTOMY TUBE COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51710","description":"CHANGE CYSTOSTOMY TUBE COMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE CYSTOSTOMY TUBE COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51710","description":"CHANGE CYSTOSTOMY TUBE COMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE CYSTOSTOMY TUBE SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51705","description":"CHANGE CYSTOSTOMY TUBE SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE CYSTOSTOMY TUBE SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51705","description":"CHANGE CYSTOSTOMY TUBE SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75984","description":"CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75984","description":"CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17250","description":"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17250","description":"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL EXFOLIATION ACNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17360","description":"CHEMICAL EXFOLIATION ACNE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL EXFOLIATION ACNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17360","description":"CHEMICAL EXFOLIATION ACNE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL FACIAL DERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15789","description":"CHEMICAL PEEL FACIAL DERMAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL FACIAL DERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15789","description":"CHEMICAL PEEL FACIAL DERMAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL FACIAL EPIDERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15788","description":"CHEMICAL PEEL FACIAL EPIDERMAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL FACIAL EPIDERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15788","description":"CHEMICAL PEEL FACIAL EPIDERMAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL NONFACIAL DERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15793","description":"CHEMICAL PEEL NONFACIAL DERMAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL NONFACIAL DERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15793","description":"CHEMICAL PEEL NONFACIAL DERMAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL NONFACIAL EPIDERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15792","description":"CHEMICAL PEEL NONFACIAL EPIDERMAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL NONFACIAL EPIDERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15792","description":"CHEMICAL PEEL NONFACIAL EPIDERMAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMILUMINESCENT ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82397","description":"CHEMILUMINESCENT ASSAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERV PAROTID AND SUBMANDIBL SALIVARY GLNDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64611","description":"CHEMODENERV PAROTID AND SUBMANDIBL SALIVARY GLNDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERV PAROTID AND SUBMANDIBL SALIVARY GLNDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64611","description":"CHEMODENERV PAROTID AND SUBMANDIBL SALIVARY GLNDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64650","description":"CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64650","description":"CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64653","description":"CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64653","description":"CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION EXTRAOCULAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67345","description":"CHEMODENERVATION EXTRAOCULAR MUSCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION EXTRAOCULAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67345","description":"CHEMODENERVATION EXTRAOCULAR MUSCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION INTERNAL ANAL SPHINCTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46505","description":"CHEMODENERVATION INTERNAL ANAL SPHINCTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION INTERNAL ANAL SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46505","description":"CHEMODENERVATION INTERNAL ANAL SPHINCTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64612","description":"CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64612","description":"CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTAXIS ASSAY SPECIFY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86155","description":"CHEMOTAXIS ASSAY SPECIFY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS LT 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96422","description":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS LT 1 HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS LT 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96422","description":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS LT 1 HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96420","description":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96420","description":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL GT 7","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96406","description":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL GT 7","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL GT 7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96406","description":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL GT 7","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL LT 7","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96405","description":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL LT 7","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL LT 7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96405","description":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL LT 7","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96423","description":"CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96423","description":"CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMN IV INFUSION TQ EA HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96415","description":"CHEMOTHERAPY ADMN IV INFUSION TQ EA HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMN IV INFUSION TQ EA HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96415","description":"CHEMOTHERAPY ADMN IV INFUSION TQ EA HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN CNS REQ SPINAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96450","description":"CHEMOTX ADMN CNS REQ SPINAL PUNCTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN CNS REQ SPINAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96450","description":"CHEMOTX ADMN CNS REQ SPINAL PUNCTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IA NFS GT 8 HR PRTBLE IMPLTBL PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96425","description":"CHEMOTX ADMN IA NFS GT 8 HR PRTBLE IMPLTBL PMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IA NFS GT 8 HR PRTBLE IMPLTBL PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96425","description":"CHEMOTX ADMN IA NFS GT 8 HR PRTBLE IMPLTBL PMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96417","description":"CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96417","description":"CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96413","description":"CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96413","description":"CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96409","description":"CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96409","description":"CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96411","description":"CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96411","description":"CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96446","description":"CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96446","description":"CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN PLEURAL CAVITY REQ and W/THORACNTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96440","description":"CHEMOTX ADMN PLEURAL CAVITY REQ and W/THORACNTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN PLEURAL CAVITY REQ and W/THORACNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96440","description":"CHEMOTX ADMN PLEURAL CAVITY REQ and W/THORACNTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN PRTL CAVITY PORT/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96446","description":"CHEMOTX ADMN PRTL CAVITY PORT/CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96402","description":"CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96402","description":"CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96401","description":"CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96401","description":"CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96416","description":"CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96416","description":"CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96542","description":"CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96542","description":"CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEST X-RAY RESULTS DOCUMENTED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3006F","description":"CHEST X-RAY RESULTS DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST X-RAY RESULTS DOCUMENTED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3006F","description":"CHEST X-RAY RESULTS DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHILDREN TAKING ABX 30 DA PRI TO DX PHARYNGITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9703","description":"CHILDREN TAKING ABX 30 DA PRI TO DX PHARYNGITIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHINSTRAP USED W/POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7036","description":"CHINSTRAP USED W/POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHINSTRAP USED W/POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7036","description":"CHINSTRAP USED W/POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98940","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98940","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98941","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98941","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98942","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98942","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9230","description":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9230","description":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA GONORRHEA SYPHILIS SCREEN RESULTS DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9228","description":"CHLAMYDIA GONORRHEA SYPHILIS SCREEN RESULTS DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA GONORRHEA SYPHILIS SCREEN RESULTS DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9228","description":"CHLAMYDIA GONORRHEA SYPHILIS SCREEN RESULTS DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA/GONORRHEA TSTS DOCD AS DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3511F","description":"CHLAMYDIA/GONORRHEA TSTS DOCD AS DONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA/GONORRHEA TSTS DOCD AS DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3511F","description":"CHLAMYDIA/GONORRHEA TSTS DOCD AS DONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORAMPHENICOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82415","description":"CHLORAMPHENICOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHLORIDE BLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82435","description":"CHLORIDE BLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHLORIDE OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82438","description":"CHLORIDE OTHER SOURCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHLORIDE URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82436","description":"CHLORIDE URINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHLORINATED HYDROCARBONS SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82441","description":"CHLORINATED HYDROCARBONS SCREEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50688","description":"CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50688","description":"CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLANGIO and /PANCREATOGRAPHY ADDL SET INTRAOP RS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74301","description":"CHOLANGIO and /PANCREATOGRAPHY ADDL SET INTRAOP RS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLANGIO and /PANCREATOGRAPHY ADDL SET INTRAOP RS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74301","description":"CHOLANGIO and /PANCREATOGRAPHY ADDL SET INTRAOP RS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLANGIOGRAPHY and /PANCREATOGRAPHY NTRAOP RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74300","description":"CHOLANGIOGRAPHY and /PANCREATOGRAPHY NTRAOP RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLANGIOGRAPHY and /PANCREATOGRAPHY NTRAOP RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74300","description":"CHOLANGIOGRAPHY and /PANCREATOGRAPHY NTRAOP RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47620","description":"CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47620","description":"CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47741","description":"CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47741","description":"CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47480","description":"CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47480","description":"CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47600","description":"CHOLECYSTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47600","description":"CHOLECYSTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47612","description":"CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47612","description":"CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47605","description":"CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47605","description":"CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47610","description":"CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47610","description":"CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47720","description":"CHOLECYSTOENTEROSTOMY DIRECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47720","description":"CHOLECYSTOENTEROSTOMY DIRECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47740","description":"CHOLECYSTOENTEROSTOMY ROUX-EN-Y","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47740","description":"CHOLECYSTOENTEROSTOMY ROUX-EN-Y","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47721","description":"CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47721","description":"CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOGRAPHY ORAL CONTRST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74290","description":"CHOLECYSTOGRAPHY ORAL CONTRST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOGRAPHY ORAL CONTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74290","description":"CHOLECYSTOGRAPHY ORAL CONTRST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOSTOMY PRQ W/IMAGING and CATHETER PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47490","description":"CHOLECYSTOSTOMY PRQ W/IMAGING and CATHETER PLMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOSTOMY PRQ W/IMAGING and CATHETER PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47490","description":"CHOLECYSTOSTOMY PRQ W/IMAGING and CATHETER PLMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47420","description":"CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47420","description":"CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47425","description":"CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47425","description":"CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLESTEROL SERUM/WHOLE BLOOD TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82465","description":"CHOLESTEROL SERUM/WHOLE BLOOD TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLINESTERASE INHIBITOR CHALLENGE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95857","description":"CHOLINESTERASE INHIBITOR CHALLENGE TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLINESTERASE INHIBITOR CHALLENGE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95857","description":"CHOLINESTERASE INHIBITOR CHALLENGE TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLINESTERASE RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82482","description":"CHOLINESTERASE RBC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLINESTERASE SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82480","description":"CHOLINESTERASE SERUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHONDROITIN B SULFATE QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82485","description":"CHONDROITIN B SULFATE QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHORIONIC VILLUS SAMPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59015","description":"CHORIONIC VILLUS SAMPLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHORIONIC VILLUS SAMPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59015","description":"CHORIONIC VILLUS SAMPLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHORNC GONAD STIMJ PANEL ESTRADIOL RESPONSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80415","description":"CHORNC GONAD STIMJ PANEL ESTRADIOL RESPONSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHORNC GONAD STIMJ PANEL TSTOSTERONE RESPONSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80414","description":"CHORNC GONAD STIMJ PANEL TSTOSTERONE RESPONSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHORNC GONAD STIMJ PNL TOTAL ESTRADIOL RESPONSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80415","description":"CHORNC GONAD STIMJ PNL TOTAL ESTRADIOL RESPONSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ALYS AMNIOTIC/VILLUS 15 CELL 1KARYOTYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88267","description":"CHRMSM ALYS AMNIOTIC/VILLUS 15 CELL 1KARYOTYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYSIS ADDL CELLS COUNTED EACH STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88285","description":"CHRMSM ANALYSIS ADDL CELLS COUNTED EACH STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYSIS ADDL HIGH RESOLUTION STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88289","description":"CHRMSM ANALYSIS ADDL HIGH RESOLUTION STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYSIS ADDL KARYOTYP EACH STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88280","description":"CHRMSM ANALYSIS ADDL KARYOTYP EACH STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYSIS ADDL SPECIALIZED BANDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88283","description":"CHRMSM ANALYSIS ADDL SPECIALIZED BANDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYZE 20-25 CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88264","description":"CHRMSM ANALYZE 20-25 CELLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM BREAKAGE BASELINE BREAKAGE 50-100 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88248","description":"CHRMSM BREAKAGE BASELINE BREAKAGE 50-100 CLL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM BREAKAGE BASELINE SISTER 20-25 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88245","description":"CHRMSM BREAKAGE BASELINE SISTER 20-25 CLL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88262","description":"CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM COUNT 45 CELL MOSAICISM 2KARYOTYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88263","description":"CHRMSM COUNT 45 CELL MOSAICISM 2KARYOTYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM COUNT 5 CELL 1KARYOTYPE BANDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88261","description":"CHRMSM COUNT 5 CELL 1KARYOTYPE BANDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM SITU AMNIOTIC CLL 6-12 COLONIES 1KARYOTYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88269","description":"CHRMSM SITU AMNIOTIC CLL 6-12 COLONIES 1KARYOTYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHROMOGENIC SUBSTRATE ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85130","description":"CHROMOGENIC SUBSTRATE ASSAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHROMOTUBATION OVIDUCT W/MATERIALS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58350","description":"CHROMOTUBATION OVIDUCT W/MATERIALS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CHROMOTUBATION OVIDUCT W/MATERIALS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58350","description":"CHROMOTUBATION OVIDUCT W/MATERIALS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DESTRUCTION CRYOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66720","description":"CILIARY BODY DESTRUCTION CRYOTHERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DESTRUCTION CRYOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66720","description":"CILIARY BODY DESTRUCTION CRYOTHERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DESTRUCTION CYCLODIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66740","description":"CILIARY BODY DESTRUCTION CYCLODIALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DESTRUCTION CYCLODIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66740","description":"CILIARY BODY DESTRUCTION CYCLODIALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DESTRUCTION DIATHERMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66700","description":"CILIARY BODY DESTRUCTION DIATHERMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DESTRUCTION DIATHERMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66700","description":"CILIARY BODY DESTRUCTION DIATHERMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66710","description":"CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66710","description":"CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CINEPLASTY UPPER EXTREMITY COMPLETE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24940","description":"CINEPLASTY UPPER EXTREMITY COMPLETE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CINEPLASTY UPPER EXTREMITY COMPLETE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24940","description":"CINEPLASTY UPPER EXTREMITY COMPLETE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76125","description":"CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76125","description":"CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76120","description":"CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76120","description":"CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61055","description":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61055","description":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61050","description":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61050","description":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNOGRAPHY POSITIVE CONTRAST RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70015","description":"CISTERNOGRAPHY POSITIVE CONTRAST RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNOGRAPHY POSITIVE CONTRAST RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70015","description":"CISTERNOGRAPHY POSITIVE CONTRAST RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68326","description":"CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68326","description":"CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLAVICULECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23120","description":"CLAVICULECTOMY PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLAVICULECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23120","description":"CLAVICULECTOMY PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLAVICULECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23125","description":"CLAVICULECTOMY TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLAVICULECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23125","description":"CLAVICULECTOMY TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLEANING DEVC USED W/TRACHEOESOPH VOICE PROS PIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8513","description":"CLEANING DEVC USED W/TRACHEOESOPH VOICE PROS PIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DID NOT PRSC ACE INHIB/ARB TX RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8937","description":"CLIN DID NOT PRSC ACE INHIB/ARB TX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DID NOT PRSC ACE INHIB/ARB TX RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8937","description":"CLIN DID NOT PRSC ACE INHIB/ARB TX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG CANDIDATE ACE INHIB/ARB TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8936","description":"CLIN DOC PT NOT ELIG CANDIDATE ACE INHIB/ARB TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8416","description":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8416","description":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT DX BR CA PREOP MIN INVAS BX RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8877","description":"CLIN NOT DX BR CA PREOP MIN INVAS BX RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT DX BR CA PREOP MIN INVAS BX RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8877","description":"CLIN NOT DX BR CA PREOP MIN INVAS BX RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN PRSC ACE INHIB/ANGIOTENSIN REC BLOCK ARB TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8935","description":"CLIN PRSC ACE INHIB/ANGIOTENSIN REC BLOCK ARB TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN PRSC ACE INHIB/ANGIOTENSIN REC BLOCK ARB TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8935","description":"CLIN PRSC ACE INHIB/ANGIOTENSIN REC BLOCK ARB TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN REF PT TO ANOTH CLIN RECVD RPT CLIN PT REFD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9969","description":"CLIN REF PT TO ANOTH CLIN RECVD RPT CLIN PT REFD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN REF PT TO ANOTH CLIN RECVD RPT CLIN PT REFD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9969","description":"CLIN REF PT TO ANOTH CLIN RECVD RPT CLIN PT REFD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN REF PT TO ANR CLIN NOT RECV RPT CLIN PT REF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9970","description":"CLIN REF PT TO ANR CLIN NOT RECV RPT CLIN PT REF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN REF PT TO ANR CLIN NOT RECV RPT CLIN PT REF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9970","description":"CLIN REF PT TO ANR CLIN NOT RECV RPT CLIN PT REF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN SIGN DEP SYMP BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3354F","description":"CLIN SIGN DEP SYMP BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN SIGN DEP SYMP BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3354F","description":"CLIN SIGN DEP SYMP BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN TUMOR NODE METASTASES STAGE DOCD PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3323F","description":"CLIN TUMOR NODE METASTASES STAGE DOCD PRIOR SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN TUMOR NODE METASTASES STAGE DOCD PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3323F","description":"CLIN TUMOR NODE METASTASES STAGE DOCD PRIOR SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINIC NODE NEG IBC BEF/AFT NEOADJUVANT SYS TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9911","description":"CLINIC NODE NEG IBC BEF/AFT NEOADJUVANT SYS TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINIC NODE NEG IBC BEF/AFT NEOADJUVANT SYS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9911","description":"CLINIC NODE NEG IBC BEF/AFT NEOADJUVANT SYS TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL SIGNS VOLUME OVERLOAD ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2002F","description":"CLINICAL SIGNS VOLUME OVERLOAD ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL SIGNS VOLUME OVERLOAD ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2002F","description":"CLINICAL SIGNS VOLUME OVERLOAD ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL SYMPTOMS VOL OVERLOAD ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1004F","description":"CLINICAL SYMPTOMS VOL OVERLOAD ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL SYMPTOMS VOL OVERLOAD ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1004F","description":"CLINICAL SYMPTOMS VOL OVERLOAD ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DOC PT NOT ELIG CANDIDATE ACE/ARB TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8936","description":"CLINICIAN DOC PT NOT ELIG CANDIDATE ACE/ARB TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DOC PT NOT ELIG CANDIDATE ACE/ARB TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8936","description":"CLINICIAN DOC PT NOT ELIG CANDIDATE ACE/ARB TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DX BREAST CA PREOP MIN INVAS BX METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8875","description":"CLINICIAN DX BREAST CA PREOP MIN INVAS BX METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DX BREAST CA PREOP MIN INVAS BX METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8875","description":"CLINICIAN DX BREAST CA PREOP MIN INVAS BX METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLITOROPLASTY INTERSEX STATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56805","description":"CLITOROPLASTY INTERSEX STATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLITOROPLASTY INTERSEX STATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56805","description":"CLITOROPLASTY INTERSEX STATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21750","description":"CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21750","description":"CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT COCCYGEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27200","description":"CLOSED TREATMENT COCCYGEAL FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT COCCYGEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27200","description":"CLOSED TREATMENT COCCYGEAL FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21320","description":"CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27768","description":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27768","description":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27767","description":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27767","description":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT SESAMOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28530","description":"CLOSED TREATMENT SESAMOID FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT SESAMOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28530","description":"CLOSED TREATMENT SESAMOID FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT STERNUM FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21820","description":"CLOSED TREATMENT STERNUM FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT STERNUM FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21820","description":"CLOSED TREATMENT STERNUM FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25650","description":"CLOSED TREATMENT ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25650","description":"CLOSED TREATMENT ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27840","description":"CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27840","description":"CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27810","description":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27810","description":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27808","description":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27808","description":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CALCANEAL FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28405","description":"CLOSED TX CALCANEAL FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CALCANEAL FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28405","description":"CLOSED TX CALCANEAL FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28400","description":"CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28400","description":"CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25624","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25624","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25624","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25622","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25622","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25622","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CRANIOFACIAL SEPARATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21431","description":"CLOSED TX CRANIOFACIAL SEPARATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CRANIOFACIAL SEPARATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21431","description":"CLOSED TX CRANIOFACIAL SEPARATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25675","description":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25675","description":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25675","description":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27268","description":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27268","description":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27267","description":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27267","description":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27500","description":"CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27500","description":"CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21401","description":"CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21401","description":"CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX KNEE DISLOCATION W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27552","description":"CLOSED TX KNEE DISLOCATION W/ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX KNEE DISLOCATION W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27552","description":"CLOSED TX KNEE DISLOCATION W/ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX KNEE DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27550","description":"CLOSED TX KNEE DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX KNEE DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27550","description":"CLOSED TX KNEE DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX LUNATE DISLOCATION W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25690","description":"CLOSED TX LUNATE DISLOCATION W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX LUNATE DISLOCATION W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25690","description":"CLOSED TX LUNATE DISLOCATION W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21451","description":"CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21451","description":"CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21450","description":"CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21450","description":"CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21453","description":"CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21453","description":"CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28475","description":"CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28475","description":"CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX METATARSAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28470","description":"CLOSED TX METATARSAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24620","description":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24620","description":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24620","description":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21315","description":"CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21315","description":"CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL BONE FX W/MNPJ W/STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21320","description":"CLOSED TX NASAL BONE FX W/MNPJ W/STABILIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL BONE FX W/MNPJ W/STABILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21320","description":"CLOSED TX NASAL BONE FX W/MNPJ W/STABILIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL FRACTURE W/O STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21315","description":"CLOSED TX NASAL FRACTURE W/O STABILIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21337","description":"CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21337","description":"CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASOMAXILLARY COMPLEX FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21345","description":"CLOSED TX NASOMAXILLARY COMPLEX FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASOMAXILLARY COMPLEX FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21345","description":"CLOSED TX NASOMAXILLARY COMPLEX FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21421","description":"CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21421","description":"CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27562","description":"CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27562","description":"CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27560","description":"CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27560","description":"CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27520","description":"CLOSED TX PATELLAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27520","description":"CLOSED TX PATELLAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24655","description":"CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24655","description":"CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24650","description":"CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24650","description":"CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25505","description":"CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25505","description":"CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25500","description":"CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25500","description":"CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25565","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25565","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25565","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25560","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25560","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25560","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23570","description":"CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23570","description":"CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23525","description":"CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23525","description":"CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALOTARSAL JOINT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28570","description":"CLOSED TX TALOTARSAL JOINT DISLC W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALOTARSAL JOINT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28570","description":"CLOSED TX TALOTARSAL JOINT DISLC W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28575","description":"CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28575","description":"CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALUS FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28435","description":"CLOSED TX TALUS FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALUS FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28435","description":"CLOSED TX TALUS FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALUS FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28430","description":"CLOSED TX TALUS FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALUS FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28430","description":"CLOSED TX TALUS FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28605","description":"CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28605","description":"CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28600","description":"CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28600","description":"CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21485","description":"CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21485","description":"CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21480","description":"CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21480","description":"CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24675","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24675","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24675","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24670","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24670","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24670","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25535","description":"CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25535","description":"CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25530","description":"CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25530","description":"CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSTRIDIUM DIFFICILE TESTING PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3520F","description":"CLOSTRIDIUM DIFFICILE TESTING PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSTRIDIUM DIFFICILE TESTING PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3520F","description":"CLOSTRIDIUM DIFFICILE TESTING PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33600","description":"CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33600","description":"CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE CYSTOSTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51880","description":"CLOSURE CYSTOSTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE CYSTOSTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51880","description":"CLOSURE CYSTOSTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE ENTEROSTOMY LG/SMALL INTESTINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44620","description":"CLOSURE ENTEROSTOMY LG/SMALL INTESTINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE ENTEROSTOMY LG/SMALL INTESTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44620","description":"CLOSURE ENTEROSTOMY LG/SMALL INTESTINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE EXSTROPHY BLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51940","description":"CLOSURE EXSTROPHY BLADDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE EXSTROPHY BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51940","description":"CLOSURE EXSTROPHY BLADDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE GASTROCOLIC FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43880","description":"CLOSURE GASTROCOLIC FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE GASTROCOLIC FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43880","description":"CLOSURE GASTROCOLIC FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE GASTROSTOMY SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43870","description":"CLOSURE GASTROSTOMY SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE GASTROSTOMY SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43870","description":"CLOSURE GASTROSTOMY SURGICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE GASTROSTOMY SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43870","description":"CLOSURE GASTROSTOMY SURGICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE INTESTINAL CUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44640","description":"CLOSURE INTESTINAL CUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE INTESTINAL CUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44640","description":"CLOSURE INTESTINAL CUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACERATION VESTIBULE MOUTH GT 2.5 CM/CPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40831","description":"CLOSURE LACERATION VESTIBULE MOUTH GT 2.5 CM/CPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACERATION VESTIBULE MOUTH GT 2.5 CM/CPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40831","description":"CLOSURE LACERATION VESTIBULE MOUTH GT 2.5 CM/CPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40830","description":"CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40830","description":"CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACRIMAL FISTULA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68770","description":"CLOSURE LACRIMAL FISTULA SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACRIMAL FISTULA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68770","description":"CLOSURE LACRIMAL FISTULA SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50520","description":"CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50520","description":"CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE POSTAURICULAR FISTULA MASTOID SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69700","description":"CLOSURE POSTAURICULAR FISTULA MASTOID SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE POSTAURICULAR FISTULA MASTOID SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69700","description":"CLOSURE POSTAURICULAR FISTULA MASTOID SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOURETHRAL FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45820","description":"CLOSURE RECTOURETHRAL FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOURETHRAL FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45820","description":"CLOSURE RECTOURETHRAL FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45825","description":"CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45825","description":"CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOVESICAL FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45800","description":"CLOSURE RECTOVESICAL FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOVESICAL FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45800","description":"CLOSURE RECTOVESICAL FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE SALIVARY FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42600","description":"CLOSURE SALIVARY FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE SALIVARY FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42600","description":"CLOSURE SALIVARY FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33602","description":"CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33602","description":"CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETEROCUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50920","description":"CLOSURE URETEROCUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETEROCUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50920","description":"CLOSURE URETEROCUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50930","description":"CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50930","description":"CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETHROVAGINAL FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57310","description":"CLOSURE URETHROVAGINAL FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETHROVAGINAL FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57310","description":"CLOSURE URETHROVAGINAL FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE VESICOUTERINE FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51920","description":"CLOSURE VESICOUTERINE FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE VESICOUTERINE FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51920","description":"CLOSURE VESICOUTERINE FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57320","description":"CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57320","description":"CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOT LYSIS TIME WHOLE BLOOD DILUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85175","description":"CLOT LYSIS TIME WHOLE BLOOD DILUTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR II PROTHROMBIN SPECIFIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85210","description":"CLOTTING FACTOR II PROTHROMBIN SPECIFIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR IX PTC/CHRISTMAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85250","description":"CLOTTING FACTOR IX PTC/CHRISTMAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85220","description":"CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VII PROCONVERTIN STABLE FACTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85230","description":"CLOTTING FACTOR VII PROCONVERTIN STABLE FACTOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII AHG 1 STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85240","description":"CLOTTING FACTOR VIII AHG 1 STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII MULTIMETRIC ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85247","description":"CLOTTING FACTOR VIII MULTIMETRIC ANALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII RELATED ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85244","description":"CLOTTING FACTOR VIII RELATED ANTIGEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII VW FACTOR ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85246","description":"CLOTTING FACTOR VIII VW FACTOR ANTIGEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII VW FACTOR RISTOCETIN COFACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85245","description":"CLOTTING FACTOR VIII VW FACTOR RISTOCETIN COFACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR X STUART-PROWER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85260","description":"CLOTTING FACTOR X STUART-PROWER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR XI PTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85270","description":"CLOTTING FACTOR XI PTA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR XII HAGEMAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85280","description":"CLOTTING FACTOR XII HAGEMAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR XIII FIBRIN STABILIZING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85290","description":"CLOTTING FACTOR XIII FIBRIN STABILIZING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR XIII FIBRN STABILIZ SCREEN SOLUB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85291","description":"CLOTTING FACTOR XIII FIBRN STABILIZ SCREEN SOLUB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING HI MOLEC WEIGHT KININOGEN ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85293","description":"CLOTTING HI MOLEC WEIGHT KININOGEN ASSAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85300","description":"CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS PROTEIN C ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85303","description":"CLOTTING INHIBITORS PROTEIN C ACTIVITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS PROTEIN C ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85302","description":"CLOTTING INHIBITORS PROTEIN C ANTIGEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS PROTEIN S FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85306","description":"CLOTTING INHIBITORS PROTEIN S FREE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS PROTEIN S TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85305","description":"CLOTTING INHIBITORS PROTEIN S TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85301","description":"CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING PREKALLIKREIN ASSAY FLETCHER FACT ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85292","description":"CLOTTING PREKALLIKREIN ASSAY FLETCHER FACT ASSAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23545","description":"CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23545","description":"CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23540","description":"CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23540","description":"CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX CLAVICULAR FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23505","description":"CLSD TX CLAVICULAR FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX CLAVICULAR FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23505","description":"CLSD TX CLAVICULAR FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23500","description":"CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23500","description":"CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21400","description":"CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21400","description":"CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24500","description":"CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23655","description":"CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23655","description":"CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23650","description":"CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23650","description":"CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23520","description":"CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23520","description":"CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33681","description":"CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33681","description":"CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR 1 VSD W/WO PATCH W/RMVL P-ART BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33688","description":"CLSR 1 VSD W/WO PATCH W/RMVL P-ART BAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR 1 VSD W/WO PATCH W/RMVL P-ART BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33688","description":"CLSR 1 VSD W/WO PATCH W/RMVL P-ART BAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ANAL FSTL W/RCT ADVMNT FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46288","description":"CLSR ANAL FSTL W/RCT ADVMNT FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ANAL FSTL W/RCT ADVMNT FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46288","description":"CLSR ANAL FSTL W/RCT ADVMNT FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32810","description":"CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32810","description":"CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROENTERIC/ENTEROCOLIC FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44650","description":"CLSR ENTEROENTERIC/ENTEROCOLIC FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROENTERIC/ENTEROCOLIC FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44650","description":"CLSR ENTEROENTERIC/ENTEROCOLIC FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROVES FSTL W/INTESTINE and /BLADDER RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44661","description":"CLSR ENTEROVES FSTL W/INTESTINE and /BLADDER RESCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROVES FSTL W/INTESTINE and /BLADDER RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44661","description":"CLSR ENTEROVES FSTL W/INTESTINE and /BLADDER RESCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44660","description":"CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44660","description":"CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ESOPHAGOSTOMY/FSTL CRV APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43420","description":"CLSR ESOPHAGOSTOMY/FSTL CRV APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ESOPHAGOSTOMY/FSTL CRV APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43420","description":"CLSR ESOPHAGOSTOMY/FSTL CRV APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43425","description":"CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43425","description":"CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR LACRIMAL PUNCTUM PLUG EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68761","description":"CLSR LACRIMAL PUNCTUM PLUG EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR LACRIMAL PUNCTUM PLUG EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68761","description":"CLSR LACRIMAL PUNCTUM PLUG EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68760","description":"CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68760","description":"CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50525","description":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50525","description":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50526","description":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50526","description":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NTRSTM LG/SM RESCJ and ANAST OTH/THN CLRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44625","description":"CLSR NTRSTM LG/SM RESCJ and ANAST OTH/THN CLRCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NTRSTM LG/SM RESCJ and ANAST OTH/THN CLRCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44625","description":"CLSR NTRSTM LG/SM RESCJ and ANAST OTH/THN CLRCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NTRSTM LG/SM RESCJ and COLORECTAL ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44626","description":"CLSR NTRSTM LG/SM RESCJ and COLORECTAL ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NTRSTM LG/SM RESCJ and COLORECTAL ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44626","description":"CLSR NTRSTM LG/SM RESCJ and COLORECTAL ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57307","description":"CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57307","description":"CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57308","description":"CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57308","description":"CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57305","description":"CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57305","description":"CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57300","description":"CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57300","description":"CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVESICAL FISTULA W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45805","description":"CLSR RECTOVESICAL FISTULA W/COLOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVESICAL FISTULA W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45805","description":"CLSR RECTOVESICAL FISTULA W/COLOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53520","description":"CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53520","description":"CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57311","description":"CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57311","description":"CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR V-SEPTAL DFCT W/RMVL P-ART BAND W/WO GUSSET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33688","description":"CLSR V-SEPTAL DFCT W/RMVL P-ART BAND W/WO GUSSET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR V-SEPTL DFCT W/PULM VLVT/INFUND RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33684","description":"CLSR V-SEPTL DFCT W/PULM VLVT/INFUND RESCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51925","description":"CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51925","description":"CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOVAG FSTL TRANSVESICAL AND VAG APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57330","description":"CLSR VESICOVAG FSTL TRANSVESICAL AND VAG APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOVAG FSTL TRANSVESICAL AND VAG APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57330","description":"CLSR VESICOVAG FSTL TRANSVESICAL AND VAG APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOVAGINAL FISTUL AABDL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51900","description":"CLSR VESICOVAGINAL FISTUL AABDL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOVAGINAL FISTUL AABDL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51900","description":"CLSR VESICOVAGINAL FISTUL AABDL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VSD W/WO PATCH W/PULM VLVT/INFUND RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33684","description":"CLSR VSD W/WO PATCH W/PULM VLVT/INFUND RESCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VSD W/WO PATCH W/PULM VLVT/INFUND RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33684","description":"CLSR VSD W/WO PATCH W/PULM VLVT/INFUND RESCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT 1ST 25CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15155","description":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT 1ST 25CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT ADDL 1-75CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15156","description":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT ADDL 1-75CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT EA 100 EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15157","description":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT EA 100 EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT T/A/L ADDL 1 CM-75 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15151","description":"CLTR SKIN AGRFT T/A/L ADDL 1 CM-75 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT T/A/L EA 100 CM/EA 1 PCT BODY AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15152","description":"CLTR SKIN AGRFT T/A/L EA 100 CM/EA 1 PCT BODY AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AUTOGRAFT T/A/L 1ST 25 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15150","description":"CLTR SKIN AUTOGRAFT T/A/L 1ST 25 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27222","description":"CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27222","description":"CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ACETABULUM HIP/SOCKT FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27220","description":"CLTX ACETABULUM HIP/SOCKT FX W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ACETABULUM HIP/SOCKT FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27220","description":"CLTX ACETABULUM HIP/SOCKT FX W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27842","description":"CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27842","description":"CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26742","description":"CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26742","description":"CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26740","description":"CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26740","description":"CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/MANJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25635","description":"CLTX CARPAL BONE FX W/MANJ EACH BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/MNPJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25635","description":"CLTX CARPAL BONE FX W/MNPJ EACH BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/MNPJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25635","description":"CLTX CARPAL BONE FX W/MNPJ EACH BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/O MANJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25630","description":"CLTX CARPAL BONE FX W/O MANJ EACH BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/O MNPJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25630","description":"CLTX CARPAL BONE FX W/O MNPJ EACH BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/O MNPJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25630","description":"CLTX CARPAL BONE FX W/O MNPJ EACH BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26641","description":"CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26641","description":"CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26645","description":"CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26645","description":"CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26670","description":"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26670","description":"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26675","description":"CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26675","description":"CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27516","description":"CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27516","description":"CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27517","description":"CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27517","description":"CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FIBULAR FX LAT MALLS W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27788","description":"CLTX DSTL FIBULAR FX LAT MALLS W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FIBULAR FX LAT MALLS W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27788","description":"CLTX DSTL FIBULAR FX LAT MALLS W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27786","description":"CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27786","description":"CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26755","description":"CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26755","description":"CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26750","description":"CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26750","description":"CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25600","description":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25600","description":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25600","description":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25605","description":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25605","description":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25605","description":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26432","description":"CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26432","description":"CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27510","description":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27510","description":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27508","description":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27508","description":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27232","description":"CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27232","description":"CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX PROX END NCK W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27230","description":"CLTX FEM FX PROX END NCK W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX PROX END NCK W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27230","description":"CLTX FEM FX PROX END NCK W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27502","description":"CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27502","description":"CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX GRT TOE PHLX/PHLG W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28495","description":"CLTX FX GRT TOE PHLX/PHLG W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX GRT TOE PHLX/PHLG W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28495","description":"CLTX FX GRT TOE PHLX/PHLG W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX GRT TOE PHLX/PHLG W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28490","description":"CLTX FX GRT TOE PHLX/PHLG W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX GRT TOE PHLX/PHLG W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28490","description":"CLTX FX GRT TOE PHLX/PHLG W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28515","description":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28515","description":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28510","description":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28510","description":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27825","description":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27825","description":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27824","description":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27824","description":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23620","description":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23620","description":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23620","description":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23625","description":"CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23625","description":"CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER TROCHANTERIC FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27246","description":"CLTX GREATER TROCHANTERIC FX W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER TROCHANTERIC FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27246","description":"CLTX GREATER TROCHANTERIC FX W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GRTER HUMERAL TUBEROSITY FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23625","description":"CLTX GRTER HUMERAL TUBEROSITY FX W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27252","description":"CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27252","description":"CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27250","description":"CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27250","description":"CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24576","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24577","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24577","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24577","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24576","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/O MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24576","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/O MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24565","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24565","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24565","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24560","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24560","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24560","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24500","description":"CLTX HUMERAL SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24500","description":"CLTX HUMERAL SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24505","description":"CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL SHFT FX W/MNPJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24505","description":"CLTX HUMERAL SHFT FX W/MNPJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL SHFT FX W/MNPJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24505","description":"CLTX HUMERAL SHFT FX W/MNPJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27238","description":"CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27238","description":"CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERCONDYLAR SPI and /TUBRST FX KNE W/WO MAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27538","description":"CLTX INTERCONDYLAR SPI and /TUBRST FX KNE W/WO MAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERCONDYLAR SPI and /TUBRST FX KNE W/WO MAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27538","description":"CLTX INTERCONDYLAR SPI and /TUBRST FX KNE W/WO MAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28665","description":"CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28665","description":"CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28660","description":"CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28660","description":"CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27240","description":"CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27240","description":"CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX IPHAL JT DISLC W/MANJ REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26775","description":"CLTX IPHAL JT DISLC W/MANJ REQ ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX IPHAL JT DISLC W/MANJ REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26775","description":"CLTX IPHAL JT DISLC W/MANJ REQ ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX IPHAL JT DISLC W/MANJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26770","description":"CLTX IPHAL JT DISLC W/MANJ W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX IPHAL JT DISLC W/MANJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26770","description":"CLTX IPHAL JT DISLC W/MANJ W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21440","description":"CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21440","description":"CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27760","description":"CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27760","description":"CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27762","description":"CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27762","description":"CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/MANIPULATION EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26605","description":"CLTX METACARPAL FX W/MANIPULATION EACH BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/MANIPULATION EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26605","description":"CLTX METACARPAL FX W/MANIPULATION EACH BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26607","description":"CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26607","description":"CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/O MANIPULATION EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26600","description":"CLTX METACARPAL FX W/O MANIPULATION EACH BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/O MANIPULATION EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26600","description":"CLTX METACARPAL FX W/O MANIPULATION EACH BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26705","description":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26705","description":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26700","description":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26700","description":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METAR FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28475","description":"CLTX METAR FX W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSAL FRACTURE W/O MANIPULATION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28470","description":"CLTX METATARSAL FRACTURE W/O MANIPULATION EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSAL FRACTURE W/O MANIPULATION EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28470","description":"CLTX METATARSAL FRACTURE W/O MANIPULATION EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSOPHLNGL JT DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28635","description":"CLTX METATARSOPHLNGL JT DISLC REQ ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSOPHLNGL JT DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28635","description":"CLTX METATARSOPHLNGL JT DISLC REQ ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSOPHLNGL JT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28630","description":"CLTX METATARSOPHLNGL JT DISLC W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSOPHLNGL JT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28630","description":"CLTX METATARSOPHLNGL JT DISLC W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26725","description":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26725","description":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26720","description":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26720","description":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX POST HIP ARTHRP DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27266","description":"CLTX POST HIP ARTHRP DISLC REQ ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX POST HIP ARTHRP DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27266","description":"CLTX POST HIP ARTHRP DISLC REQ ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX POST HIP ARTHRP DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27265","description":"CLTX POST HIP ARTHRP DISLC W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX POST HIP ARTHRP DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27265","description":"CLTX POST HIP ARTHRP DISLC W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX FIBULA/SHFT FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27781","description":"CLTX PROX FIBULA/SHFT FX W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX FIBULA/SHFT FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27781","description":"CLTX PROX FIBULA/SHFT FX W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX FIBULA/SHFT FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27780","description":"CLTX PROX FIBULA/SHFT FX W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX FIBULA/SHFT FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27780","description":"CLTX PROX FIBULA/SHFT FX W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23605","description":"CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23605","description":"CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23605","description":"CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX TIBFIB JT DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27831","description":"CLTX PROX TIBFIB JT DISLC REQ ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX TIBFIB JT DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27831","description":"CLTX PROX TIBFIB JT DISLC REQ ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX TIBFIB JT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27830","description":"CLTX PROX TIBFIB JT DISLC W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX TIBFIB JT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27830","description":"CLTX PROX TIBFIB JT DISLC W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23600","description":"CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23600","description":"CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT BONES W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25660","description":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT BONES W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT BONES W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25660","description":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT BONES W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT BONES W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25660","description":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT BONES W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24640","description":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24640","description":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24640","description":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL SHFT FX and CLTX DISLC DSTL RAD/ULN JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25520","description":"CLTX RDL SHFT FX and CLTX DISLC DSTL RAD/ULN JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL SHFT FX and CLTX DISLC DSTL RAD/ULN JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25520","description":"CLTX RDL SHFT FX and CLTX DISLC DSTL RAD/ULN JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23575","description":"CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23575","description":"CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23575","description":"CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23665","description":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23665","description":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23665","description":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23675","description":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23675","description":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23675","description":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24535","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24535","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24535","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24530","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/O MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24530","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/O MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24530","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27503","description":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27503","description":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27501","description":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27501","description":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28545","description":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28545","description":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28540","description":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28540","description":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL FX PROXIMAL W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27530","description":"CLTX TIBIAL FX PROXIMAL W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL FX PROXIMAL W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27530","description":"CLTX TIBIAL FX PROXIMAL W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27532","description":"CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27532","description":"CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27752","description":"CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27752","description":"CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL SHAFT FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27750","description":"CLTX TIBIAL SHAFT FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL SHAFT FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27750","description":"CLTX TIBIAL SHAFT FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25680","description":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25680","description":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25680","description":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27818","description":"CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27818","description":"CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27816","description":"CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27816","description":"CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX VRT BDY FX W/O MANJ REQ and W/CSTING/BRACING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22310","description":"CLTX VRT BDY FX W/O MANJ REQ and W/CSTING/BRACING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX VRT BDY FX W/O MANJ REQ and W/CSTING/BRACING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22310","description":"CLTX VRT BDY FX W/O MANJ REQ and W/CSTING/BRACING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX VRT FX and /DISLC CSTING/BRACING MANJ/TRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22315","description":"CLTX VRT FX and /DISLC CSTING/BRACING MANJ/TRCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX VRT FX and /DISLC CSTING/BRACING MANJ/TRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22315","description":"CLTX VRT FX and /DISLC CSTING/BRACING MANJ/TRCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CLUBFOOT WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3380","description":"CLUBFOOT WEDGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CMBN NDSC CATHJ BILIARY AND PNCRTC DUCTAL SYS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74330","description":"CMBN NDSC CATHJ BILIARY AND PNCRTC DUCTAL SYS RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CMBN NDSC CATHJ BILIARY AND PNCRTC DUCTAL SYS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74330","description":"CMBN NDSC CATHJ BILIARY AND PNCRTC DUCTAL SYS RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CMBND ANTERPOST COLPORRAPHY W/CYSTO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57260","description":"CMBND ANTERPOST COLPORRAPHY W/CYSTO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CMBND ANTERPOST COLPORRAPHY W/CYSTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57260","description":"CMBND ANTERPOST COLPORRAPHY W/CYSTO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57265","description":"CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57265","description":"CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CMPTR OPHTHALMIC DX IMG ANT SEGMT W/I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92132","description":"CMPTR OPHTHALMIC DX IMG ANT SEGMT W/I and R UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LAYER GT 16 SQ BUT LT EQUAL 48 SQ EA DRESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6207","description":"CNTC LAYER GT 16 SQ BUT LT EQUAL 48 SQ EA DRESSING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LAYER GT 16 SQ BUT LT EQUAL 48 SQ EA DRESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6207","description":"CNTC LAYER GT 16 SQ BUT LT EQUAL 48 SQ EA DRESSING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49424","description":"CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49424","description":"CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CNTRST NJX RAD EVAL CTR VAD FLUOR IMG AND REPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36598","description":"CNTRST NJX RAD EVAL CTR VAD FLUOR IMG AND REPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CNTRST NJX RAD EVAL CTR VAD FLUOR IMG AND REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36598","description":"CNTRST NJX RAD EVAL CTR VAD FLUOR IMG AND REPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CO DIFFUSING CAPACITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94729","description":"CO DIFFUSING CAPACITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CO-MORBID CONDITIONS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1026F","description":"CO-MORBID CONDITIONS ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CO-MORBID CONDITIONS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1026F","description":"CO-MORBID CONDITIONS ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COAGJ AND FIBRINOLYSIS FUNCTIONAL ACTV NOS EA ANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85397","description":"COAGJ AND FIBRINOLYSIS FUNCTIONAL ACTV NOS EA ANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COAGJ/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85396","description":"COAGJ/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COAGULATION TIME ACTIVATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85347","description":"COAGULATION TIME ACTIVATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COAGULATION TIME LEE AND WHITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85345","description":"COAGULATION TIME LEE AND WHITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COAGULATION TIME OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85348","description":"COAGULATION TIME OTHER METHODS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COCCYGECTOMY PRIMARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27080","description":"COCCYGECTOMY PRIMARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COCCYGECTOMY PRIMARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27080","description":"COCCYGECTOMY PRIMARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69930","description":"COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69930","description":"COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR DEVICE INCLUDES ALL INT AND EXT COMPONENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8614","description":"COCHLEAR DEVICE INCLUDES ALL INT AND EXT COMPONENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR IMPL EXT SPEECH PROCESSR COMPONENT REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8627","description":"COCHLEAR IMPL EXT SPEECH PROCESSR COMPONENT REPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR IMPL EXT SPEECH PROCESSR/CONTROLLR REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8619","description":"COCHLEAR IMPL EXT SPEECH PROCESSR/CONTROLLR REPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR IMPLANT EXT CONTROLLER COMPONENT REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8628","description":"COCHLEAR IMPLANT EXT CONTROLLER COMPONENT REPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COGNITION ASSESSED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1494F","description":"COGNITION ASSESSED AND REVIEWED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGNITION ASSESSED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1494F","description":"COGNITION ASSESSED AND REVIEWED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGNITIVE IMPAIRMENT/DYSFUNCTION ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3720F","description":"COGNITIVE IMPAIRMENT/DYSFUNCTION ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGNITIVE IMPAIRMENT/DYSFUNCTION ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3720F","description":"COGNITIVE IMPAIRMENT/DYSFUNCTION ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82542","description":"COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44151","description":"COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44151","description":"COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44150","description":"COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44150","description":"COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLD AGGLUTININ SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86156","description":"COLD AGGLUTININ SCREEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLD AGGLUTININ TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86157","description":"COLD AGGLUTININ TITER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PARTIAL W/ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44140","description":"COLECTOMY PARTIAL W/ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PARTIAL W/ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44140","description":"COLECTOMY PARTIAL W/ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL ABDOMINAL AND TRANSANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44147","description":"COLECTOMY PRTL ABDOMINAL AND TRANSANAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL ABDOMINAL AND TRANSANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44147","description":"COLECTOMY PRTL ABDOMINAL AND TRANSANAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOPROCTOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44145","description":"COLECTOMY PRTL W/COLOPROCTOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOPROCTOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44145","description":"COLECTOMY PRTL W/COLOPROCTOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOPROCTOSTOMY and COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44146","description":"COLECTOMY PRTL W/COLOPROCTOSTOMY and COLOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOPROCTOSTOMY and COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44146","description":"COLECTOMY PRTL W/COLOPROCTOSTOMY and COLOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOST/ILEOST and MUCOFISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44144","description":"COLECTOMY PRTL W/COLOST/ILEOST and MUCOFISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOST/ILEOST and MUCOFISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44144","description":"COLECTOMY PRTL W/COLOST/ILEOST and MUCOFISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/END COLOSTOMY and CLSR DSTL SGMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44143","description":"COLECTOMY PRTL W/END COLOSTOMY and CLSR DSTL SGMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/END COLOSTOMY and CLSR DSTL SGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44143","description":"COLECTOMY PRTL W/END COLOSTOMY and CLSR DSTL SGMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/RMVL TERMINAL ILEUM and ILEOCOLOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44160","description":"COLECTOMY PRTL W/RMVL TERMINAL ILEUM and ILEOCOLOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/RMVL TERMINAL ILEUM and ILEOCOLOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44160","description":"COLECTOMY PRTL W/RMVL TERMINAL ILEUM and ILEOCOLOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44141","description":"COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44141","description":"COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44156","description":"COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44156","description":"COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44155","description":"COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44155","description":"COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLL DRSG STERL PAD SIZE GT 16 SQ IN BUT/ Equal to 48 SQ E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6022","description":"COLL DRSG STERL PAD SIZE GT 16 SQ IN BUT/ Equal to 48 SQ E","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLL DRSG STERL PAD SIZE GT 16 SQ IN BUT/ Equal to 48 SQ E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6022","description":"COLL DRSG STERL PAD SIZE GT 16 SQ IN BUT/ Equal to 48 SQ E","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN BASED WOUND FILLER DRY FORM STERL PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6010","description":"COLLAGEN BASED WOUND FILLER DRY FORM STERL PER G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN BASED WOUND FILLER DRY FORM STERL PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6010","description":"COLLAGEN BASED WOUND FILLER DRY FORM STERL PER G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN CROSS LINKS ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82523","description":"COLLAGEN CROSS LINKS ANY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING STERILE SIZE GT 48 SQ IN EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6023","description":"COLLAGEN DRESSING STERILE SIZE GT 48 SQ IN EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING STERILE SIZE GT 48 SQ IN EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6023","description":"COLLAGEN DRESSING STERILE SIZE GT 48 SQ IN EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING STERILE SIZE 16 SQ IN/LESS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6021","description":"COLLAGEN DRESSING STERILE SIZE 16 SQ IN/LESS EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING STERILE SIZE 16 SQ IN/LESS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6021","description":"COLLAGEN DRESSING STERILE SIZE 16 SQ IN/LESS EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING WOUND FILLER STERILE PER 6 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6024","description":"COLLAGEN DRESSING WOUND FILLER STERILE PER 6 IN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING WOUND FILLER STERILE PER 6 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6024","description":"COLLAGEN DRESSING WOUND FILLER STERILE PER 6 IN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLLECT BLOOD FROM CATHETER VENOUS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36592","description":"COLLECT BLOOD FROM CATHETER VENOUS NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLLECT BLOOD FROM CATHETER VENOUS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36592","description":"COLLECT BLOOD FROM CATHETER VENOUS NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36591","description":"COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36591","description":"COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION VENOUS BLOOD VENIPUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36415","description":"COLLECTION VENOUS BLOOD VENIPUNCTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION VENOUS BLOOD VENIPUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36415","description":"COLLECTION VENOUS BLOOD VENIPUNCTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLLEGEN BASED WOUND FILLR GEL/PASTE STERL PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6011","description":"COLLEGEN BASED WOUND FILLR GEL/PASTE STERL PER G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLLEGEN BASED WOUND FILLR GEL/PASTE STERL PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6011","description":"COLLEGEN BASED WOUND FILLR GEL/PASTE STERL PER G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91117","description":"COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91117","description":"COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45398","description":"COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45398","description":"COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45378","description":"COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45378","description":"COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45390","description":"COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45390","description":"COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45379","description":"COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45379","description":"COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44391","description":"COLONOSCOPY STOMA CONTROL BLEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44391","description":"COLONOSCOPY STOMA CONTROL BLEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44388","description":"COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44388","description":"COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44392","description":"COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44392","description":"COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44389","description":"COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44389","description":"COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44390","description":"COLONOSCOPY STOMA W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44390","description":"COLONOSCOPY STOMA W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44394","description":"COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44394","description":"COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45380","description":"COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45380","description":"COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92283","description":"COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92283","description":"COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOREC CA SCR; FOB TST IMMUNO 1-3 SIMULTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0328","description":"COLOREC CA SCR; FOB TST IMMUNO 1-3 SIMULTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOREC CA SCR; FOB TST IMMUNO 1-3 SIMULTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0328","description":"COLOREC CA SCR; FOB TST IMMUNO 1-3 SIMULTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOREC CANCR SCR; COLNSCPY NOT MEET HI RISK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0121","description":"COLOREC CANCR SCR; COLNSCPY NOT MEET HI RISK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOREC CANCR SCR; COLNSCPY NOT MEET HI RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0121","description":"COLOREC CANCR SCR; COLNSCPY NOT MEET HI RISK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOREC CANCR SCR; COLONSCPY INDIVIDUL@HIGH RISK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0105","description":"COLOREC CANCR SCR; COLONSCPY INDIVIDUL@HIGH RISK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOREC CANCR SCR; COLONSCPY INDIVIDUL@HIGH RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0105","description":"COLOREC CANCR SCR; COLONSCPY INDIVIDUL@HIGH RISK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCREENING RESULTS DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3017F","description":"COLORECTAL CANCER SCREENING RESULTS DOC AND REV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCREENING RESULTS DOC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3017F","description":"COLORECTAL CANCER SCREENING RESULTS DOC AND REV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCREENING; FLEXSIG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0104","description":"COLORECTAL CANCER SCREENING; FLEXSIG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCREENING; FLEXSIG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0104","description":"COLORECTAL CANCER SCREENING; FLEXSIG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOSTOMY/SKIN LEVEL CECOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44320","description":"COLOSTOMY/SKIN LEVEL CECOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOSTOMY/SKIN LEVEL CECOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44320","description":"COLOSTOMY/SKIN LEVEL CECOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44322","description":"COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44322","description":"COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44025","description":"COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44025","description":"COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOCENTESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57020","description":"COLPOCENTESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOCENTESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57020","description":"COLPOCENTESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOCLEISIS LE FORT TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57120","description":"COLPOCLEISIS LE FORT TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOCLEISIS LE FORT TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57120","description":"COLPOCLEISIS LE FORT TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPERINEORRHAPHY SUTURE INJ VAGINA and /PERINEU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57210","description":"COLPOPERINEORRHAPHY SUTURE INJ VAGINA and /PERINEU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPERINEORRHAPHY SUTURE INJ VAGINA and /PERINEU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57210","description":"COLPOPERINEORRHAPHY SUTURE INJ VAGINA and /PERINEU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57280","description":"COLPOPEXY ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57280","description":"COLPOPEXY ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57282","description":"COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57282","description":"COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57283","description":"COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57283","description":"COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPORRHAPHY SUTURE INJURY VAGINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57200","description":"COLPORRHAPHY SUTURE INJURY VAGINA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPORRHAPHY SUTURE INJURY VAGINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57200","description":"COLPORRHAPHY SUTURE INJURY VAGINA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX BX CERVIX AND ENDOCRV CURRETAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57454","description":"COLPOSCOPY CERVIX BX CERVIX AND ENDOCRV CURRETAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX BX CERVIX AND ENDOCRV CURRETAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57454","description":"COLPOSCOPY CERVIX BX CERVIX AND ENDOCRV CURRETAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57456","description":"COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57456","description":"COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57452","description":"COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57452","description":"COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57455","description":"COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57455","description":"COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57461","description":"COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57461","description":"COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57460","description":"COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57460","description":"COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57420","description":"COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57420","description":"COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57421","description":"COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57421","description":"COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY VULVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56820","description":"COLPOSCOPY VULVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY VULVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56820","description":"COLPOSCOPY VULVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY VULVA W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56821","description":"COLPOSCOPY VULVA W/BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY VULVA W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56821","description":"COLPOSCOPY VULVA W/BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOTOMY W/DRAINAGE PELVIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57010","description":"COLPOTOMY W/DRAINAGE PELVIC ABSCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOTOMY W/DRAINAGE PELVIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57010","description":"COLPOTOMY W/DRAINAGE PELVIC ABSCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57000","description":"COLPOTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57000","description":"COLPOTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45382","description":"COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45382","description":"COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45386","description":"COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45386","description":"COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/NDSC US XM RCTM ET AL LMTD and ADJ STRUX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45391","description":"COLSC FLX W/NDSC US XM RCTM ET AL LMTD and ADJ STRUX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/NDSC US XM RCTM ET AL LMTD and ADJ STRUX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45391","description":"COLSC FLX W/NDSC US XM RCTM ET AL LMTD and ADJ STRUX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45384","description":"COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45384","description":"COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45385","description":"COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45385","description":"COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45392","description":"COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45392","description":"COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45381","description":"COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45381","description":"COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMB BIL LUMBO-SAC HIP FEM ORTHOS PRFB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1690","description":"COMB BIL LUMBO-SAC HIP FEM ORTHOS PRFB W/FIT and ADJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMB ORAL/NASAL MASK USED W/CPAP DEVICE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7027","description":"COMB ORAL/NASAL MASK USED W/CPAP DEVICE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMB ORAL/NASAL MASK USED W/CPAP DEVICE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7027","description":"COMB ORAL/NASAL MASK USED W/CPAP DEVICE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMB PEGINTERF/RIBAVIRIN TX PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4153F","description":"COMB PEGINTERF/RIBAVIRIN TX PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB PEGINTERF/RIBAVIRIN TX PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4153F","description":"COMB PEGINTERF/RIBAVIRIN TX PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMBINED RAPID ANT PITUITARY EVALUATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80418","description":"COMBINED RAPID ANT PITUITARY EVALUATION PANEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR INTGR SEAT LIFT MECH ELEC ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0170","description":"COMMODE CHAIR INTGR SEAT LIFT MECH ELEC ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR INTGR SEAT LIFT MECH ELEC ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0170","description":"COMMODE CHAIR INTGR SEAT LIFT MECH ELEC ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR INTGR SEAT LIFT MECH NONELEC ANY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0171","description":"COMMODE CHAIR INTGR SEAT LIFT MECH NONELEC ANY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR INTGR SEAT LIFT MECH NONELEC ANY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0171","description":"COMMODE CHAIR INTGR SEAT LIFT MECH NONELEC ANY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR MOBILE OR STATIONARY W/FIXED ARMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0163","description":"COMMODE CHAIR MOBILE OR STATIONARY W/FIXED ARMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR MOBILE/STATIONARY W/DETACHBLE ARMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0165","description":"COMMODE CHAIR MOBILE/STATIONARY W/DETACHBLE ARMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR MOBILE/STATIONARY W/DETACHBLE ARMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0165","description":"COMMODE CHAIR MOBILE/STATIONARY W/DETACHBLE ARMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR XTRA WIDE and /HEVY DUTY STATION/MOBIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0168","description":"COMMODE CHAIR XTRA WIDE and /HEVY DUTY STATION/MOBIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE SEAT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0968","description":"COMMODE SEAT WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE SEAT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0968","description":"COMMODE SEAT WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY-ACQUIRED BACTERIAL PNEUMONIA ASSMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0012F","description":"COMMUNITY-ACQUIRED BACTERIAL PNEUMONIA ASSMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY-ACQUIRED BACTERIAL PNEUMONIA ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0012F","description":"COMMUNITY-ACQUIRED BACTERIAL PNEUMONIA ASSMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97537","description":"COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97537","description":"COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMP PREOP ASSESS CATARACT SURG W/IOL PLACEMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0014F","description":"COMP PREOP ASSESS CATARACT SURG W/IOL PLACEMNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP PREOP ASSESS CATARACT SURG W/IOL PLACEMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0014F","description":"COMP PREOP ASSESS CATARACT SURG W/IOL PLACEMNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPATIBILITY EACH UNIT ANTIGLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86922","description":"COMPATIBILITY EACH UNIT ANTIGLOBULIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPATIBILITY EACH UNIT ELECTRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86923","description":"COMPATIBILITY EACH UNIT ELECTRONIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86920","description":"COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPATIBILITY EACH UNIT INCUBATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86921","description":"COMPATIBILITY EACH UNIT INCUBATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPL OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92018","description":"COMPL OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPL OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92018","description":"COMPL OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR T-FALLOT W/O PULM ATRESIA TANULR PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33694","description":"COMPL RPR T-FALLOT W/O PULM ATRESIA TANULR PATCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR T-FALLOT W/PULM ATRESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33697","description":"COMPL RPR T-FALLOT W/PULM ATRESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33692","description":"COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33692","description":"COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR TOF W/O PULM ATRESIA W/TANULR PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33694","description":"COMPL RPR TOF W/O PULM ATRESIA W/TANULR PATCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR TOF W/O PULM ATRESIA W/TANULR PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33694","description":"COMPL RPR TOF W/O PULM ATRESIA W/TANULR PATCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEMENT ANTIGEN EACH COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86160","description":"COMPLEMENT ANTIGEN EACH COMPONENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEMENT FIXATION TESTS EACH ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86171","description":"COMPLEMENT FIXATION TESTS EACH ANTIGEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEMENT FUNCTIONAL ACTIVITY EACH COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86161","description":"COMPLEMENT FUNCTIONAL ACTIVITY EACH COMPONENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEMENT TOTAL HEMOLYTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86162","description":"COMPLEMENT TOTAL HEMOLYTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE CBC AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0307","description":"COMPLETE CBC AUTOMATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE CBC AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0307","description":"COMPLETE CBC AUTOMATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE CBC AUTOMATED AND AUTOMATED WBC DIFF COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0306","description":"COMPLETE CBC AUTOMATED AND AUTOMATED WBC DIFF COUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE CBC AUTOMATED AND AUTOMATED WBC DIFF COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0306","description":"COMPLETE CBC AUTOMATED AND AUTOMATED WBC DIFF COUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE PHYSICAL SKIN EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2029F","description":"COMPLETE PHYSICAL SKIN EXAM PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE PHYSICAL SKIN EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2029F","description":"COMPLETE PHYSICAL SKIN EXAM PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE REPAIR TOF W/PULMONARY ATRESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33697","description":"COMPLETE REPAIR TOF W/PULMONARY ATRESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE REPAIR TOF W/PULMONARY ATRESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33697","description":"COMPLETE REPAIR TOF W/PULMONARY ATRESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE REPLACEMENT PICC RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36584","description":"COMPLETE REPLACEMENT PICC RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE REPLACEMENT PICC RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36584","description":"COMPLETE REPLACEMENT PICC RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33730","description":"COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33730","description":"COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93303","description":"COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93303","description":"COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51727","description":"COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51727","description":"COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51728","description":"COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51728","description":"COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX UROFLOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51741","description":"COMPLEX UROFLOMETRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX UROFLOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51741","description":"COMPLEX UROFLOMETRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLX CYSTOMETRO W/VOID PRESS and URETHRAL PROFIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51729","description":"COMPLX CYSTOMETRO W/VOID PRESS and URETHRAL PROFIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLX CYSTOMETRO W/VOID PRESS and URETHRAL PROFIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51729","description":"COMPLX CYSTOMETRO W/VOID PRESS and URETHRAL PROFIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61697","description":"COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61697","description":"COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS GT 16SQ BUT LT or equal to 48 SQ W/ADHES BO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6204","description":"COMPOS DRESS GT 16SQ BUT LT or equal to 48 SQ W/ADHES BO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS GT 16SQ BUT LT or equal to 48 SQ W/ADHES BO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6204","description":"COMPOS DRESS GT 16SQ BUT LT or equal to 48 SQ W/ADHES BO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS STERL PAD 16 SQ OR LT W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6203","description":"COMPOS DRESS STERL PAD 16 SQ OR LT W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS STERL PAD 16 SQ OR LT W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6203","description":"COMPOS DRESS STERL PAD 16 SQ OR LT W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92557","description":"COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92557","description":"COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96000","description":"COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96000","description":"COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96001","description":"COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96001","description":"COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE METABOLIC PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80053","description":"COMPREHENSIVE METABOLIC PANEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRESSION THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4267F","description":"COMPRESSION THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRESSION THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4267F","description":"COMPRESSION THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0565","description":"COMPRS AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0565","description":"COMPRS AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BRN GARMNT LW TRNK W/LEG OPENING CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6511","description":"COMPRS BRN GARMNT LW TRNK W/LEG OPENING CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BRN GARMNT LW TRNK W/LEG OPENING CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6511","description":"COMPRS BRN GARMNT LW TRNK W/LEG OPENING CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BRN GARMNT TRNK ARMS TO LEG OPENING CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6510","description":"COMPRS BRN GARMNT TRNK ARMS TO LEG OPENING CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BRN GARMNT TRNK ARMS TO LEG OPENING CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6510","description":"COMPRS BRN GARMNT TRNK ARMS TO LEG OPENING CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BRN GARMNT UP TRNK WAIST ARM OPENING CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6509","description":"COMPRS BRN GARMNT UP TRNK WAIST ARM OPENING CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BRN GARMNT UP TRNK WAIST ARM OPENING CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6509","description":"COMPRS BRN GARMNT UP TRNK WAIST ARM OPENING CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BRN MASK FCE and OR NCK PLSTC/EQUL CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6513","description":"COMPRS BRN MASK FCE and OR NCK PLSTC/EQUL CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BRN MASK FCE and OR NCK PLSTC/EQUL CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6513","description":"COMPRS BRN MASK FCE and OR NCK PLSTC/EQUL CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT BODYSUIT CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6501","description":"COMPRS BURN GARMENT BODYSUIT CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT BODYSUIT CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6501","description":"COMPRS BURN GARMENT BODYSUIT CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT CHIN STRAP CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6502","description":"COMPRS BURN GARMENT CHIN STRAP CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT CHIN STRAP CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6502","description":"COMPRS BURN GARMENT CHIN STRAP CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT FACIAL HOOD CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6503","description":"COMPRS BURN GARMENT FACIAL HOOD CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT FACIAL HOOD CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6503","description":"COMPRS BURN GARMENT FACIAL HOOD CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT FT KNEE LENGTH CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6507","description":"COMPRS BURN GARMENT FT KNEE LENGTH CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT FT KNEE LENGTH CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6507","description":"COMPRS BURN GARMENT FT KNEE LENGTH CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT FT THIGH LENGTH CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6508","description":"COMPRS BURN GARMENT FT THIGH LENGTH CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT FT THIGH LENGTH CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6508","description":"COMPRS BURN GARMENT FT THIGH LENGTH CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT GLOVE AXILLA CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6506","description":"COMPRS BURN GARMENT GLOVE AXILLA CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT GLOVE AXILLA CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6506","description":"COMPRS BURN GARMENT GLOVE AXILLA CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT GLOVE ELB CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6505","description":"COMPRS BURN GARMENT GLOVE ELB CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT GLOVE ELB CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6505","description":"COMPRS BURN GARMENT GLOVE ELB CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT GLOVE WRIST CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6504","description":"COMPRS BURN GARMENT GLOVE WRIST CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT GLOVE WRIST CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6504","description":"COMPRS BURN GARMENT GLOVE WRIST CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71271","description":"COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71271","description":"COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92025","description":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92025","description":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI W/I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92025","description":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI W/I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTERIZED OPHTHALMIC IMAGING OPTIC NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92133","description":"COMPUTERIZED OPHTHALMIC IMAGING OPTIC NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTERIZED OPHTHALMIC IMAGING RETINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92134","description":"COMPUTERIZED OPHTHALMIC IMAGING RETINA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONCENTRATION INFECTIOUS AGENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87015","description":"CONCENTRATION INFECTIOUS AGENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONDITIONING PLAY AUDIOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92582","description":"CONDITIONING PLAY AUDIOMETRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONDUCTIVE GEL/PASTE FOR USE W/ELECTRICAL DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4558","description":"CONDUCTIVE GEL/PASTE FOR USE W/ELECTRICAL DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONDUCTIVE GEL/PASTE FOR USE W/ELECTRICAL DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4558","description":"CONDUCTIVE GEL/PASTE FOR USE W/ELECTRICAL DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21050","description":"CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21050","description":"CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORM BANDAGE NON-ELAST NON-ST W GT or equal to 3\" and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6443","description":"CONFORM BANDAGE NON-ELAST NON-ST W GT or equal to 3\" and","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORM BANDAGE NON-ELAST NON-ST W GT or equal to 3\" and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6443","description":"CONFORM BANDAGE NON-ELAST NON-ST W GT or equal to 3\" and","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORM BANDGE NON-ELAST NON-ST W GT or equal to 3\" and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6446","description":"CONFORM BANDGE NON-ELAST NON-ST W GT or equal to 3\" and","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORM BANDGE NON-ELAST NON-ST W GT or equal to 3\" and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6446","description":"CONFORM BANDGE NON-ELAST NON-ST W GT or equal to 3\" and","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORM BANDGE NON-ELAST STERL W LT 3\" PER YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6445","description":"CONFORM BANDGE NON-ELAST STERL W LT 3\" PER YARD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORM BANDGE NON-ELAST STERL W LT 3\" PER YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6445","description":"CONFORM BANDGE NON-ELAST STERL W LT 3\" PER YARD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMAL RADIATION THERAPY NOT RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4182F","description":"CONFORMAL RADIATION THERAPY NOT RECEIVED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMAL RADIATION THERAPY NOT RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4182F","description":"CONFORMAL RADIATION THERAPY NOT RECEIVED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMAL RADIATION THERAPY RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4181F","description":"CONFORMAL RADIATION THERAPY RECEIVED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMAL RADIATION THERAPY RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4181F","description":"CONFORMAL RADIATION THERAPY RECEIVED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN NON-ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6442","description":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN NON-ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN NON-ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6443","description":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN NON-ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN NON-ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6444","description":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN NON-ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN STERL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6445","description":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN STERL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN STERL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6446","description":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN STERL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN STERL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6447","description":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN STERL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6444","description":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6447","description":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6444","description":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6447","description":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST NON-ST W LT 3\" PER YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6442","description":"CONFORMING BANDGE NON-ELAST NON-ST W LT 3\" PER YARD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST NON-ST W LT 3\" PER YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6442","description":"CONFORMING BANDGE NON-ELAST NON-ST W LT 3\" PER YARD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONIZATION CERVIX W/WO D and C RPR ELTRD EXC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57522","description":"CONIZATION CERVIX W/WO D and C RPR ELTRD EXC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONIZATION CERVIX W/WO D and C RPR ELTRD EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57522","description":"CONIZATION CERVIX W/WO D and C RPR ELTRD EXC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONIZATION CERVIX W/WO D and C RPR KNIFE/LASER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57520","description":"CONIZATION CERVIX W/WO D and C RPR KNIFE/LASER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONIZATION CERVIX W/WO D and C RPR KNIFE/LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57520","description":"CONIZATION CERVIX W/WO D and C RPR KNIFE/LASER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68360","description":"CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68360","description":"CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVAL FLAP TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68362","description":"CONJUNCTIVAL FLAP TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVAL FLAP TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68362","description":"CONJUNCTIVAL FLAP TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68325","description":"CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68325","description":"CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68320","description":"CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68320","description":"CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68750","description":"CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68750","description":"CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVORHINOSTOMY W/O TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68745","description":"CONJUNCTIVORHINOSTOMY W/O TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVORHINOSTOMY W/O TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68745","description":"CONJUNCTIVORHINOSTOMY W/O TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68328","description":"CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68328","description":"CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSID NEURO EVAL APPROP SURG THXPY EPIL 3YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5200F","description":"CONSID NEURO EVAL APPROP SURG THXPY EPIL 3YRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSID NEURO EVAL APPROP SURG THXPY EPIL 3YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5200F","description":"CONSID NEURO EVAL APPROP SURG THXPY EPIL 3YRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ AND REPRT MATERIAL REQUIRING PREPJ SLIDES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88323","description":"CONSLTJ AND REPRT MATERIAL REQUIRING PREPJ SLIDES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ AND REPRT SLIDES PREPARED ELSEWHERE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88321","description":"CONSLTJ AND REPRT SLIDES PREPARED ELSEWHERE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ COMPRE REVIEW REPRT REFERRED MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88325","description":"CONSLTJ COMPRE REVIEW REPRT REFERRED MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ COMPRE RVW RECORD REPRT REFERRED MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88325","description":"CONSLTJ COMPRE RVW RECORD REPRT REFERRED MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76140","description":"CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76140","description":"CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ and REPRT REFERRED MATRL REQUIRING PREPJ SLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88323","description":"CONSLTJ and REPRT REFERRED MATRL REQUIRING PREPJ SLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ and REPRT REFERRED SLIDES PREPARED ELSEWHERE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88321","description":"CONSLTJ and REPRT REFERRED SLIDES PREPARED ELSEWHERE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67882","description":"CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67882","description":"CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67880","description":"CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67880","description":"CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ TRACHEOESOPHAGEAL FSTL and INSJ SP PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31611","description":"CONSTJ TRACHEOESOPHAGEAL FSTL and INSJ SP PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ TRACHEOESOPHAGEAL FSTL and INSJ SP PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31611","description":"CONSTJ TRACHEOESOPHAGEAL FSTL and INSJ SP PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ TRACHEOESOPHGL FSTL AND INSJ SP PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31611","description":"CONSTJ TRACHEOESOPHGL FSTL AND INSJ SP PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION APICAL-AORTIC CONDUIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33404","description":"CONSTRUCTION APICAL-AORTIC CONDUIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION APICAL-AORTIC CONDUIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33404","description":"CONSTRUCTION APICAL-AORTIC CONDUIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57292","description":"CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57292","description":"CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57291","description":"CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57291","description":"CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95250","description":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95250","description":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPTMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95250","description":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPTMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT DEVICE STOMA ABSORPTIVE COVER STOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5083","description":"CONTINENT DEVICE STOMA ABSORPTIVE COVER STOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT DEVICE STOMA ABSORPTIVE COVER STOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5083","description":"CONTINENT DEVICE STOMA ABSORPTIVE COVER STOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT DEVICE; CATHETER FOR CONTINENT STOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5082","description":"CONTINENT DEVICE; CATHETER FOR CONTINENT STOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT DEVICE; CATHETER FOR CONTINENT STOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5082","description":"CONTINENT DEVICE; CATHETER FOR CONTINENT STOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT DVRJ W/INT ANAST ANY SGM SM and /LG INTSTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50825","description":"CONTINENT DVRJ W/INT ANAST ANY SGM SM and /LG INTSTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT DVRJ W/INT ANAST ANY SGM SM and /LG INTSTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50825","description":"CONTINENT DVRJ W/INT ANAST ANY SGM SM and /LG INTSTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT ILEOSTOMY KOCK PROCEDURE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44316","description":"CONTINENT ILEOSTOMY KOCK PROCEDURE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT ILEOSTOMY KOCK PROCEDURE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44316","description":"CONTINENT ILEOSTOMY KOCK PROCEDURE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUING MEDICAL PHYSICS CONSLTJ PR WK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77336","description":"CONTINUING MEDICAL PHYSICS CONSLTJ PR WK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUING MEDICAL PHYSICS CONSLTJ PR WK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77336","description":"CONTINUING MEDICAL PHYSICS CONSLTJ PR WK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS GLUCOSE MONITORING ANALYSIS I AND R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95251","description":"CONTINUOUS GLUCOSE MONITORING ANALYSIS I AND R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS GLUCOSE MONITORING ANALYSIS I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95251","description":"CONTINUOUS GLUCOSE MONITORING ANALYSIS I AND R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS INHALATION TREATMENT 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94644","description":"CONTINUOUS INHALATION TREATMENT 1ST HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS INHALATION TREATMENT 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94644","description":"CONTINUOUS INHALATION TREATMENT 1ST HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS INHALATION TREATMENT EA ADDL HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94645","description":"CONTINUOUS INHALATION TREATMENT EA ADDL HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS INHALATION TREATMENT EACH ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94645","description":"CONTINUOUS INHALATION TREATMENT EACH ADDL HOUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS INHALATION TREATMENT EACH ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94645","description":"CONTINUOUS INHALATION TREATMENT EACH ADDL HOUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS PASSIVE MOT EXERCISE DEVC KNEE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0935","description":"CONTINUOUS PASSIVE MOT EXERCISE DEVC KNEE ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0601","description":"CONTINUOUS POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0601","description":"CONTINUOUS POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTION COUNSEL BEFORE ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4159F","description":"CONTRACEPTION COUNSEL BEFORE ANTIVIRAL TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTION COUNSEL BEFORE ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4159F","description":"CONTRACEPTION COUNSEL BEFORE ANTIVIRAL TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49465","description":"CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49465","description":"CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30903","description":"CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30903","description":"CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30901","description":"CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30901","description":"CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42960","description":"CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42960","description":"CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTROLLED DOSE INHALATION DRUG DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0730","description":"CONTROLLED DOSE INHALATION DRUG DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTROLLED DOSE INHALATION DRUG DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0730","description":"CONTROLLED DOSE INHALATION DRUG DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27132","description":"CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27132","description":"CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49446","description":"CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49446","description":"CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50434","description":"CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50434","description":"CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9008","description":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9008","description":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORD CARE FEE RISK ADJ MAINTENANCE LEVEL 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9011","description":"COORD CARE FEE RISK ADJ MAINTENANCE LEVEL 5","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORD CARE FEE RISK ADJ MAINTENANCE LEVEL 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9011","description":"COORD CARE FEE RISK ADJ MAINTENANCE LEVEL 5","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE HOME MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9006","description":"COORDINATED CARE FEE HOME MONITORING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE HOME MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9006","description":"COORDINATED CARE FEE HOME MONITORING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE INITIAL RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9001","description":"COORDINATED CARE FEE INITIAL RATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE INITIAL RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9001","description":"COORDINATED CARE FEE INITIAL RATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE MAINTENANCE RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9002","description":"COORDINATED CARE FEE MAINTENANCE RATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE MAINTENANCE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9002","description":"COORDINATED CARE FEE MAINTENANCE RATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL 3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9009","description":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL 3","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL 3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9009","description":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL 3","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9010","description":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL4","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9010","description":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL4","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9003","description":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9003","description":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9004","description":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9004","description":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9005","description":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9005","description":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE SCHEDULE TEAM CONFERENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9007","description":"COORDINATED CARE FEE SCHEDULE TEAM CONFERENCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE SCHEDULE TEAM CONFERENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9007","description":"COORDINATED CARE FEE SCHEDULE TEAM CONFERENCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COPD SYMPTOMS ASSESSED/TOOL COMPLETED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1015F","description":"COPD SYMPTOMS ASSESSED/TOOL COMPLETED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPD SYMPTOMS ASSESSED/TOOL COMPLETED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1015F","description":"COPD SYMPTOMS ASSESSED/TOOL COMPLETED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23415","description":"CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23415","description":"CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORDOCENTESIS INTRAUTERINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59012","description":"CORDOCENTESIS INTRAUTERINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORDOCENTESIS INTRAUTERINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59012","description":"CORDOCENTESIS INTRAUTERINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORNEA SCRAPING DIAGNOSTIC SMEAR and /CULTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65430","description":"CORNEA SCRAPING DIAGNOSTIC SMEAR and /CULTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORNEA SCRAPING DIAGNOSTIC SMEAR and /CULTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65430","description":"CORNEA SCRAPING DIAGNOSTIC SMEAR and /CULTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 1 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33517","description":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 1 VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 1 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33517","description":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 1 VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 2 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33518","description":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 2 VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 2 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33518","description":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 2 VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 3 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33519","description":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 3 VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 3 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33519","description":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 3 VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 4 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33521","description":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 4 VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 4 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33521","description":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 4 VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 5 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33522","description":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 5 VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 5 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33522","description":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 5 VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 6 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33523","description":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 6 VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 6 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33523","description":"CORONARY ARTERY BYP W/VEIN and ARTERY GRAFT 6 VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33510","description":"CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33510","description":"CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33511","description":"CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33511","description":"CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33512","description":"CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33512","description":"CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33513","description":"CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33513","description":"CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33514","description":"CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33514","description":"CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 6/ Plus CORONARY VENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33516","description":"CORONARY ARTERY BYPASS 6/ Plus CORONARY VENOUS GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 6/ Plus CORONARY VENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33516","description":"CORONARY ARTERY BYPASS 6/ Plus CORONARY VENOUS GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ENDARTERCOMY OPEN ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33572","description":"CORONARY ENDARTERCOMY OPEN ANY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ENDARTERCOMY OPEN ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33572","description":"CORONARY ENDARTERCOMY OPEN ANY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONOIDECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21070","description":"CORONOIDECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONOIDECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21070","description":"CORONOIDECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORPORA CAVERNOSOGRAPY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74445","description":"CORPORA CAVERNOSOGRAPY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORPORA CAVERNOSOGRAPY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74445","description":"CORPORA CAVERNOSOGRAPY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECT VISUAL ACUIT 20/40 OR GT W/IN 90 DAYS SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4175F","description":"CORRECT VISUAL ACUIT 20/40 OR GT W/IN 90 DAYS SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECT VISUAL ACUIT 20/40 OR GT W/IN 90 DAYS SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4175F","description":"CORRECT VISUAL ACUIT 20/40 OR GT W/IN 90 DAYS SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION CLAW FINGER OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26499","description":"CORRECTION CLAW FINGER OTHER METHODS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION CLAW FINGER OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26499","description":"CORRECTION CLAW FINGER OTHER METHODS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28286","description":"CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28286","description":"CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION EVERTED PUNCTUM CAUTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68705","description":"CORRECTION EVERTED PUNCTUM CAUTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION EVERTED PUNCTUM CAUTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68705","description":"CORRECTION EVERTED PUNCTUM CAUTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION HAMMERTOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28285","description":"CORRECTION HAMMERTOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION HAMMERTOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28285","description":"CORRECTION HAMMERTOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION INVERTED NIPPLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19355","description":"CORRECTION INVERTED NIPPLES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION INVERTED NIPPLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19355","description":"CORRECTION INVERTED NIPPLES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION LID RETRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67911","description":"CORRECTION LID RETRACTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION LID RETRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67911","description":"CORRECTION LID RETRACTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS EPILATION FORCEPS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67820","description":"CORRECTION TRICHIASIS EPILATION FORCEPS ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS EPILATION FORCEPS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67820","description":"CORRECTION TRICHIASIS EPILATION FORCEPS ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67825","description":"CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67825","description":"CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS INCCISION LID MARGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67830","description":"CORRECTION TRICHIASIS INCCISION LID MARGIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS INCCISION LID MARGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67830","description":"CORRECTION TRICHIASIS INCCISION LID MARGIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/1METAR MEDIAL CNF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28297","description":"CORRJ HALLUX VALGUS W/SESMDC W/1METAR MEDIAL CNF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28299","description":"CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28296","description":"CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/PROX PHLNX OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28298","description":"CORRJ HALLUX VALGUS W/SESMDC W/PROX PHLNX OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28292","description":"CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28296","description":"CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28296","description":"CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC JOINT ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28297","description":"CORRJ HLX VLGS BNCTY SESMDC JOINT ARTHRODESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC JOINT ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28297","description":"CORRJ HLX VLGS BNCTY SESMDC JOINT ARTHRODESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC PROX PHLX OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28298","description":"CORRJ HLX VLGS BNCTY SESMDC PROX PHLX OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC PROX PHLX OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28298","description":"CORRJ HLX VLGS BNCTY SESMDC PROX PHLX OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28292","description":"CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28292","description":"CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC W/DOUBLE OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28299","description":"CORRJ HLX VLGS BNCTY SESMDC W/DOUBLE OSTEOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC W/DOUBLE OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28299","description":"CORRJ HLX VLGS BNCTY SESMDC W/DOUBLE OSTEOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LID LOAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67912","description":"CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LID LOAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LID LOAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67912","description":"CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LID LOAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ MALROTATION BANDS and /RDCTJ VOLVULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44055","description":"CORRJ MALROTATION BANDS and /RDCTJ VOLVULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ MALROTATION BANDS and /RDCTJ VOLVULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44055","description":"CORRJ MALROTATION BANDS and /RDCTJ VOLVULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67835","description":"CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67835","description":"CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOSTEROID SPARING THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4142F","description":"CORTICOSTEROID SPARING THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOSTEROID SPARING THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4142F","description":"CORTICOSTEROID SPARING THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOSTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82528","description":"CORTICOSTERONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOTROPIC RELEASING HORM STIMJ PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80412","description":"CORTICOTROPIC RELEASING HORM STIMJ PANEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORTISOL FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82530","description":"CORTISOL FREE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORTISOL TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82533","description":"CORTISOL TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORUGATD TUBING DISPBL W/LG VOL NEBULIZR 100 FT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7010","description":"CORUGATD TUBING DISPBL W/LG VOL NEBULIZR 100 FT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CORUGATD TUBING DISPBL W/LG VOL NEBULIZR 100 FT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7010","description":"CORUGATD TUBING DISPBL W/LG VOL NEBULIZR 100 FT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COSTOTRANSVERSECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21610","description":"COSTOTRANSVERSECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COSTOTRANSVERSECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21610","description":"COSTOTRANSVERSECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63064","description":"COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63064","description":"COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63066","description":"COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63066","description":"COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COUGH STIM DEVICE ALTRNAT POS AND NEG ARWAY PRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0482","description":"COUGH STIM DEVICE ALTRNAT POS AND NEG ARWAY PRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COUGH STIM DEVICE ALTRNAT POS AND NEG ARWAY PRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0482","description":"COUGH STIM DEVICE ALTRNAT POS AND NEG ARWAY PRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL BENEF/RISK AREDS PREV AGE RELATED AMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4177F","description":"COUNSEL BENEF/RISK AREDS PREV AGE RELATED AMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL BENEF/RISK AREDS PREV AGE RELATED AMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4177F","description":"COUNSEL BENEF/RISK AREDS PREV AGE RELATED AMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL INIT BACK PAIN AGNST BED REST 4 DAYS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4248F","description":"COUNSEL INIT BACK PAIN AGNST BED REST 4 DAYS OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL INIT BACK PAIN AGNST BED REST 4 DAYS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4248F","description":"COUNSEL INIT BACK PAIN AGNST BED REST 4 DAYS OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL NEW/CHANGING MOLES SELF-EXAMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5005F","description":"COUNSEL NEW/CHANGING MOLES SELF-EXAMINATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL NEW/CHANGING MOLES SELF-EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5005F","description":"COUNSEL NEW/CHANGING MOLES SELF-EXAMINATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL UV LITE PROTEC PREV/PROG CATARACT DEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4176F","description":"COUNSEL UV LITE PROTEC PREV/PROG CATARACT DEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL UV LITE PROTEC PREV/PROG CATARACT DEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4176F","description":"COUNSEL UV LITE PROTEC PREV/PROG CATARACT DEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL WOMEN CHILDBEARING POTENTIAL W/EPILEPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4340F","description":"COUNSEL WOMEN CHILDBEARING POTENTIAL W/EPILEPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL WOMEN CHILDBEARING POTENTIAL W/EPILEPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4340F","description":"COUNSEL WOMEN CHILDBEARING POTENTIAL W/EPILEPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSELING PROV RE RISKS DRIVING ALT TO DRIVING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6110F","description":"COUNSELING PROV RE RISKS DRIVING ALT TO DRIVING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSELING PROV RE RISKS DRIVING ALT TO DRIVING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6110F","description":"COUNSELING PROV RE RISKS DRIVING ALT TO DRIVING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSELING PROVIDED SYMP MNGMNT PALLIATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4350F","description":"COUNSELING PROVIDED SYMP MNGMNT PALLIATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSELING PROVIDED SYMP MNGMNT PALLIATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4350F","description":"COUNSELING PROVIDED SYMP MNGMNT PALLIATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNT PREV CT CARD NM NOT DOC 12-MO RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9322","description":"COUNT PREV CT CARD NM NOT DOC 12-MO RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNT PREV CT CARD NM NOT DOC 12-MO RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9322","description":"COUNT PREV CT CARD NM NOT DOC 12-MO RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNT PREV CT CARD NM STUDY DOC 12-MO PRIOR CURR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9321","description":"COUNT PREV CT CARD NM STUDY DOC 12-MO PRIOR CURR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNT PREV CT CARD NM STUDY DOC 12-MO PRIOR CURR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9321","description":"COUNT PREV CT CARD NM STUDY DOC 12-MO PRIOR CURR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUPLING GEL/PASTE USE W/US DEVICE PER OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4559","description":"COUPLING GEL/PASTE USE W/US DEVICE PER OZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"COUPLING GEL/PASTE USE W/US DEVICE PER OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4559","description":"COUPLING GEL/PASTE USE W/US DEVICE PER OZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CPAP VENTILATION CPAP INITIATION AND MGMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94660","description":"CPAP VENTILATION CPAP INITIATION AND MGMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CPAP VENTILATION CPAP INITIATION AND MGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94660","description":"CPAP VENTILATION CPAP INITIATION AND MGMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CPLX DYNAMIC PHARYNGEAL and SP EVAL C/V REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70371","description":"CPLX DYNAMIC PHARYNGEAL and SP EVAL C/V REC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CPLX DYNAMIC PHARYNGEAL and SP EVAL C/V REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70371","description":"CPLX DYNAMIC PHARYNGEAL and SP EVAL C/V REC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61698","description":"CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61698","description":"CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20985","description":"CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20985","description":"CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG ANTERIOR SEGMENT UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92132","description":"CPTRIZED OPH DX IMG ANTERIOR SEGMENT UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG ANTERIOR SEGMENT UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92132","description":"CPTRIZED OPH DX IMG ANTERIOR SEGMENT UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI OPTIC NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92133","description":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI OPTIC NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI OPTIC NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92133","description":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI OPTIC NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92134","description":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92134","description":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61582","description":"CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61582","description":"CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61583","description":"CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61583","description":"CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIAL CERVL ORTHOSIS TORTICOLLIS TYPE PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0113","description":"CRANIAL CERVL ORTHOSIS TORTICOLLIS TYPE PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61556","description":"CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61556","description":"CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIEC TREPHINE BONE FLP BRAIN TUMOR SUPRTENTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61510","description":"CRANIEC TREPHINE BONE FLP BRAIN TUMOR SUPRTENTOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61552","description":"CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61552","description":"CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECT/CRANIOT W/WO DURAPLASTY W/LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61323","description":"CRANIECT/CRANIOT W/WO DURAPLASTY W/LOBECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECT/CRANIOT W/WO DURAPLASTY W/O LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61322","description":"CRANIECT/CRANIOT W/WO DURAPLASTY W/O LOBECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61550","description":"CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61550","description":"CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61557","description":"CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61557","description":"CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY FOR OSTEOMYELITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61501","description":"CRANIECTOMY FOR OSTEOMYELITIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY FOR OSTEOMYELITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61501","description":"CRANIECTOMY FOR OSTEOMYELITIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY HMTMA INFRATENTORIAL EXTRA/SUBDURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61314","description":"CRANIECTOMY HMTMA INFRATENTORIAL EXTRA/SUBDURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY HMTMA SUPRATENTORIAL EXTRA/SUBDURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61312","description":"CRANIECTOMY HMTMA SUPRATENTORIAL EXTRA/SUBDURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61313","description":"CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61315","description":"CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY OSTEOMYELITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61501","description":"CRANIECTOMY OSTEOMYELITIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT CRANIAL NR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61460","description":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT CRANIAL NR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61460","description":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT CRANIAL NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61460","description":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT CRANIAL NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY W/EXCISION TUMOR/LESION SKULL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61500","description":"CRANIECTOMY W/EXCISION TUMOR/LESION SKULL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61500","description":"CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61500","description":"CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTMY DRG ABSCESS INFRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61321","description":"CRANIECTOMY/CRANIOTMY DRG ABSCESS INFRATENTORIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTMY DRG ABSCESS SUPRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61320","description":"CRANIECTOMY/CRANIOTMY DRG ABSCESS SUPRATENTORIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61570","description":"CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61570","description":"CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61305","description":"CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61305","description":"CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61304","description":"CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61304","description":"CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61571","description":"CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61571","description":"CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIL CERV ORTHOS CONGN TORTICOLLIS TYPE CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0112","description":"CRANIL CERV ORTHOS CONGN TORTICOLLIS TYPE CUSTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61580","description":"CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61580","description":"CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61581","description":"CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61581","description":"CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT GT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62141","description":"CRANIOPLASTY SKULL DEFECT GT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT GT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62141","description":"CRANIOPLASTY SKULL DEFECT GT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62140","description":"CRANIOPLASTY SKULL DEFECT LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62140","description":"CRANIOPLASTY SKULL DEFECT LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62145","description":"CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62145","description":"CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY W/AUTOGRAFT GT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62147","description":"CRANIOPLASTY W/AUTOGRAFT GT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY W/AUTOGRAFT GT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62147","description":"CRANIOPLASTY W/AUTOGRAFT GT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY W/AUTOGRAFT LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62146","description":"CRANIOPLASTY W/AUTOGRAFT LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY W/AUTOGRAFT LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62146","description":"CRANIOPLASTY W/AUTOGRAFT LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY W/AUTOGRAFT LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62146","description":"CRANIOPLASTY W/AUTOGRAFT LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61534","description":"CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61534","description":"CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61536","description":"CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61536","description":"CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61546","description":"CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61546","description":"CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61538","description":"CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61538","description":"CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61539","description":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61539","description":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61540","description":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61540","description":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61535","description":"CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61535","description":"CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61533","description":"CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61533","description":"CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61537","description":"CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61537","description":"CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY EXCISION CRANIOPHARYNGIOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61545","description":"CRANIOTOMY EXCISION CRANIOPHARYNGIOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY EXCISION CRANIOPHARYNGIOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61545","description":"CRANIOTOMY EXCISION CRANIOPHARYNGIOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61544","description":"CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61544","description":"CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62121","description":"CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62121","description":"CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61567","description":"CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61567","description":"CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61543","description":"CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61543","description":"CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61566","description":"CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61566","description":"CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY TRANSECTION CORPUS CALLOSUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61541","description":"CRANIOTOMY TRANSECTION CORPUS CALLOSUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY TRANSECTION CORPUS CALLOSUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61541","description":"CRANIOTOMY TRANSECTION CORPUS CALLOSUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61791","description":"CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61791","description":"CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61790","description":"CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61790","description":"CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CREATINE KINASE ISOENZYMES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82552","description":"CREATINE KINASE ISOENZYMES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CREATINE KINASE ISOFORMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82554","description":"CREATINE KINASE ISOFORMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CREATINE KINASE MB FRACTION ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82553","description":"CREATINE KINASE MB FRACTION ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CREATINE KINASE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82550","description":"CREATINE KINASE TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82565","description":"CREATININE BLOOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE CLEARANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82575","description":"CREATININE CLEARANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82570","description":"CREATININE OTHER SOURCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63600","description":"CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63600","description":"CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRGVR PROVIDED W/ED REFERRED ADDL RESOURCES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4322F","description":"CRGVR PROVIDED W/ED REFERRED ADDL RESOURCES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRGVR PROVIDED W/ED REFERRED ADDL RESOURCES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4322F","description":"CRGVR PROVIDED W/ED REFERRED ADDL RESOURCES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRICOPHARYNGEAL MYOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43030","description":"CRICOPHARYNGEAL MYOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRICOPHARYNGEAL MYOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43030","description":"CRICOPHARYNGEAL MYOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99291","description":"CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99291","description":"CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99466","description":"CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99466","description":"CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99467","description":"CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99467","description":"CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61518","description":"CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61518","description":"CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61530","description":"CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61530","description":"CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61519","description":"CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61519","description":"CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61524","description":"CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61524","description":"CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61522","description":"CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61522","description":"CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SOPL EXPL/DCMPRN CRNL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61458","description":"CRNEC SOPL EXPL/DCMPRN CRNL NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61458","description":"CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61458","description":"CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61450","description":"CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61450","description":"CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA AND CORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61343","description":"CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA AND CORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA AND CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61343","description":"CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA AND CORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61526","description":"CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61526","description":"CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61514","description":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61514","description":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61510","description":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61510","description":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61512","description":"CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61512","description":"CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61516","description":"CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61516","description":"CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPHINE BONE FLAP BRAIN ABSC SUPRATENTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61514","description":"CRNEC TREPHINE BONE FLAP BRAIN ABSC SUPRATENTOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPHINE BONE FLAP FENEST CYST SUPRATENTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61516","description":"CRNEC TREPHINE BONE FLAP FENEST CYST SUPRATENTOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPHINE BONE FLAP MENINGIOMA SUPRATENTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61512","description":"CRNEC TREPHINE BONE FLAP MENINGIOMA SUPRATENTOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61521","description":"CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61521","description":"CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61520","description":"CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61520","description":"CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61322","description":"CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61322","description":"CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61321","description":"CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61321","description":"CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61320","description":"CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61320","description":"CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61315","description":"CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61315","description":"CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61314","description":"CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61314","description":"CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61313","description":"CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61313","description":"CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61312","description":"CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61312","description":"CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61323","description":"CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61323","description":"CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61860","description":"CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61860","description":"CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65772","description":"CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65772","description":"CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65775","description":"CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65775","description":"CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CROMOLYN SODIUM INHALATION SOL NONCP UD P 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7631","description":"CROMOLYN SODIUM INHALATION SOL NONCP UD P 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CROMOLYN SODIUM INHALATION SOL NONCP UD P 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7631","description":"CROMOLYN SODIUM INHALATION SOL NONCP UD P 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CROSS INTRINSIC TRANSFER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26510","description":"CROSS INTRINSIC TRANSFER EACH TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CROSS INTRINSIC TRANSFER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26510","description":"CROSS INTRINSIC TRANSFER EACH TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CROSS-OVER VEIN GRAFT VENOUS SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34520","description":"CROSS-OVER VEIN GRAFT VENOUS SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CROSS-OVER VEIN GRAFT VENOUS SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34520","description":"CROSS-OVER VEIN GRAFT VENOUS SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTCH FORARM VARIOUS MATL EA W/TIP and HNDGRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0111","description":"CRTCH FORARM VARIOUS MATL EA W/TIP and HNDGRIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTCH UNDARM NOT WOOD ADJUST/FIX PAD TIP HNDGRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0116","description":"CRTCH UNDARM NOT WOOD ADJUST/FIX PAD TIP HNDGRIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTCH UNDARM WOOD EA ADJSTBL/FIX PAD TIP and HNDGRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0113","description":"CRTCH UNDARM WOOD EA ADJSTBL/FIX PAD TIP and HNDGRIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTCHES UNDARM WOOD PAIR W/PADS TIPS and HNDGRIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0112","description":"CRTCHES UNDARM WOOD PAIR W/PADS TIPS and HNDGRIPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTCHS FORARM VARIOUS MATL PAIR W/TIPS and HNDGRIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0110","description":"CRTCHS FORARM VARIOUS MATL PAIR W/TIPS and HNDGRIPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTCHS UNDARM OTH THAN WOOD PAIR PAD TIP AND HNDGRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0114","description":"CRTCHS UNDARM OTH THAN WOOD PAIR PAD TIP AND HNDGRIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTCHS UNDARM OTH THAN WOOD PAIR PAD TIP AND HNDGRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0114","description":"CRTCHS UNDARM OTH THAN WOOD PAIR PAD TIP AND HNDGRIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36825","description":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36825","description":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36830","description":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36830","description":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35686","description":"CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35686","description":"CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61720","description":"CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61720","description":"CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61735","description":"CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61735","description":"CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33025","description":"CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33025","description":"CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63741","description":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63741","description":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63740","description":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63740","description":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62190","description":"CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62190","description":"CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62192","description":"CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62192","description":"CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT VENTRICULO-ATR-JUG-AUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62220","description":"CRTJ SHUNT VENTRICULO-ATR-JUG-AUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT VENTRICULO-ATR-JUG-AUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62220","description":"CRTJ SHUNT VENTRICULO-ATR-JUG-AUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62223","description":"CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62223","description":"CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRUTCH ATTACHMENT WALKER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0157","description":"CRUTCH ATTACHMENT WALKER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0117","description":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0117","description":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62100","description":"CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62100","description":"CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82595","description":"CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRSRV FRZING AND STORAGE CELLS EA CELL LINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88240","description":"CRYOPRSRV FRZING AND STORAGE CELLS EA CELL LINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17340","description":"CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17340","description":"CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51595","description":"CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51595","description":"CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51596","description":"CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51596","description":"CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51590","description":"CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51590","description":"CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51565","description":"CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51565","description":"CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTINE AND HOMOCSTINE URINE QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82615","description":"CSTINE AND HOMOCSTINE URINE QUALITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTM BREAST PROSTH POST MASTECT MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8035","description":"CSTM BREAST PROSTH POST MASTECT MOLDED PT MODEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTO W/TRURL RESCJ/INC EJACULATORY DUXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52402","description":"CSTO W/TRURL RESCJ/INC EJACULATORY DUXS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTOPLASTY/CSTOURTP PLSTC ANY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51800","description":"CSTOPLASTY/CSTOURTP PLSTC ANY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTOPLASTY/CSTOURTP PLSTC ANY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51800","description":"CSTOPLASTY/CSTOURTP PLSTC ANY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTOURTP W/UNI/BI URTRONEOCSTOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51820","description":"CSTOURTP W/UNI/BI URTRONEOCSTOST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTOURTP W/UNI/BI URTRONEOCSTOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51820","description":"CSTOURTP W/UNI/BI URTRONEOCSTOST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ABD and PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74178","description":"CT ABD and PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ABD and PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74178","description":"CT ABD and PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN and PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74177","description":"CT ABDOMEN and PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN and PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74177","description":"CT ABDOMEN and PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN and PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74176","description":"CT ABDOMEN and PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN and PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74176","description":"CT ABDOMEN and PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN and PELVIS W/O CONTRST 1 OR GT BODY RE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74178","description":"CT ABDOMEN and PELVIS W/O CONTRST 1 OR GT BODY RE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74160","description":"CT ABDOMEN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74160","description":"CT ABDOMEN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74170","description":"CT ABDOMEN W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74170","description":"CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74170","description":"CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74150","description":"CT ABDOMEN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74150","description":"CT ABDOMEN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIO ABD and PLVIS CNTRST MTRL W/WO CNTRST IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74174","description":"CT ANGIO ABD and PLVIS CNTRST MTRL W/WO CNTRST IMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74175","description":"CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71275","description":"CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71275","description":"CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70496","description":"CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70496","description":"CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73706","description":"CT ANGIOGRAPHY LOWER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73706","description":"CT ANGIOGRAPHY LOWER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70498","description":"CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70498","description":"CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72191","description":"CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72191","description":"CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73206","description":"CT ANGIOGRAPHY UPPER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73206","description":"CT ANGIOGRAPHY UPPER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT BONE MINERL DENSITY STUDY 1 OR GT SITS AXIAL SKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77078","description":"CT BONE MINERL DENSITY STUDY 1 OR GT SITS AXIAL SKE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT BONE MINERL DENSITY STUDY 1 OR GT SITS AXIAL SKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77078","description":"CT BONE MINERL DENSITY STUDY 1 OR GT SITS AXIAL SKE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72126","description":"CT CERVICAL SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72126","description":"CT CERVICAL SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72127","description":"CT CERVICAL SPINE W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72127","description":"CT CERVICAL SPINE W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72125","description":"CT CERVICAL SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72125","description":"CT CERVICAL SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74263","description":"CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74263","description":"CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74262","description":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74262","description":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74261","description":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74261","description":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE AND MONITORING VISC TISS ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77013","description":"CT GUIDANCE AND MONITORING VISC TISS ABLATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE AND MONITORING VISC TISS ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77013","description":"CT GUIDANCE AND MONITORING VISC TISS ABLATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE NEEDLE PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77012","description":"CT GUIDANCE NEEDLE PLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE NEEDLE PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77012","description":"CT GUIDANCE NEEDLE PLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE STEREOTACTIC LOCALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77011","description":"CT GUIDANCE STEREOTACTIC LOCALIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE STEREOTACTIC LOCALIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77011","description":"CT GUIDANCE STEREOTACTIC LOCALIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70460","description":"CT HEAD/BRAIN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70460","description":"CT HEAD/BRAIN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70470","description":"CT HEAD/BRAIN W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70470","description":"CT HEAD/BRAIN W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70450","description":"CT HEAD/BRAIN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70450","description":"CT HEAD/BRAIN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART C Plus CARDIAC STRUX and MORPH CGEN HRT DS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75573","description":"CT HEART C Plus CARDIAC STRUX and MORPH CGEN HRT DS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART C Plus CARDIAC STRUX and MORPH CGEN HRT DS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75573","description":"CT HEART C Plus CARDIAC STRUX and MORPH CGEN HRT DS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART CONTRAST EVAL CARDIAC STRUCTURE AND MORPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75572","description":"CT HEART CONTRAST EVAL CARDIAC STRUCTURE AND MORPH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART CONTRAST EVAL CARDIAC STRUCTURE AND MORPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75572","description":"CT HEART CONTRAST EVAL CARDIAC STRUCTURE AND MORPH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75571","description":"CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75571","description":"CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT HRT CONTRST CARDIAC STRUCT AND MORPH CONG HRT D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75573","description":"CT HRT CONTRST CARDIAC STRUCT AND MORPH CONG HRT D","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT LIMITED/LOCALIZED FOLLOW UP STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76380","description":"CT LIMITED/LOCALIZED FOLLOW UP STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT LIMITED/LOCALIZED FOLLOW UP STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76380","description":"CT LIMITED/LOCALIZED FOLLOW UP STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73701","description":"CT LOWER EXTREMITY W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73701","description":"CT LOWER EXTREMITY W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/O and W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73702","description":"CT LOWER EXTREMITY W/O and W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/O and W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73702","description":"CT LOWER EXTREMITY W/O and W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73700","description":"CT LOWER EXTREMITY W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73700","description":"CT LOWER EXTREMITY W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72132","description":"CT LUMBAR SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72132","description":"CT LUMBAR SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72133","description":"CT LUMBAR SPINE W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72133","description":"CT LUMBAR SPINE W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72131","description":"CT LUMBAR SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72131","description":"CT LUMBAR SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70487","description":"CT MAXILLOFACIAL W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70487","description":"CT MAXILLOFACIAL W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70488","description":"CT MAXILLOFACIAL W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70488","description":"CT MAXILLOFACIAL W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70486","description":"CT MAXILLOFACIAL W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70486","description":"CT MAXILLOFACIAL W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT OR MRI BRAIN DONE W/IN 24 HRS HOSP ARRIVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3111F","description":"CT OR MRI BRAIN DONE W/IN 24 HRS HOSP ARRIVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT OR MRI BRAIN DONE W/IN 24 HRS HOSP ARRIVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3111F","description":"CT OR MRI BRAIN DONE W/IN 24 HRS HOSP ARRIVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70481","description":"CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70481","description":"CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/O and W/CONTR MATR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70482","description":"CT ORBIT SELLA/POST FOSSA/EAR W/O and W/CONTR MATR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/O and W/CONTR MATR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70482","description":"CT ORBIT SELLA/POST FOSSA/EAR W/O and W/CONTR MATR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70480","description":"CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70480","description":"CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72193","description":"CT PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72193","description":"CT PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72194","description":"CT PELVIS W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72194","description":"CT PELVIS W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72192","description":"CT PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72192","description":"CT PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70491","description":"CT SOFT TISSUE NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70491","description":"CT SOFT TISSUE NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70492","description":"CT SOFT TISSUE NECK W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70492","description":"CT SOFT TISSUE NECK W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70490","description":"CT SOFT TISSUE NECK W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70490","description":"CT SOFT TISSUE NECK W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72129","description":"CT THORACIC SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72129","description":"CT THORACIC SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72130","description":"CT THORACIC SPINE W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72130","description":"CT THORACIC SPINE W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72128","description":"CT THORACIC SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72128","description":"CT THORACIC SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT THORAX W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71260","description":"CT THORAX W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT THORAX W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71270","description":"CT THORAX W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT THORAX W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71250","description":"CT THORAX W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73201","description":"CT UPPER EXTREMITY W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73201","description":"CT UPPER EXTREMITY W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73202","description":"CT UPPER EXTREMITY W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73202","description":"CT UPPER EXTREMITY W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73200","description":"CT UPPER EXTREMITY W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73200","description":"CT UPPER EXTREMITY W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CT/MRI BRAIN DONE 24 HRS AFTER HOSP ARRIVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3112F","description":"CT/MRI BRAIN DONE 24 HRS AFTER HOSP ARRIVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT/MRI BRAIN DONE 24 HRS AFTER HOSP ARRIVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3112F","description":"CT/MRI BRAIN DONE 24 HRS AFTER HOSP ARRIVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT/MRI HMRHG/MASS LESION/ACUTE INFRC DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3110F","description":"CT/MRI HMRHG/MASS LESION/ACUTE INFRC DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT/MRI HMRHG/MASS LESION/ACUTE INFRC DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3110F","description":"CT/MRI HMRHG/MASS LESION/ACUTE INFRC DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABD and PLVS W/CNTRST and IMG POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74174","description":"CTA ABD and PLVS W/CNTRST and IMG POSTPROCESSING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABD and PLVS W/CNTRST and IMG POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74174","description":"CTA ABD and PLVS W/CNTRST and IMG POSTPROCESSING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABDL AORTA and BI ILIOFEM W/CONTRAST and POSTP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75635","description":"CTA ABDL AORTA and BI ILIOFEM W/CONTRAST and POSTP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABDL AORTA and BI ILIOFEM W/CONTRAST and POSTP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75635","description":"CTA ABDL AORTA and BI ILIOFEM W/CONTRAST and POSTP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABDOMEN W/CONTRAST and IMG POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74175","description":"CTA ABDOMEN W/CONTRAST and IMG POSTPROCESSING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABDOMEN W/CONTRAST and IMG POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74175","description":"CTA ABDOMEN W/CONTRAST and IMG POSTPROCESSING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75574","description":"CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75574","description":"CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTLSO ANT-POST-LAT CNTRL MOLD PT-INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0710","description":"CTLSO ANT-POST-LAT CNTRL MOLD PT-INTRFCE MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTLSO ANT-POSTERIOR-LAT CONTROL MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0700","description":"CTLSO ANT-POSTERIOR-LAT CONTROL MOLDED PT MODEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTLSO INCLUSIVE FURNISHING INIT ORTHOS INCL MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1000","description":"CTLSO INCLUSIVE FURNISHING INIT ORTHOS INCL MDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95929","description":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95929","description":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95928","description":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95928","description":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTR EP STD TRANSCRNL MOTR STIM UPR AND LOW LI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95939","description":"CTR MOTR EP STD TRANSCRNL MOTR STIM UPR AND LOW LI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTR EP STD TRANSCRNL MOTR STIM UPR AND LOW LI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95939","description":"CTR MOTR EP STD TRANSCRNL MOTR STIM UPR AND LOW LI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42972","description":"CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42972","description":"CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42971","description":"CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42971","description":"CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42970","description":"CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42970","description":"CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30905","description":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY 1ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30905","description":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY 1ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY SUBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30906","description":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY SUBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY SUBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30906","description":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY SUBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42961","description":"CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42961","description":"CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42962","description":"CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42962","description":"CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT AEROBIC ADDL METHS DEFINITIVE EA ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87077","description":"CUL BACT AEROBIC ADDL METHS DEFINITIVE EA ISOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT ANAEROBIC ADDL METHS DEFINITIVE EA ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87076","description":"CUL BACT ANAEROBIC ADDL METHS DEFINITIVE EA ISOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87071","description":"CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87073","description":"CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT STOOL AEROBIC ADDL PATHOGENS AND ID EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87046","description":"CUL BACT STOOL AEROBIC ADDL PATHOGENS AND ID EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT STOOL AEROBIC ISOL SALMONELLA AND SHIGELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87045","description":"CUL BACT STOOL AEROBIC ISOL SALMONELLA AND SHIGELL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87070","description":"CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87101","description":"CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUL PRSMPTV PTHGNC ORGANISM SCRN W/COLONY ESTIMJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87081","description":"CUL PRSMPTV PTHGNC ORGANISM SCRN W/COLONY ESTIMJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUL PRSMPTV PTHGNC ORGANISMS SCR DNS CHART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87084","description":"CUL PRSMPTV PTHGNC ORGANISMS SCR DNS CHART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE BACTERIAL ANY SOURCE ANAEROBIC ISO AND ID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87075","description":"CULTURE BACTERIAL ANY SOURCE ANAEROBIC ISO AND ID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87040","description":"CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87086","description":"CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE BCT ISOL AND PRSMPTV ID ISOLATE EA URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87088","description":"CULTURE BCT ISOL AND PRSMPTV ID ISOLATE EA URINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE CHLAMYDIA ANY SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87110","description":"CULTURE CHLAMYDIA ANY SOURCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87103","description":"CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87102","description":"CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE FUNGI DEFINITIVE ID EACH ORGANISM MOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87107","description":"CULTURE FUNGI DEFINITIVE ID EACH ORGANISM MOLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87106","description":"CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE MYCOBACTERIAL DEFINITIVE ID EA ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87118","description":"CULTURE MYCOBACTERIAL DEFINITIVE ID EA ISOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE MYCOPLASMA ANY SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87109","description":"CULTURE MYCOPLASMA ANY SOURCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87116","description":"CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING GAS/HIGH PRES LIQ CHROMATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87143","description":"CULTURE TYPING GAS/HIGH PRES LIQ CHROMATOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING IDENTIFJ PULSE FIELD GEL TYPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87152","description":"CULTURE TYPING IDENTIFJ PULSE FIELD GEL TYPING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING IMMUNOFLUORESCENT EACH ANTISERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87140","description":"CULTURE TYPING IMMUNOFLUORESCENT EACH ANTISERUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING IMMUNOLOGIC OTH/THN IMMUNOFLUORES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87147","description":"CULTURE TYPING IMMUNOLOGIC OTH/THN IMMUNOFLUORES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING NUCLEIC ACID PROBE DIR EA ORGANSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87149","description":"CULTURE TYPING NUCLEIC ACID PROBE DIR EA ORGANSM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87158","description":"CULTURE TYPING OTHER METHODS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CULTYP NUC ACID AMP PRB CULT/ISOLATE EA ORGNISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87150","description":"CULTYP NUC ACID AMP PRB CULT/ISOLATE EA ORGNISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CULTYP NUCLEIC ACID SEQUENCING METH EA ISOLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87153","description":"CULTYP NUCLEIC ACID SEQUENCING METH EA ISOLATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUR MEDS NO DOC OBDT UPD/REV ELIG CLIN RSN N GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8428","description":"CUR MEDS NO DOC OBDT UPD/REV ELIG CLIN RSN N GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUR MEDS NO DOC OBDT UPD/REV ELIG CLIN RSN N GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8428","description":"CUR MEDS NO DOC OBDT UPD/REV ELIG CLIN RSN N GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURETTAGE POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59160","description":"CURETTAGE POSTPARTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CURETTAGE POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59160","description":"CURETTAGE POSTPARTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CURR/PRI LVEF LT or equal to 40 PCT /DOC MOD/SEV DEPR LV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8923","description":"CURR/PRI LVEF LT or equal to 40 PCT /DOC MOD/SEV DEPR LV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURR/PRI LVEF LT or equal to 40 PCT /DOC MOD/SEV DEPR LV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8934","description":"CURR/PRI LVEF LT or equal to 40 PCT /DOC MOD/SEV DEPR LV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURR/PRI LVEF LT or equal to 40 PCT /DOC MOD/SEV DEPR LV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8923","description":"CURR/PRI LVEF LT or equal to 40 PCT /DOC MOD/SEV DEPR LV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURR/PRI LVEF LT or equal to 40 PCT /DOC MOD/SEV DEPR LV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8934","description":"CURR/PRI LVEF LT or equal to 40 PCT /DOC MOD/SEV DEPR LV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT CIGARETTE SMOKERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9642","description":"CURRENT CIGARETTE SMOKERS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT HEPATITIS C ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4150F","description":"CURRENT HEPATITIS C ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT HEPATITIS C ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4150F","description":"CURRENT HEPATITIS C ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKELESS TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1035F","description":"CURRENT SMOKELESS TOBACCO USER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKELESS TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1035F","description":"CURRENT SMOKELESS TOBACCO USER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9642","description":"CURRENT SMOKER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9642","description":"CURRENT SMOKER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKER/EXPOSED TO SECONDHAND SMOKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1032F","description":"CURRENT SMOKER/EXPOSED TO SECONDHAND SMOKE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKER/EXPOSED TO SECONDHAND SMOKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1032F","description":"CURRENT SMOKER/EXPOSED TO SECONDHAND SMOKE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT TOBACCO NON-USER CAD CAP COPD PV DM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1036F","description":"CURRENT TOBACCO NON-USER CAD CAP COPD PV DM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT TOBACCO NON-USER CAD CAP COPD PV DM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1036F","description":"CURRENT TOBACCO NON-USER CAD CAP COPD PV DM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT TOBACCO SMOKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1034F","description":"CURRENT TOBACCO SMOKER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT TOBACCO SMOKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1034F","description":"CURRENT TOBACCO SMOKER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46940","description":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46940","description":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46942","description":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46942","description":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUSHN NASAL MASK INTERFACE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7032","description":"CUSHN NASAL MASK INTERFACE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUSHN NASAL MASK INTERFACE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7032","description":"CUSHN NASAL MASK INTERFACE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM SHAPED PROTECTIVE COVER ABOVE KNEE AK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5705","description":"CUSTOM SHAPED PROTECTIVE COVER ABOVE KNEE AK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM SHAPED PROTECTIVE COVER BELOW KNEE BK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5704","description":"CUSTOM SHAPED PROTECTIVE COVER BELOW KNEE BK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM SHAPED PROTECTIVE COVER HIP DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5707","description":"CUSTOM SHAPED PROTECTIVE COVER HIP DISARTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM SHAPED PROTECTIVE COVER KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5706","description":"CUSTOM SHAPED PROTECTIVE COVER KNEE DISARTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUTANANEOUS APPENDICO-VESICOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50845","description":"CUTANANEOUS APPENDICO-VESICOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUTANANEOUS APPENDICO-VESICOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50845","description":"CUTANANEOUS APPENDICO-VESICOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUTANEOUS VESICOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51980","description":"CUTANEOUS VESICOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CUTANEOUS VESICOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51980","description":"CUTANEOUS VESICOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CV STRESS TST XERS and /RX CONT ECG W/SI and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93015","description":"CV STRESS TST XERS and /RX CONT ECG W/SI and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CV STRESS TST XERS and /RX CONT ECG W/SI and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93015","description":"CV STRESS TST XERS and /RX CONT ECG W/SI and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /OR RX CONT ECG I and R ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93018","description":"CV STRS TST XERS and /OR RX CONT ECG I and R ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /OR RX CONT ECG TRCG ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93017","description":"CV STRS TST XERS and /OR RX CONT ECG TRCG ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /OR RX CONT ECG W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93016","description":"CV STRS TST XERS and /OR RX CONT ECG W/O I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /OR RX CONT ECG W/SI and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93015","description":"CV STRS TST XERS and /OR RX CONT ECG W/SI and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG I and R ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93018","description":"CV STRS TST XERS and /RX CONT ECG I and R ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG I and R ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93018","description":"CV STRS TST XERS and /RX CONT ECG I and R ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG SUPVJ ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93016","description":"CV STRS TST XERS and /RX CONT ECG SUPVJ ONLY W/O I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG SUPVJ ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93016","description":"CV STRS TST XERS and /RX CONT ECG SUPVJ ONLY W/O I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG TRCG ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93017","description":"CV STRS TST XERS and /RX CONT ECG TRCG ONLY W/O I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG TRCG ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93017","description":"CV STRS TST XERS and /RX CONT ECG TRCG ONLY W/O I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYANOCOBALAMIN VIT B-12 UNSAT BINDING CAPACITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82608","description":"CYANOCOBALAMIN VIT B-12 UNSAT BINDING CAPACITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYANOCOBALAMIN VITAMIN B-12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82607","description":"CYANOCOBALAMIN VITAMIN B-12","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYCLIC CITRULLINATED PEPTIDE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86200","description":"CYCLIC CITRULLINATED PEPTIDE ANTIBODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOPHOSPHAMIDE ORAL 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8530","description":"CYCLOPHOSPHAMIDE ORAL 25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOPHOSPHAMIDE ORAL 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8530","description":"CYCLOPHOSPHAMIDE ORAL 25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOSPORINE ORAL 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7502","description":"CYCLOSPORINE ORAL 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOSPORINE ORAL 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7502","description":"CYCLOSPORINE ORAL 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOSPORINE ORAL 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7515","description":"CYCLOSPORINE ORAL 25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOSPORINE ORAL 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7515","description":"CYCLOSPORINE ORAL 25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOSPORINE PARENTERAL 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7516","description":"CYCLOSPORINE PARENTERAL 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYST RNL LES/AD LES LT or equal to 1.0 CM OR GT 1.0 CM BUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9547","description":"CYST RNL LES/AD LES LT or equal to 1.0 CM OR GT 1.0 CM BUT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYST RNL LES/AD LES LT or equal to 1.0 CM OR GT 1.0 CM BUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9547","description":"CYST RNL LES/AD LES LT or equal to 1.0 CM OR GT 1.0 CM BUT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTATIN C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82610","description":"CYSTATIN C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY COMPLETE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51570","description":"CYSTECTOMY COMPLETE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY COMPLETE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51570","description":"CYSTECTOMY COMPLETE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY PARTIAL COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51555","description":"CYSTECTOMY PARTIAL COMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY PARTIAL COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51555","description":"CYSTECTOMY PARTIAL COMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY PARTIAL SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51550","description":"CYSTECTOMY PARTIAL SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY PARTIAL SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51550","description":"CYSTECTOMY PARTIAL SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51575","description":"CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51575","description":"CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51585","description":"CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51585","description":"CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51580","description":"CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51580","description":"CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO BLADDER W/URETERAL CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52005","description":"CYSTO BLADDER W/URETERAL CATHETERIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52281","description":"CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52281","description":"CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO FRAGMENTATION URETERAL STONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52325","description":"CYSTO FRAGMENTATION URETERAL STONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO FRAGMENTATION URETERAL STONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52325","description":"CYSTO FRAGMENTATION URETERAL STONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INC FULG/RESCJ CGEN URTL VALVES/MCSL FOLDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52400","description":"CYSTO INC FULG/RESCJ CGEN URTL VALVES/MCSL FOLDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INC FULG/RESCJ CGEN URTL VALVES/MCSL FOLDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52400","description":"CYSTO INC FULG/RESCJ CGEN URTL VALVES/MCSL FOLDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INC FULG/RESCJ URTL VALVES/FOLDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52400","description":"CYSTO INC FULG/RESCJ URTL VALVES/FOLDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52305","description":"CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52305","description":"CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52334","description":"CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52334","description":"CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO MANJ W/O RMVL URETERAL STONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52330","description":"CYSTO MANJ W/O RMVL URETERAL STONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO MANJ W/O RMVL URETERAL STONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52330","description":"CYSTO MANJ W/O RMVL URETERAL STONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO TRURL RESECTION/INCISION EJACULATORY DUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52402","description":"CYSTO TRURL RESECTION/INCISION EJACULATORY DUCTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO TRURL RESECTION/INCISION EJACULATORY DUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52402","description":"CYSTO TRURL RESECTION/INCISION EJACULATORY DUCTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/COMPLEX REMOVAL STONE and STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52315","description":"CYSTO W/COMPLEX REMOVAL STONE and STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/COMPLEX REMOVAL STONE and STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52315","description":"CYSTO W/COMPLEX REMOVAL STONE and STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/DESTRUCTION OF LESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52214","description":"CYSTO W/DESTRUCTION OF LESIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/DESTRUCTION OF LESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52214","description":"CYSTO W/DESTRUCTION OF LESIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/EJACULATORY DUCT CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52010","description":"CYSTO W/EJACULATORY DUCT CATHETERIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/EJACULATORY DUCT CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52010","description":"CYSTO W/EJACULATORY DUCT CATHETERIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/INSERT URETERAL STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52332","description":"CYSTO W/INSERT URETERAL STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/INSERT URETERAL STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52332","description":"CYSTO W/INSERT URETERAL STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/IRRIG and EVAC MULTPLE OBSTRUCTING CLOTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52001","description":"CYSTO W/IRRIG and EVAC MULTPLE OBSTRUCTING CLOTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/IRRIG and EVAC MULTPLE OBSTRUCTING CLOTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52001","description":"CYSTO W/IRRIG and EVAC MULTPLE OBSTRUCTING CLOTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/REMOVAL OF LESIONS SMALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52224","description":"CYSTO W/REMOVAL OF LESIONS SMALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/REMOVAL OF LESIONS SMALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52224","description":"CYSTO W/REMOVAL OF LESIONS SMALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/REMOVAL OF TUMORS SMALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52234","description":"CYSTO W/REMOVAL OF TUMORS SMALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/REMOVAL OF TUMORS SMALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52234","description":"CYSTO W/REMOVAL OF TUMORS SMALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52300","description":"CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52300","description":"CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52301","description":"CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52301","description":"CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/SIMPLE REMOVAL STONE and STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52310","description":"CYSTO W/SIMPLE REMOVAL STONE and STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/SIMPLE REMOVAL STONE and STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52310","description":"CYSTO W/SIMPLE REMOVAL STONE and STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/SUBURTRIC NJX IMPLT MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52327","description":"CYSTO W/SUBURTRIC NJX IMPLT MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/SUBURTRIC NJX IMPLT MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52327","description":"CYSTO W/SUBURTRIC NJX IMPLT MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX INTRA-RENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52343","description":"CYSTO W/TX INTRA-RENAL STRICTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX INTRA-RENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52343","description":"CYSTO W/TX INTRA-RENAL STRICTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX URETERAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52341","description":"CYSTO W/TX URETERAL STRICTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX URETERAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52341","description":"CYSTO W/TX URETERAL STRICTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52342","description":"CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52342","description":"CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URETEROSCOPY W/LITHOTRIPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52353","description":"CYSTO W/URETEROSCOPY W/LITHOTRIPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URETEROSCOPY W/LITHOTRIPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52353","description":"CYSTO W/URETEROSCOPY W/LITHOTRIPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52352","description":"CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52352","description":"CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTRL CATHJ BRUSH BX URTR and /RENAL PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52007","description":"CYSTO W/URTRL CATHJ BRUSH BX URTR and /RENAL PELVIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTRL CATHJ BRUSH BX URTR and /RENAL PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52007","description":"CYSTO W/URTRL CATHJ BRUSH BX URTR and /RENAL PELVIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52346","description":"CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52346","description":"CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52344","description":"CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52344","description":"CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52345","description":"CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52345","description":"CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY and /PYELOSCOPY DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52351","description":"CYSTO W/URTROSCOPY and /PYELOSCOPY DX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY and /PYELOSCOPY DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52351","description":"CYSTO W/URTROSCOPY and /PYELOSCOPY DX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/PYELOSCOPY BX and /FULGURATION PELIVC LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52354","description":"CYSTO/PYELOSCOPY BX and /FULGURATION PELIVC LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/PYELOSCOPY BX and /FULGURATION PELIVC LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52354","description":"CYSTO/PYELOSCOPY BX and /FULGURATION PELIVC LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52355","description":"CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52355","description":"CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/URETERO W/LITHOTRIPSY and INDWELL STENT INSRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52356","description":"CYSTO/URETERO W/LITHOTRIPSY and INDWELL STENT INSRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/URETERO W/LITHOTRIPSY and INDWELL STENT INSRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52356","description":"CYSTO/URETERO W/LITHOTRIPSY and INDWELL STENT INSRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOGRAPHY MINIMUM 3 VIEWS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74430","description":"CYSTOGRAPHY MINIMUM 3 VIEWS RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOGRAPHY MINIMUM 3 VIEWS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74430","description":"CYSTOGRAPHY MINIMUM 3 VIEWS RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51050","description":"CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51050","description":"CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51865","description":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51865","description":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51860","description":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51860","description":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOSTOMY CYSTOTOMY W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51040","description":"CYSTOSTOMY CYSTOTOMY W/DRAINAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOSTOMY CYSTOTOMY W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51040","description":"CYSTOSTOMY CYSTOTOMY W/DRAINAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51525","description":"CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51525","description":"CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51535","description":"CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51535","description":"CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISION BLADDER TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51530","description":"CYSTOTOMY EXCISION BLADDER TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISION BLADDER TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51530","description":"CYSTOTOMY EXCISION BLADDER TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY SIMPLE EXCISION VESICAL NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51520","description":"CYSTOTOMY SIMPLE EXCISION VESICAL NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY SIMPLE EXCISION VESICAL NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51520","description":"CYSTOTOMY SIMPLE EXCISION VESICAL NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY W/CALCULUS BASKET XTRJ and /FRAGMENTATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51065","description":"CYSTOTOMY W/CALCULUS BASKET XTRJ and /FRAGMENTATIO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY W/CALCULUS BASKET XTRJ and /FRAGMENTATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51065","description":"CYSTOTOMY W/CALCULUS BASKET XTRJ and /FRAGMENTATIO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51045","description":"CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51045","description":"CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY/CYSTOSTOMY FULG and /INSJ RADACT MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51020","description":"CYSTOTOMY/CYSTOSTOMY FULG and /INSJ RADACT MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY/CYSTOSTOMY FULG and /INSJ RADACT MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51020","description":"CYSTOTOMY/CYSTOSTOMY FULG and /INSJ RADACT MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52000","description":"CYSTOURETHROSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52000","description":"CYSTOURETHROSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52282","description":"CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52282","description":"CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52250","description":"CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52250","description":"CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52285","description":"CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52285","description":"CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DEST and /RMVL MED BLADDER TUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52235","description":"CYSTOURETHROSCOPY W/DEST and /RMVL MED BLADDER TUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DEST and /RMVL MED BLADDER TUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52235","description":"CYSTOURETHROSCOPY W/DEST and /RMVL MED BLADDER TUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DEST and /RMVL TUMOR LARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52240","description":"CYSTOURETHROSCOPY W/DEST and /RMVL TUMOR LARGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DEST and /RMVL TUMOR LARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52240","description":"CYSTOURETHROSCOPY W/DEST and /RMVL TUMOR LARGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52260","description":"CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52260","description":"CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52265","description":"CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52265","description":"CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52276","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52276","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52270","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52270","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52275","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52276","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52275","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52277","description":"CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52277","description":"CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52320","description":"CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52320","description":"CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52283","description":"CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52283","description":"CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/URETERAL CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52005","description":"CYSTOURETHROSCOPY W/URETERAL CATHETERIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/URETERAL CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52005","description":"CYSTOURETHROSCOPY W/URETERAL CATHETERIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52290","description":"CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52290","description":"CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52204","description":"CYSTOURETHROSCOPY WITH BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52204","description":"CYSTOURETHROSCOPY WITH BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTOGEN TEST DONE MARROW DIAG OR PRIOR TXMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3155F","description":"CYTOGEN TEST DONE MARROW DIAG OR PRIOR TXMNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOGEN TEST DONE MARROW DIAG OR PRIOR TXMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3155F","description":"CYTOGEN TEST DONE MARROW DIAG OR PRIOR TXMNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOGENETICS AND MOLEC CYTOGENETICS INTERP AND REP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88291","description":"CYTOGENETICS AND MOLEC CYTOGENETICS INTERP AND REP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTOPATH REPORT NONGYN SPCMN DOCD NON-ROUTINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0551F","description":"CYTOPATH REPORT NONGYN SPCMN DOCD NON-ROUTINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOPATH REPORT NONGYN SPCMN DOCD NON-ROUTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0551F","description":"CYTOPATH REPORT NONGYN SPCMN DOCD NON-ROUTINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOPATH REPORT ON NONGYN SPECIMEN 2 WKNG DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0550F","description":"CYTOPATH REPORT ON NONGYN SPECIMEN 2 WKNG DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOPATH REPORT ON NONGYN SPECIMEN 2 WKNG DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0550F","description":"CYTOPATH REPORT ON NONGYN SPECIMEN 2 WKNG DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOPATHOLOGY FORENSIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88125","description":"CYTOPATHOLOGY FORENSIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88175","description":"CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88174","description":"CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V FLU AUTO THIN MNL SCR and RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88143","description":"CYTP C/V FLU AUTO THIN MNL SCR and RESCR PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88142","description":"CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88141","description":"CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP CONCENTRATION SMEARS AND INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88108","description":"CYTP CONCENTRATION SMEARS AND INTERPRETATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP EVAL FINE NEEDLE ASPIRATE INTERP AND REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88173","description":"CYTP EVAL FINE NEEDLE ASPIRATE INTERP AND REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88172","description":"CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88177","description":"CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88106","description":"CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88104","description":"CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88120","description":"CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88121","description":"CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88112","description":"CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88155","description":"CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR UNDER PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88150","description":"CYTP SLIDES C/V MNL SCR UNDER PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR CELL S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88167","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR CELL S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88152","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88166","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS SUPV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88153","description":"CYTP SLIDES C/V MNL SCR and RESCR PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and RESCR PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88165","description":"CYTP SLIDES C/V MNL SCR and RESCR PHYS SUPV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES CERV/VAG MNL SCRN PHYSICIAN SUPV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88164","description":"CYTP SLIDES CERV/VAG MNL SCRN PHYSICIAN SUPV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS ANY OTH SRC EXTND STD GT 5 SLIDES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88162","description":"CYTP SMRS ANY OTH SRC EXTND STD GT 5 SLIDES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS ANY OTH SRC PREPJ SCR AND INTERPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88161","description":"CYTP SMRS ANY OTH SRC PREPJ SCR AND INTERPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS ANY OTH SRC SCR AND INTERPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88160","description":"CYTP SMRS ANY OTH SRC SCR AND INTERPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS C/V SCR AUTO SYS MNL RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88148","description":"CYTP SMRS C/V SCR AUTO SYS MNL RESCR PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS C/V SCR AUTOMATED SYSTEM PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88147","description":"CYTP SMRS C/V SCR AUTOMATED SYSTEM PHYS SUPV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Cannula nasal","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4615","description":"Cannula nasal","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Cannula nasal","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4615","description":"Cannula nasal","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Caster pin lock each","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0073","description":"Caster pin lock each","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Chemiluminescent assay","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82397","description":"Chemiluminescent assay","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Chromogenic substrate assay","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85130","description":"Chromogenic substrate assay","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Conditioning play audiometry","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92582","description":"Conditioning play audiometry","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Conditioning play audiometry","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92582","description":"Conditioning play audiometry","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1009","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1010","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1011","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1012","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1013","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1014","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1009","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1010","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1011","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1012","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1013","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1014","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DACARBAZINE 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9130","description":"DACARBAZINE 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DACARBAZINE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9130","description":"DACARBAZINE 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70170","description":"DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70170","description":"DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DACRYOCSTORHINOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68720","description":"DACRYOCSTORHINOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DACRYOCSTORHINOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68720","description":"DACRYOCSTORHINOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DAILY HOSP MGMT EDRL/SARACH CONT DRUG ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01996","description":"DAILY HOSP MGMT EDRL/SARACH CONT DRUG ADMN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DAILY HOSP MGMT EDRL/SARACH CONT DRUG ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01996","description":"DAILY HOSP MGMT EDRL/SARACH CONT DRUG ADMN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DARK ADAPTATION XM W/INTERPRETATION and REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92284","description":"DARK ADAPTATION XM W/INTERPRETATION and REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DARK FIELD EXAM ANY SOURCE W/O COLLECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87166","description":"DARK FIELD EXAM ANY SOURCE W/O COLLECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DARK FIELD EXAM ANY SOURCE W/O SPECIMEN COLLECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87166","description":"DARK FIELD EXAM ANY SOURCE W/O SPECIMEN COLLECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10 PCT BDY SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11000","description":"DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10 PCT BDY SURF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10 PCT BDY SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11000","description":"DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10 PCT BDY SURF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10 PCT BDY SURF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11000","description":"DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10 PCT BDY SURF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTNSVE ECZEMA/INFECT SKN EA 10 PCT BDY SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11001","description":"DBRDMT EXTNSVE ECZEMA/INFECT SKN EA 10 PCT BDY SURF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11001","description":"DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11001","description":"DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT FX and /DISLC SUBQ T/M/F BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11012","description":"DBRDMT FX and /DISLC SUBQ T/M/F BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT FX and /DISLC SUBQ T/M/F BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11012","description":"DBRDMT FX and /DISLC SUBQ T/M/F BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT and PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11004","description":"DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT and PER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT and PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11004","description":"DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT and PER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11005","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11005","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT PER and ABDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11006","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT PER and ABDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT PER and ABDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11006","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT PER and ABDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT and PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11004","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT and PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT/ABDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11006","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT/ABDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11045","description":"DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT W/RMVL FM FX and /DISLC SKIN and SUBQ TISSUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11010","description":"DBRDMT W/RMVL FM FX and /DISLC SKIN and SUBQ TISSUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT W/RMVL FM FX and /DISLC SKIN and SUBQ TISSUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11010","description":"DBRDMT W/RMVL FM FX and /DISLC SKIN and SUBQ TISSUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT W/RMVL FM FX and /DISLC SKN SUBQ T/M/F MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11011","description":"DBRDMT W/RMVL FM FX and /DISLC SKN SUBQ T/M/F MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT W/RMVL FM FX and /DISLC SKN SUBQ T/M/F MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11011","description":"DBRDMT W/RMVL FM FX and /DISLC SKN SUBQ T/M/F MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69720","description":"DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69720","description":"DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27057","description":"DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27057","description":"DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCIOTOMY THIGH and /KNEE MLT COMPARTMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27498","description":"DCMPRN FASCIOTOMY THIGH and /KNEE MLT COMPARTMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCIOTOMY THIGH and /KNEE MLT COMPARTMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27498","description":"DCMPRN FASCIOTOMY THIGH and /KNEE MLT COMPARTMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR DBRDMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25025","description":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR DBRDMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR DBRDMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25025","description":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR DBRDMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR W/O DB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25024","description":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR W/O DB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR W/O DB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25024","description":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR W/O DB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR/XTNSR W/DBRDMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25023","description":"DCMPRN FASCT F/ARM and /WRST FLXR/XTNSR W/DBRDMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR/XTNSR W/DBRDMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25023","description":"DCMPRN FASCT F/ARM and /WRST FLXR/XTNSR W/DBRDMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and WRST FLXR/XTNSR W/O DBRDMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25020","description":"DCMPRN FASCT F/ARM and WRST FLXR/XTNSR W/O DBRDMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and WRST FLXR/XTNSR W/O DBRDMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25020","description":"DCMPRN FASCT F/ARM and WRST FLXR/XTNSR W/O DBRDMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT COMPARTMENTS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27600","description":"DCMPRN FASCT LEG ANT and /LAT COMPARTMENTS ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT COMPARTMENTS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27600","description":"DCMPRN FASCT LEG ANT and /LAT COMPARTMENTS ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT W/DBRDMT MUSC and /NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27892","description":"DCMPRN FASCT LEG ANT and /LAT W/DBRDMT MUSC and /NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT W/DBRDMT MUSC and /NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27892","description":"DCMPRN FASCT LEG ANT and /LAT W/DBRDMT MUSC and /NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT and PST CMPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27602","description":"DCMPRN FASCT LEG ANT and /LAT and PST CMPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT and PST CMPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27602","description":"DCMPRN FASCT LEG ANT and /LAT and PST CMPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT and PST W/DBRDMT MUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27894","description":"DCMPRN FASCT LEG ANT and /LAT and PST W/DBRDMT MUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT and PST W/DBRDMT MUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27894","description":"DCMPRN FASCT LEG ANT and /LAT and PST W/DBRDMT MUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG POST COMPARTMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27601","description":"DCMPRN FASCT LEG POST COMPARTMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG POST COMPARTMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27601","description":"DCMPRN FASCT LEG POST COMPARTMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG PST W/DBRDMT MUSC and /NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27893","description":"DCMPRN FASCT LEG PST W/DBRDMT MUSC and /NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG PST W/DBRDMT MUSC and /NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27893","description":"DCMPRN FASCT LEG PST W/DBRDMT MUSC and /NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT THIGH and /KNEE DBRDMT MUSCLE and /NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27497","description":"DCMPRN FASCT THIGH and /KNEE DBRDMT MUSCLE and /NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT THIGH and /KNEE DBRDMT MUSCLE and /NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27497","description":"DCMPRN FASCT THIGH and /KNEE DBRDMT MUSCLE and /NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT THIGH and /KNEE MLT DBRDMT NV MUSC and NRVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27499","description":"DCMPRN FASCT THIGH and /KNEE MLT DBRDMT NV MUSC and NRVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT THIGH and /KNEE MLT DBRDMT NV MUSC and NRVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27499","description":"DCMPRN FASCT THIGH and /KNEE MLT DBRDMT NV MUSC and NRVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69725","description":"DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69725","description":"DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PERQ NUCLEUS PULPOSUS 1 OR GT LEVELS LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62287","description":"DCMPRN PERQ NUCLEUS PULPOSUS 1 OR GT LEVELS LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PERQ NUCLEUS PULPOSUS 1/MLT LEVELS LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62287","description":"DCMPRN PERQ NUCLEUS PULPOSUS 1/MLT LEVELS LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PERQ NUCLEUS PULPOSUS 1/MLT LEVELS LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62287","description":"DCMPRN PERQ NUCLEUS PULPOSUS 1/MLT LEVELS LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PX PERQ NUCLEUS PULPOSUS 1/MLT LVL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62287","description":"DCMPRN PX PERQ NUCLEUS PULPOSUS 1/MLT LVL LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11044","description":"DEBRIDEMENT BONE 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11044","description":"DEBRIDEMENT BONE 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11047","description":"DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11047","description":"DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE MUSCLE and /FASCIA 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11044","description":"DEBRIDEMENT BONE MUSCLE and /FASCIA 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69222","description":"DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69222","description":"DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69220","description":"DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69220","description":"DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE and FASCIA 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11043","description":"DEBRIDEMENT MUSCLE and FASCIA 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE and /FASCIA 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11043","description":"DEBRIDEMENT MUSCLE and /FASCIA 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE and /FASCIA 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11043","description":"DEBRIDEMENT MUSCLE and /FASCIA 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE and /FASCIA EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11046","description":"DEBRIDEMENT MUSCLE and /FASCIA EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE and /FASCIA EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11046","description":"DEBRIDEMENT MUSCLE and /FASCIA EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT NAIL ANY METHOD 1-5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11720","description":"DEBRIDEMENT NAIL ANY METHOD 1-5","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT NAIL ANY METHOD 1-5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11720","description":"DEBRIDEMENT NAIL ANY METHOD 1-5","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT NAIL ANY METHOD 6 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11721","description":"DEBRIDEMENT NAIL ANY METHOD 6 OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT NAIL ANY METHOD 6 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11721","description":"DEBRIDEMENT NAIL ANY METHOD 6 OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPEN WOUND 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97597","description":"DEBRIDEMENT OPEN WOUND 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97598","description":"DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97597","description":"DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97597","description":"DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97598","description":"DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97598","description":"DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11042","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11042","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11042","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11045","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11045","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECALCIFICATION PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88311","description":"DECALCIFICATION PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36593","description":"DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36593","description":"DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27027","description":"DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27027","description":"DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCIOTOMY THIGH and /KNEE 1 COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27496","description":"DECOMPRESSION FASCIOTOMY THIGH and /KNEE 1 COMPONENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCIOTOMY THIGH and /KNEE 1 COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27496","description":"DECOMPRESSION FASCIOTOMY THIGH and /KNEE 1 COMPONENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCT F/ARM W/BRACH ART EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24495","description":"DECOMPRESSION FASCT F/ARM W/BRACH ART EXPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCT FOREARM W/BRACH ARTERY EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24495","description":"DECOMPRESSION FASCT FOREARM W/BRACH ARTERY EXPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCT FOREARM W/BRACH ARTERY EXPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24495","description":"DECOMPRESSION FASCT FOREARM W/BRACH ARTERY EXPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FINGERS and /HAND INJECTION INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26035","description":"DECOMPRESSION FINGERS and /HAND INJECTION INJURY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FINGERS and /HAND INJECTION INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26035","description":"DECOMPRESSION FINGERS and /HAND INJECTION INJURY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION INTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69960","description":"DECOMPRESSION INTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION INTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69960","description":"DECOMPRESSION INTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61330","description":"DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61330","description":"DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION PLANTAR DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64726","description":"DECOMPRESSION PLANTAR DIGITAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION PLANTAR DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64726","description":"DECOMPRESSION PLANTAR DIGITAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION UNSPECIFIED NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64722","description":"DECOMPRESSION UNSPECIFIED NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION UNSPECIFIED NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64722","description":"DECOMPRESSION UNSPECIFIED NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSIVE FASCIOTOMY HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26037","description":"DECOMPRESSIVE FASCIOTOMY HAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSIVE FASCIOTOMY HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26037","description":"DECOMPRESSIVE FASCIOTOMY HAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION AND PARIETAL PLEURECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32320","description":"DECORTICATION AND PARIETAL PLEURECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION AND PARIETAL PLEURECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32320","description":"DECORTICATION AND PARIETAL PLEURECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION PULMONARY PARTIAL SEPARATE PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32225","description":"DECORTICATION PULMONARY PARTIAL SEPARATE PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION PULMONARY PARTIAL SEPARATE PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32225","description":"DECORTICATION PULMONARY PARTIAL SEPARATE PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32220","description":"DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32220","description":"DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEEP VEIN THROMB PROPHYL RECVD BY HOSP DAY 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4070F","description":"DEEP VEIN THROMB PROPHYL RECVD BY HOSP DAY 2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEEP VEIN THROMB PROPHYL RECVD BY HOSP DAY 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4070F","description":"DEEP VEIN THROMB PROPHYL RECVD BY HOSP DAY 2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEHYDROEPIANDROSTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82626","description":"DEHYDROEPIANDROSTERONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEHYDROEPIANDROSTERONE-SULFATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82627","description":"DEHYDROEPIANDROSTERONE-SULFATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15630","description":"DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15630","description":"DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15620","description":"DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15620","description":"DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15610","description":"DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15610","description":"DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15600","description":"DELAY FLAP/SECTIONING FLAP TRUNK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15600","description":"DELAY FLAP/SECTIONING FLAP TRUNK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DELIGATION URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50940","description":"DELIGATION URETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DELIGATION URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50940","description":"DELIGATION URETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DELIVERY PLACENTA SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59414","description":"DELIVERY PLACENTA SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DELIVERY PLACENTA SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59414","description":"DELIVERY PLACENTA SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DELIVERY/BIRTHING ROOM RESUSCITATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99465","description":"DELIVERY/BIRTHING ROOM RESUSCITATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DELIVERY/BIRTHING ROOM RESUSCITATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99465","description":"DELIVERY/BIRTHING ROOM RESUSCITATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED MILD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1490F","description":"DEMENTIA SEVERITY CLASSIFIED MILD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED MILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1490F","description":"DEMENTIA SEVERITY CLASSIFIED MILD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED MODERATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1491F","description":"DEMENTIA SEVERITY CLASSIFIED MODERATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED MODERATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1491F","description":"DEMENTIA SEVERITY CLASSIFIED MODERATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED SEVERE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1493F","description":"DEMENTIA SEVERITY CLASSIFIED SEVERE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED SEVERE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1493F","description":"DEMENTIA SEVERITY CLASSIFIED SEVERE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMO HOME INR MON PT W/MECH HT VALVE CAF/VTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0248","description":"DEMO HOME INR MON PT W/MECH HT VALVE CAF/VTE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEMO HOME INR MON PT W/MECH HT VALVE CAF/VTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0248","description":"DEMO HOME INR MON PT W/MECH HT VALVE CAF/VTE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEMO and /EVAL OF PT UTILIZ AERSL GEN/NEB/INHLR/IP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94664","description":"DEMO and /EVAL OF PT UTILIZ AERSL GEN/NEB/INHLR/IP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEMO and /EVAL PT UTILIZ AERSL GEN NEB INHLR/IPPB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94664","description":"DEMO and /EVAL PT UTILIZ AERSL GEN NEB INHLR/IPPB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEMO and /EVAL PT UTILIZ AERSL GEN NEB INHLR/IPPB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94664","description":"DEMO and /EVAL PT UTILIZ AERSL GEN NEB INHLR/IPPB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEOXYCORTISOL 11-","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82634","description":"DEOXYCORTISOL 11-","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEOXYRIBONUCLEASE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86215","description":"DEOXYRIBONUCLEASE ANTIBODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEPRESSION SCR NOT DOCUMENTED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8432","description":"DEPRESSION SCR NOT DOCUMENTED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEPRESSION SCR NOT DOCUMENTED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8432","description":"DEPRESSION SCR NOT DOCUMENTED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION REGIONAL OTHER THAN FACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15782","description":"DERMABRASION REGIONAL OTHER THAN FACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION REGIONAL OTHER THAN FACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15782","description":"DERMABRASION REGIONAL OTHER THAN FACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION SEGMENTAL FACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15781","description":"DERMABRASION SEGMENTAL FACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION SEGMENTAL FACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15781","description":"DERMABRASION SEGMENTAL FACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION SUPERFICIAL ANY SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15783","description":"DERMABRASION SUPERFICIAL ANY SITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION SUPERFICIAL ANY SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15783","description":"DERMABRASION SUPERFICIAL ANY SITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION TOTAL FACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15780","description":"DERMABRASION TOTAL FACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION TOTAL FACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15780","description":"DERMABRASION TOTAL FACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15136","description":"DERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15136","description":"DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15136","description":"DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15130","description":"DERMAL AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15130","description":"DERMAL AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT T/A/L EA ADD 100 SQCM/1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15131","description":"DERMAL AGRFT T/A/L EA ADD 100 SQCM/1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT T/A/L EA ADD 100 SQCM/1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15131","description":"DERMAL AGRFT T/A/L EA ADD 100 SQCM/1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15135","description":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15135","description":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15135","description":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT TRUNK/ARM/LEG 1ST 100 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15130","description":"DERMAL AUTOGRAFT TRUNK/ARM/LEG 1ST 100 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT TRUNK/ARM/LEG EA 100 CM/EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15131","description":"DERMAL AUTOGRAFT TRUNK/ARM/LEG EA 100 CM/EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESCENDING THORACIC AORTA GRAFT W/WO BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33875","description":"DESCENDING THORACIC AORTA GRAFT W/WO BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESCENDING THORACIC AORTA GRAFT W/WO BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33875","description":"DESCENDING THORACIC AORTA GRAFT W/WO BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESOXYCORTICOSTERONE 11-","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82633","description":"DESOXYCORTICOSTERONE 11-","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION BENIGN LESIONS 15 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17111","description":"DESTRUCTION BENIGN LESIONS 15 OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION BENIGN LESIONS 15 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17111","description":"DESTRUCTION BENIGN LESIONS 15 OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION BENIGN LESIONS UP TO 14","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17110","description":"DESTRUCTION BENIGN LESIONS UP TO 14","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION BENIGN LESIONS UP TO 14","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17110","description":"DESTRUCTION BENIGN LESIONS UP TO 14","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION CUTAN VASC PROLIFERATIVE LES LT 10SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17106","description":"DESTRUCTION CUTAN VASC PROLIFERATIVE LES LT 10SQCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION CUTAN VASC PROLIFERATIVE LES LT 10SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17106","description":"DESTRUCTION CUTAN VASC PROLIFERATIVE LES LT 10SQCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION CUTANEOUS VASC PROLIFERATIVE LT 10CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17106","description":"DESTRUCTION CUTANEOUS VASC PROLIFERATIVE LT 10CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46930","description":"DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46930","description":"DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION CONJUNCTIVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68135","description":"DESTRUCTION LESION CONJUNCTIVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION CONJUNCTIVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68135","description":"DESTRUCTION LESION CONJUNCTIVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION DENTOALVEOLAR STRUCTURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41850","description":"DESTRUCTION LESION DENTOALVEOLAR STRUCTURES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION DENTOALVEOLAR STRUCTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41850","description":"DESTRUCTION LESION DENTOALVEOLAR STRUCTURES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION LID MARGIN LT 1 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67850","description":"DESTRUCTION LESION LID MARGIN LT 1 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION LID MARGIN LT 1 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67850","description":"DESTRUCTION LESION LID MARGIN LT 1 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESIONS VULVA EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56515","description":"DESTRUCTION LESIONS VULVA EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESIONS VULVA EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56515","description":"DESTRUCTION LESIONS VULVA EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESIONS VULVA SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56501","description":"DESTRUCTION LESIONS VULVA SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESIONS VULVA SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56501","description":"DESTRUCTION LESIONS VULVA SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17286","description":"DESTRUCTION MAL LESION F/E/E/N/L/M GT 4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17286","description":"DESTRUCTION MAL LESION F/E/E/N/L/M GT 4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17281","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17281","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17282","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17282","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17283","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17283","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17284","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17284","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17266","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG GT 4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17266","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG GT 4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17261","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17261","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17262","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17262","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17263","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17263","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17264","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17264","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17280","description":"DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17280","description":"DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17270","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17270","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17270","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17271","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17271","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17272","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17272","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17273","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17273","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17274","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17274","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17260","description":"DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17260","description":"DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 15 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17004","description":"DESTRUCTION PREMALIGNANT LESION 15 OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 15 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17004","description":"DESTRUCTION PREMALIGNANT LESION 15 OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17000","description":"DESTRUCTION PREMALIGNANT LESION 1ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17000","description":"DESTRUCTION PREMALIGNANT LESION 1ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 2-14 EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17003","description":"DESTRUCTION PREMALIGNANT LESION 2-14 EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 2-14 EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17003","description":"DESTRUCTION PREMALIGNANT LESION 2-14 EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45190","description":"DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45190","description":"DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67227","description":"DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67227","description":"DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION VAGINAL LESIONS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57065","description":"DESTRUCTION VAGINAL LESIONS EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION VAGINAL LESIONS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57065","description":"DESTRUCTION VAGINAL LESIONS EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION VAGINAL LESIONS SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57061","description":"DESTRUCTION VAGINAL LESIONS SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION VAGINAL LESIONS SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57061","description":"DESTRUCTION VAGINAL LESIONS SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE ADJUST HT ARMREST BASE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0017","description":"DETACHABLE ADJUST HT ARMREST BASE REPL ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE NONADJUST HT ARMREST REPLAC ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0015","description":"DETACHABLE NONADJUST HT ARMREST REPLAC ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE NONADJUST HT ARMREST REPLAC ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0015","description":"DETACHABLE NONADJUST HT ARMREST REPLAC ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE NONADJUSTABLE HEIGHT ARMREST EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0015","description":"DETACHABLE NONADJUSTABLE HEIGHT ARMREST EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DETERMINATION REFRACTIVE STATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92015","description":"DETERMINATION REFRACTIVE STATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DETERMINATION REFRACTIVE STATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92015","description":"DETERMINATION REFRACTIVE STATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPED POSTOP RENAL FAILURE/REQ DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8575","description":"DEVELOPED POSTOP RENAL FAILURE/REQ DIALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPED POSTOP RENAL FAILURE/REQ DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8575","description":"DEVELOPED POSTOP RENAL FAILURE/REQ DIALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL SCREEN W/SCORING and DOC STD INSTRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96110","description":"DEVELOPMENTAL SCREEN W/SCORING and DOC STD INSTRM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL SCREEN W/SCORING and DOC STD INSTRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96110","description":"DEVELOPMENTAL SCREEN W/SCORING and DOC STD INSTRM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE INHAL COMP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7638","description":"DEXAMETHASONE INHAL COMP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE INHAL COMP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7638","description":"DEXAMETHASONE INHAL COMP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8540","description":"DEXAMETHASONE ORAL 0.25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8540","description":"DEXAMETHASONE ORAL 0.25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DEXMETHASONE SUPPRESSION PANEL 48 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80420","description":"DEXMETHASONE SUPPRESSION PANEL 48 HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIA ONLY MX DEN INSRT CSTM FRM MDL PT FT CF EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5513","description":"DIA ONLY MX DEN INSRT CSTM FRM MDL PT FT CF EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIA ONLY MX DEN INSRT CSTM FRM MDL PT FT CF EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5513","description":"DIA ONLY MX DEN INSRT CSTM FRM MDL PT FT CF EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MOLD PTS FT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5501","description":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MOLD PTS FT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MOLD PTS FT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5501","description":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MOLD PTS FT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MX DNSITY INSRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5500","description":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MX DNSITY INSRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MX DNSITY INSRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5500","description":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MX DNSITY INSRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD ROLLER/ROCKR BOTTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5503","description":"DIAB ONLY MOD SHOE/CSTM MOLD ROLLER/ROCKR BOTTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD ROLLER/ROCKR BOTTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5503","description":"DIAB ONLY MOD SHOE/CSTM MOLD ROLLER/ROCKR BOTTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/MT BAR SHOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5505","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/MT BAR SHOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/MT BAR SHOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5505","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/MT BAR SHOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/OFF SET HEEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5506","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/OFF SET HEEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/OFF SET HEEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5506","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/OFF SET HEEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/WEDGE SHOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5504","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/WEDGE SHOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/WEDGE SHOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5504","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/WEDGE SHOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY NOS MOD SHOE/CSTM MOLD SHOE PER SHOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5507","description":"DIAB ONLY NOS MOD SHOE/CSTM MOLD SHOE PER SHOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY NOS MOD SHOE/CSTM MOLD SHOE PER SHOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5507","description":"DIAB ONLY NOS MOD SHOE/CSTM MOLD SHOE PER SHOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAB OP SELF-MGMT TRN SRVC INDIVIDUAL PER 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0108","description":"DIAB OP SELF-MGMT TRN SRVC INDIVIDUAL PER 30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAB OP SELF-MGMT TRN SRVC INDIVIDUAL PER 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0108","description":"DIAB OP SELF-MGMT TRN SRVC INDIVIDUAL PER 30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAB SELF-MGMT TRN SRVC GROUP SESSION PER 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0109","description":"DIAB SELF-MGMT TRN SRVC GROUP SESSION PER 30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAB SELF-MGMT TRN SRVC GROUP SESSION PER 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0109","description":"DIAB SELF-MGMT TRN SRVC GROUP SESSION PER 30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC ARTHROSCOPY SHOULDER Plus - SYNOVIAL BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29805","description":"DIAGNOSTIC ARTHROSCOPY SHOULDER Plus - SYNOVIAL BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC ARTHROSCOPY SHOULDER Plus - SYNOVIAL BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29805","description":"DIAGNOSTIC ARTHROSCOPY SHOULDER Plus - SYNOVIAL BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW ASPIRATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38220","description":"DIAGNOSTIC BONE MARROW ASPIRATIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW ASPIRATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38220","description":"DIAGNOSTIC BONE MARROW ASPIRATIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW BIOPSIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38221","description":"DIAGNOSTIC BONE MARROW BIOPSIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW BIOPSIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38221","description":"DIAGNOSTIC BONE MARROW BIOPSIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71270","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C Plus","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71270","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C Plus","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71260","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71260","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71250","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71250","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62270","description":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62270","description":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77066","description":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77066","description":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77065","description":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77065","description":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90947","description":"DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90947","description":"DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90945","description":"DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90945","description":"DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS TRAINING PATIENT COMPLETED COURSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90989","description":"DIALYSIS TRAINING PATIENT COMPLETED COURSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS TRAINING PATIENT COMPLETED COURSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90989","description":"DIALYSIS TRAINING PATIENT COMPLETED COURSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS TRAINING PATIENT PER TRAINING SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90993","description":"DIALYSIS TRAINING PATIENT PER TRAINING SESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS TRAINING PATIENT PER TRAINING SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90993","description":"DIALYSIS TRAINING PATIENT PER TRAINING SESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57170","description":"DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57170","description":"DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DID NOT SUST BLAD INJ SRG/NOR DSCV SUBSQ UP 30PS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9627","description":"DID NOT SUST BLAD INJ SRG/NOR DSCV SUBSQ UP 30PS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DID NOT SUST BLAD INJ SRG/NOR DSCV SUBSQ UP 30PS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9627","description":"DID NOT SUST BLAD INJ SRG/NOR DSCV SUBSQ UP 30PS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIFFUSING CAPACITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94729","description":"DIFFUSING CAPACITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIFFUSING CAPACITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94729","description":"DIFFUSING CAPACITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIGITAL ANALYSIS ELECTROENCEPHALOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95957","description":"DIGITAL ANALYSIS ELECTROENCEPHALOGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIGITAL ANALYSIS ELECTROENCEPHALOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95957","description":"DIGITAL ANALYSIS ELECTROENCEPHALOGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIGITAL BREAST TOMOSYNTHESIS BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77062","description":"DIGITAL BREAST TOMOSYNTHESIS BILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIGITAL BREAST TOMOSYNTHESIS BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77062","description":"DIGITAL BREAST TOMOSYNTHESIS BILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIGITAL BREAST TOMOSYNTHESIS UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77061","description":"DIGITAL BREAST TOMOSYNTHESIS UNILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIGITAL BREAST TOMOSYNTHESIS UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77061","description":"DIGITAL BREAST TOMOSYNTHESIS UNILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIGOXIN MEDICATION THERAPY 6 MONTHS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4220F","description":"DIGOXIN MEDICATION THERAPY 6 MONTHS OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGOXIN MEDICATION THERAPY 6 MONTHS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4220F","description":"DIGOXIN MEDICATION THERAPY 6 MONTHS OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45905","description":"DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45905","description":"DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53665","description":"DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53665","description":"DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URETHRA W/SUPPOSITORY and /INSTLJ INI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53660","description":"DILAT FEMALE URETHRA W/SUPPOSITORY and /INSTLJ INI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URETHRA W/SUPPOSITORY and /INSTLJ INI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53660","description":"DILAT FEMALE URETHRA W/SUPPOSITORY and /INSTLJ INI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URT W/SUPPOSITORY and /INSTLJ SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53661","description":"DILAT FEMALE URT W/SUPPOSITORY and /INSTLJ SBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URT W/SUPPOSITORY and /INSTLJ SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53661","description":"DILAT FEMALE URT W/SUPPOSITORY and /INSTLJ SBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45910","description":"DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45910","description":"DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX DILATOR MALE 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53600","description":"DILAT URETHRAL STRIX DILATOR MALE 1ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX DILATOR MALE 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53600","description":"DILAT URETHRAL STRIX DILATOR MALE 1ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX DILATOR MALE SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53601","description":"DILAT URETHRAL STRIX DILATOR MALE SBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX DILATOR MALE SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53601","description":"DILAT URETHRAL STRIX DILATOR MALE SBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX FILIFORM AND FOLLWR MALE 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53620","description":"DILAT URETHRAL STRIX FILIFORM AND FOLLWR MALE 1ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX FILIFORM AND FOLLWR MALE 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53620","description":"DILAT URETHRAL STRIX FILIFORM AND FOLLWR MALE 1ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX FILIFORM AND FOLLWR MALE SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53621","description":"DILAT URETHRAL STRIX FILIFORM AND FOLLWR MALE SBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX FILIFORM AND FOLLWR MALE SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53621","description":"DILAT URETHRAL STRIX FILIFORM AND FOLLWR MALE SBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53605","description":"DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53605","description":"DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT and CATHJ SALIVARY DUCT W/WO INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42660","description":"DILAT and CATHJ SALIVARY DUCT W/WO INJECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT and CATHJ SALIVARY DUCT W/WO INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42660","description":"DILAT and CATHJ SALIVARY DUCT W/WO INJECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATED FUNDUS EVALUATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2020F","description":"DILATED FUNDUS EVALUATION PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED FUNDUS EVALUATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2020F","description":"DILATED FUNDUS EVALUATION PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2019F","description":"DILATED MACULAR EXAM PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2019F","description":"DILATED MACULAR EXAM PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2021F","description":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8397","description":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2021F","description":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8397","description":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR/FUNDUS XM COMMUNJ TX PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5010F","description":"DILATED MACULAR/FUNDUS XM COMMUNJ TX PHYS/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR/FUNDUS XM COMMUNJ TX PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5010F","description":"DILATED MACULAR/FUNDUS XM COMMUNJ TX PHYS/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED RETINAL EXAM W/EVIDENCE OF RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2022F","description":"DILATED RETINAL EXAM W/EVIDENCE OF RETINOPATHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED RETINAL EXAM W/EVIDENCE OF RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2022F","description":"DILATED RETINAL EXAM W/EVIDENCE OF RETINOPATHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED RETINAL EXAM W/O EVIDENCE OF RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2023F","description":"DILATED RETINAL EXAM W/O EVIDENCE OF RETINOPATHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED RETINAL EXAM W/O EVIDENCE OF RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2023F","description":"DILATED RETINAL EXAM W/O EVIDENCE OF RETINOPATHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION AND CURETTAGE CERVICAL STUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57558","description":"DILATION AND CURETTAGE CERVICAL STUMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION AND CURETTAGE CERVICAL STUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57558","description":"DILATION AND CURETTAGE CERVICAL STUMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION and CURETTAGE DX and /THER NONOBSTETRIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58120","description":"DILATION and CURETTAGE DX and /THER NONOBSTETRIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION and CURETTAGE DX and /THER NONOBSTETRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58120","description":"DILATION and CURETTAGE DX and /THER NONOBSTETRIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION CERVICAL CANAL INSTRUMENTAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57800","description":"DILATION CERVICAL CANAL INSTRUMENTAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION CERVICAL CANAL INSTRUMENTAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57800","description":"DILATION CERVICAL CANAL INSTRUMENTAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43450","description":"DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43450","description":"DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION ESOPHAGUS GUIDE WIRE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43453","description":"DILATION ESOPHAGUS GUIDE WIRE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION ESOPHAGUS GUIDE WIRE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43453","description":"DILATION ESOPHAGUS GUIDE WIRE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION LACRIMAL PUNCTUM W/WO IRRGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68801","description":"DILATION LACRIMAL PUNCTUM W/WO IRRGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION LACRIMAL PUNCTUM W/WO IRRGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68801","description":"DILATION LACRIMAL PUNCTUM W/WO IRRGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION SALIVARY DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42650","description":"DILATION SALIVARY DUCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION SALIVARY DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42650","description":"DILATION SALIVARY DUCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION URETERS/URETHRA RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74485","description":"DILATION URETERS/URETHRA RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION URETERS/URETHRA RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74485","description":"DILATION URETERS/URETHRA RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57400","description":"DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57400","description":"DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIPHTH TETANUS TOX ACELL PERTUSSIS VACC LT 7 YR IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90700","description":"DIPHTH TETANUS TOX ACELL PERTUSSIS VACC LT 7 YR IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIPHTH TETANUS TOX ACELL PERTUSSIS VACC LT 7 YR IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90700","description":"DIPHTH TETANUS TOX ACELL PERTUSSIS VACC LT 7 YR IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIPHTHERIA ANTITOXIN EQUINE ANY ROUTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90296","description":"DIPHTHERIA ANTITOXIN EQUINE ANY ROUTE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIPHTHERIA ANTITOXIN EQUINE ANY ROUTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90296","description":"DIPHTHERIA ANTITOXIN EQUINE ANY ROUTE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM AND GRAFT COMMON FEMORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35141","description":"DIR RPR ANEURYSM AND GRAFT COMMON FEMORAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM AND GRAFT COMMON FEMORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35141","description":"DIR RPR ANEURYSM AND GRAFT COMMON FEMORAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM AND GRAFT ILIAC ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35131","description":"DIR RPR ANEURYSM AND GRAFT ILIAC ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM AND GRAFT ILIAC ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35131","description":"DIR RPR ANEURYSM AND GRAFT ILIAC ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM AND GRAFT POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35151","description":"DIR RPR ANEURYSM AND GRAFT POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM AND GRAFT POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35151","description":"DIR RPR ANEURYSM AND GRAFT POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35102","description":"DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35102","description":"DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35091","description":"DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35091","description":"DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35081","description":"DIR RPR ANEURYSM ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35081","description":"DIR RPR ANEURYSM ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35011","description":"DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35011","description":"DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35001","description":"DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35001","description":"DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35121","description":"DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35121","description":"DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35021","description":"DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35021","description":"DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM SPLENIC ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35111","description":"DIR RPR ANEURYSM SPLENIC ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM SPLENIC ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35111","description":"DIR RPR ANEURYSM SPLENIC ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35005","description":"DIR RPR ANEURYSM VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35005","description":"DIR RPR ANEURYSM VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35092","description":"DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35092","description":"DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35122","description":"DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35122","description":"DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM AND GRAFT ILIAC ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35132","description":"DIR RPR RUPTD ANEURYSM AND GRAFT ILIAC ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM AND GRAFT ILIAC ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35132","description":"DIR RPR RUPTD ANEURYSM AND GRAFT ILIAC ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM AND GRF COMMON FEMORAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35142","description":"DIR RPR RUPTD ANEURYSM AND GRF COMMON FEMORAL ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM AND GRF COMMON FEMORAL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35142","description":"DIR RPR RUPTD ANEURYSM AND GRF COMMON FEMORAL ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM AND GRF POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35152","description":"DIR RPR RUPTD ANEURYSM AND GRF POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM AND GRF POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35152","description":"DIR RPR RUPTD ANEURYSM AND GRF POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35103","description":"DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35103","description":"DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35082","description":"DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35082","description":"DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35013","description":"DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35013","description":"DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35002","description":"DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35002","description":"DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35022","description":"DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35022","description":"DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35045","description":"DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35045","description":"DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM SPLENIC ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35112","description":"DIR RPR RUPTD ANEURYSM SPLENIC ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM SPLENIC ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35112","description":"DIR RPR RUPTD ANEURYSM SPLENIC ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33645","description":"DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33645","description":"DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIRECT ADMISSION PATIENT HOSPITAL OBSERV CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0379","description":"DIRECT ADMISSION PATIENT HOSPITAL OBSERV CARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIRECT ADMISSION PATIENT HOSPITAL OBSERV CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0379","description":"DIRECT ADMISSION PATIENT HOSPITAL OBSERV CARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIRECT NASAL MUCOUS MEMBRANE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95065","description":"DIRECT NASAL MUCOUS MEMBRANE TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIRECT NASAL MUCOUS MEMBRANE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95065","description":"DIRECT NASAL MUCOUS MEMBRANE TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIS MODFY ANTI-RHEU DRUG THXPY RX/GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4187F","description":"DIS MODFY ANTI-RHEU DRUG THXPY RX/GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIS MODFY ANTI-RHEU DRUG THXPY RX/GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4187F","description":"DIS MODFY ANTI-RHEU DRUG THXPY RX/GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION HIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27295","description":"DISARTICULATION HIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION HIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27295","description":"DISARTICULATION HIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27598","description":"DISARTICULATION KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27598","description":"DISARTICULATION KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION SHOULDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23920","description":"DISARTICULATION SHOULDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION SHOULDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23920","description":"DISARTICULATION SHOULDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THROUGH WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25920","description":"DISARTICULATION THROUGH WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THROUGH WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25920","description":"DISARTICULATION THROUGH WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THRU WRIST RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25924","description":"DISARTICULATION THRU WRIST RE-AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THRU WRIST RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25924","description":"DISARTICULATION THRU WRIST RE-AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25922","description":"DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25922","description":"DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63075","description":"DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63075","description":"DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63076","description":"DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63076","description":"DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63077","description":"DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63077","description":"DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63078","description":"DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63078","description":"DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCHRG MEDS RECONCILED W/CURRENT MED LIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1111F","description":"DISCHRG MEDS RECONCILED W/CURRENT MED LIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCHRG MEDS RECONCILED W/CURRENT MED LIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1111F","description":"DISCHRG MEDS RECONCILED W/CURRENT MED LIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCISSION SECONDARY MEMBRANOUS CATARACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66820","description":"DISCISSION SECONDARY MEMBRANOUS CATARACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCISSION SECONDARY MEMBRANOUS CATARACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66820","description":"DISCISSION SECONDARY MEMBRANOUS CATARACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCISSION VITREOUS STRANS PARS PLANA APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67030","description":"DISCISSION VITREOUS STRANS PARS PLANA APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCISSION VITREOUS STRANS PARS PLANA APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67030","description":"DISCISSION VITREOUS STRANS PARS PLANA APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE ACTIVITY NOT ASSESSED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1006","description":"DISEASE ACTIVITY NOT ASSESSED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE ACTIVITY NOT ASSESSED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1006","description":"DISEASE ACTIVITY NOT ASSESSED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE PROGNOSIS RA ASSESSED GOOD PROG DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3476F","description":"DISEASE PROGNOSIS RA ASSESSED GOOD PROG DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE PROGNOSIS RA ASSESSED GOOD PROG DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3476F","description":"DISEASE PROGNOSIS RA ASSESSED GOOD PROG DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE PROGNOSIS RA ASSESSED POOR PROG DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3475F","description":"DISEASE PROGNOSIS RA ASSESSED POOR PROG DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE PROGNOSIS RA ASSESSED POOR PROG DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3475F","description":"DISEASE PROGNOSIS RA ASSESSED POOR PROG DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISKOGRAPY CERVICAL/THORACIC RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72285","description":"DISKOGRAPY CERVICAL/THORACIC RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISKOGRAPY CERVICAL/THORACIC RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72285","description":"DISKOGRAPY CERVICAL/THORACIC RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISKOGRAPY LUMBAR RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72295","description":"DISKOGRAPY LUMBAR RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISKOGRAPY LUMBAR RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72295","description":"DISKOGRAPY LUMBAR RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISPLACEMENT THERAPY PROETZ TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30210","description":"DISPLACEMENT THERAPY PROETZ TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISPLACEMENT THERAPY PROETZ TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30210","description":"DISPLACEMENT THERAPY PROETZ TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISPSBL EXT URETHRAL CLAMP/COMP DEV PAD POUCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4360","description":"DISPSBL EXT URETHRAL CLAMP/COMP DEV PAD POUCH EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISPSBL EXT URETHRAL CLAMP/COMP DEV PAD POUCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4360","description":"DISPSBL EXT URETHRAL CLAMP/COMP DEV PAD POUCH EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23921","description":"DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23921","description":"DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISSECTION DEEP JUGULAR NODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38542","description":"DISSECTION DEEP JUGULAR NODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISSECTION DEEP JUGULAR NODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38542","description":"DISSECTION DEEP JUGULAR NODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92587","description":"DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92587","description":"DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92588","description":"DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92588","description":"DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIURETIC MEDICATION THERAPY 6 MOS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4221F","description":"DIURETIC MEDICATION THERAPY 6 MOS OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIURETIC MEDICATION THERAPY 6 MOS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4221F","description":"DIURETIC MEDICATION THERAPY 6 MOS OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43130","description":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43130","description":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43135","description":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43135","description":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION ABERRANT VESSEL VASCULAR RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33802","description":"DIVISION ABERRANT VESSEL VASCULAR RING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION ABERRANT VESSEL VASCULAR RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33802","description":"DIVISION ABERRANT VESSEL VASCULAR RING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION ABERRANT VESSEL W/REANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33803","description":"DIVISION ABERRANT VESSEL W/REANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION ABERRANT VESSEL W/REANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33803","description":"DIVISION ABERRANT VESSEL W/REANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION PLANTAR FASCIA AND MUSCLE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28250","description":"DIVISION PLANTAR FASCIA AND MUSCLE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION PLANTAR FASCIA AND MUSCLE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28250","description":"DIVISION PLANTAR FASCIA AND MUSCLE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21705","description":"DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21705","description":"DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21700","description":"DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21700","description":"DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STERNOCLEIDOMASTOID OPEN W/CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21725","description":"DIVISION STERNOCLEIDOMASTOID OPEN W/CAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STERNOCLEIDOMASTOID OPEN W/CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21725","description":"DIVISION STERNOCLEIDOMASTOID OPEN W/CAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21720","description":"DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21720","description":"DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STRICTURE RECTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45150","description":"DIVISION STRICTURE RECTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STRICTURE RECTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45150","description":"DIVISION STRICTURE RECTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DLYD INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19342","description":"DLYD INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33886","description":"DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33886","description":"DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33883","description":"DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33883","description":"DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANTIBODY NATIVE/DOUBLE STRANDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86225","description":"DNA ANTIBODY NATIVE/DOUBLE STRANDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANTIBODY SINGLE STRANDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86226","description":"DNA ANTIBODY SINGLE STRANDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27035","description":"DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27035","description":"DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DOC ABSENCE PERM AND PERSISTENT AND PAROXYSM ATRIAL FIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1061F","description":"DOC ABSENCE PERM AND PERSISTENT AND PAROXYSM ATRIAL FIB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ABSENCE PERM AND PERSISTENT AND PAROXYSM ATRIAL FIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1061F","description":"DOC ABSENCE PERM AND PERSISTENT AND PAROXYSM ATRIAL FIB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADV STAGE DEMENTIA AND CAREGIVER KNWL LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9917","description":"DOC ADV STAGE DEMENTIA AND CAREGIVER KNWL LIMITED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADV STAGE DEMENTIA AND CAREGIVER KNWL LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9917","description":"DOC ADV STAGE DEMENTIA AND CAREGIVER KNWL LIMITED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADVANCED DISEASE DX CARE GOALS COMFORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1152F","description":"DOC ADVANCED DISEASE DX CARE GOALS COMFORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADVANCED DISEASE DX CARE GOALS COMFORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1152F","description":"DOC ADVANCED DISEASE DX CARE GOALS COMFORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADVANCED DISEASE DX CARE GOALS W/O COMFORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1153F","description":"DOC ADVANCED DISEASE DX CARE GOALS W/O COMFORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADVANCED DISEASE DX CARE GOALS W/O COMFORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1153F","description":"DOC ADVANCED DISEASE DX CARE GOALS W/O COMFORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC AMOXICILLIN PRESCRIBED 1ST LINE ABX TIME DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9315","description":"DOC AMOXICILLIN PRESCRIBED 1ST LINE ABX TIME DX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INCIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4048F","description":"DOC ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INCIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INCIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4048F","description":"DOC ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INCIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC CHA2DS2-VASC RS 0/1 FOR MN; /0 1/ 2 FOR WOMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9931","description":"DOC CHA2DS2-VASC RS 0/1 FOR MN; /0 1/ 2 FOR WOMN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC CHA2DS2-VASC RS 0/1 FOR MN; /0 1/ 2 FOR WOMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9931","description":"DOC CHA2DS2-VASC RS 0/1 FOR MN; /0 1/ 2 FOR WOMN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC DIRECT COMM DIAG MAMMO FNDNGS-PHONE/PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5062F","description":"DOC DIRECT COMM DIAG MAMMO FNDNGS-PHONE/PERSON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC DIRECT COMM DIAG MAMMO FNDNGS-PHONE/PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5062F","description":"DOC DIRECT COMM DIAG MAMMO FNDNGS-PHONE/PERSON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ESRD DIAL RNA TX BF/DUR MSR PR/PG DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9231","description":"DOC ESRD DIAL RNA TX BF/DUR MSR PR/PG DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ESRD DIAL RNA TX BF/DUR MSR PR/PG DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9231","description":"DOC ESRD DIAL RNA TX BF/DUR MSR PR/PG DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC HX RENAL FAILURE/BASELINE S-CR GT or equal to 4.0 MG/","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9722","description":"DOC HX RENAL FAILURE/BASELINE S-CR GT or equal to 4.0 MG/","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC HX RENAL FAILURE/BASELINE S-CR GT or equal to 4.0 MG/","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9722","description":"DOC HX RENAL FAILURE/BASELINE S-CR GT or equal to 4.0 MG/","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC HX RENAL FAILURE/BASELINE S-CR Equal to 4.0 MG/DL;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9722","description":"DOC HX RENAL FAILURE/BASELINE S-CR Equal to 4.0 MG/DL;","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC IRON STORES PRIOR START EPO THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3160F","description":"DOC IRON STORES PRIOR START EPO THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC IRON STORES PRIOR START EPO THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3160F","description":"DOC IRON STORES PRIOR START EPO THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC M RSN NO RCV AL 2 PRO PHRM ANTI-EMTC DIF CLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9776","description":"DOC M RSN NO RCV AL 2 PRO PHRM ANTI-EMTC DIF CLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC M RSN NO RCV AL 2 PRO PHRM ANTI-EMTC DIF CLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9776","description":"DOC M RSN NO RCV AL 2 PRO PHRM ANTI-EMTC DIF CLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC M RSN NOT RX/ADM AD TX COMB EXT BEAM RT PROS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9895","description":"DOC M RSN NOT RX/ADM AD TX COMB EXT BEAM RT PROS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC M RSN NOT RX/ADM AD TX COMB EXT BEAM RT PROS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9895","description":"DOC M RSN NOT RX/ADM AD TX COMB EXT BEAM RT PROS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED REASON NOT REPORT H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9288","description":"DOC MED REASON NOT REPORT H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED REASON NOT REPORT H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9288","description":"DOC MED REASON NOT REPORT H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RES NOT INC INTVL MOD FU OR NO FU RECOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9755","description":"DOC MED RES NOT INC INTVL MOD FU OR NO FU RECOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RES NOT INC INTVL MOD FU OR NO FU RECOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9755","description":"DOC MED RES NOT INC INTVL MOD FU OR NO FU RECOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RS NOT RECV HCV AB D/T LIFE EXPECTANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9452","description":"DOC MED RS NOT RECV HCV AB D/T LIFE EXPECTANCY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RS NOT RECV HCV AB D/T LIFE EXPECTANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9452","description":"DOC MED RS NOT RECV HCV AB D/T LIFE EXPECTANCY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN COLONOSCOPY PERF PT GT or equal to TO 86 YOA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9660","description":"DOC MED RSN COLONOSCOPY PERF PT GT or equal to TO 86 YOA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN COLONOSCOPY PERF PT GT or equal to TO 86 YOA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9660","description":"DOC MED RSN COLONOSCOPY PERF PT GT or equal to TO 86 YOA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN FOR NOT ON A DAILY ASPIRIN/OTH AP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9794","description":"DOC MED RSN FOR NOT ON A DAILY ASPIRIN/OTH AP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN FOR NOT ON A DAILY ASPIRIN/OTH AP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9794","description":"DOC MED RSN FOR NOT ON A DAILY ASPIRIN/OTH AP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN FOR NOT RECOMMEND AL 10 YR F/U INTVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9862","description":"DOC MED RSN FOR NOT RECOMMEND AL 10 YR F/U INTVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN FOR NOT RECOMMEND AL 10 YR F/U INTVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9862","description":"DOC MED RSN FOR NOT RECOMMEND AL 10 YR F/U INTVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NO CUR USER/RCV AN ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9781","description":"DOC MED RSN NO CUR USER/RCV AN ORDER STATIN TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ACHV AL 1 BT MSR Equal to TO OR GT 35.5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9772","description":"DOC MED RSN NOT ACHV AL 1 BT MSR Equal to TO OR GT 35.5","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ACHV AL 1 BT MSR GT or equal to 35.5 DC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9772","description":"DOC MED RSN NOT ACHV AL 1 BT MSR GT or equal to 35.5 DC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ACHV AL 1 BT MSR GT or equal to 35.5 DC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9772","description":"DOC MED RSN NOT ACHV AL 1 BT MSR GT or equal to 35.5 DC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8865","description":"DOC MED RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8865","description":"DOC MED RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT C SRCH DICOM F IMAG W/I P 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9753","description":"DOC MED RSN NOT C SRCH DICOM F IMAG W/I P 12 MO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT C SRCH DICOM F IMAG W/I P 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9753","description":"DOC MED RSN NOT C SRCH DICOM F IMAG W/I P 12 MO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT CUR USER/RCV AN ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9781","description":"DOC MED RSN NOT CUR USER/RCV AN ORDER STATIN TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT CUR USER/RCV AN ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9781","description":"DOC MED RSN NOT CUR USER/RCV AN ORDER STATIN TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT DOC UPDAT/REV PT CUR MED LIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8430","description":"DOC MED RSN NOT DOC UPDAT/REV PT CUR MED LIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT DOC UPDAT/REV PT CUR MED LIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8430","description":"DOC MED RSN NOT DOC UPDAT/REV PT CUR MED LIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL HIS T/NSCLC-NOS CLASS EXPLN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9419","description":"DOC MED RSN NOT INCL HIS T/NSCLC-NOS CLASS EXPLN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL HIS T/NSCLC-NOS CLASS EXPLN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9419","description":"DOC MED RSN NOT INCL HIS T/NSCLC-NOS CLASS EXPLN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL PT CAT AND STM THK ULCER AND MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9429","description":"DOC MED RSN NOT INCL PT CAT AND STM THK ULCER AND MR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL PT CAT AND STM THK ULCER AND MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9429","description":"DOC MED RSN NOT INCL PT CAT AND STM THK ULCER AND MR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL PT CAT PN CAT/HG PATH REPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8722","description":"DOC MED RSN NOT INCL PT CAT PN CAT/HG PATH REPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL PT CAT PN CAT/HG PATH REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8722","description":"DOC MED RSN NOT INCL PT CAT PN CAT/HG PATH REPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PERF IO CYSTO/IN CASE PT DEATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9607","description":"DOC MED RSN NOT PERF IO CYSTO/IN CASE PT DEATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PERF IO CYSTO/IN CASE PT DEATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9607","description":"DOC MED RSN NOT PERF IO CYSTO/IN CASE PT DEATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRESC WARFARIN/ANR FDA-APPRV AC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8968","description":"DOC MED RSN NOT PRESC WARFARIN/ANR FDA-APPRV AC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRESCR FDA APVD ANTICOAGULANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8968","description":"DOC MED RSN NOT PRESCR FDA APVD ANTICOAGULANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRESCR FDA APVD ANTICOAGULANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8968","description":"DOC MED RSN NOT PRESCR FDA APVD ANTICOAGULANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRSC LA INHALED BRONCHODILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9696","description":"DOC MED RSN NOT PRSC LA INHALED BRONCHODILATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRSC LA INHALED BRONCHODILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9696","description":"DOC MED RSN NOT PRSC LA INHALED BRONCHODILATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RECV 1-TIME SCR HCV INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9452","description":"DOC MED RSN NOT RECV 1-TIME SCR HCV INFECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RECV ANNUAL SCREENING HCV INF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9384","description":"DOC MED RSN NOT RECV ANNUAL SCREENING HCV INF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RECV ANNUAL SCREENING HCV INF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9384","description":"DOC MED RSN NOT RECV ANNUAL SCREENING HCV INF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPRT H TYP/NSCLC-NOS CLASS EXPLN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9423","description":"DOC MED RSN NOT RPRT H TYP/NSCLC-NOS CLASS EXPLN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPRT H TYP/NSCLC-NOS CLASS EXPLN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9423","description":"DOC MED RSN NOT RPRT H TYP/NSCLC-NOS CLASS EXPLN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPT HIST TYP/NSCLC-NOS CLASS W/E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9282","description":"DOC MED RSN NOT RPT HIST TYP/NSCLC-NOS CLASS W/E","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPT HIST TYP/NSCLC-NOS CLASS W/E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9282","description":"DOC MED RSN NOT RPT HIST TYP/NSCLC-NOS CLASS W/E","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPT PT CAT THICK ULCER PT1 MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9292","description":"DOC MED RSN NOT RPT PT CAT THICK ULCER PT1 MR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPT PT CAT THICK ULCER PT1 MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9292","description":"DOC MED RSN NOT RPT PT CAT THICK ULCER PT1 MR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN PRESCRIBING SYSTEMIC ANTIMICROBIALS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9960","description":"DOC MED RSN PRESCRIBING SYSTEMIC ANTIMICROBIALS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN PRESCRIBING SYSTEMIC ANTIMICROBIALS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9960","description":"DOC MED RSN PRESCRIBING SYSTEMIC ANTIMICROBIALS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED/PT RSN FOR NOT ORDERING/PRFRM SCR HCC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9456","description":"DOC MED/PT RSN FOR NOT ORDERING/PRFRM SCR HCC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED/PT RSN FOR NOT ORDERING/PRFRM SCR HCC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9456","description":"DOC MED/PT RSN FOR NOT ORDERING/PRFRM SCR HCC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL REASON THAT F/U IMAGING IS INDICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9549","description":"DOC MEDICAL REASON THAT F/U IMAGING IS INDICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL REASON THAT F/U IMAGING IS INDICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9549","description":"DOC MEDICAL REASON THAT F/U IMAGING IS INDICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL RSN NOT SCR FOR TB/INTPRET RESULTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1004","description":"DOC MEDICAL RSN NOT SCR FOR TB/INTPRET RESULTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL RSN NOT SCR FOR TB/INTPRET RESULTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1004","description":"DOC MEDICAL RSN NOT SCR FOR TB/INTPRET RESULTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL RSN PT REC NOT ORD ANTIPLATELET AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9610","description":"DOC MEDICAL RSN PT REC NOT ORD ANTIPLATELET AGT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL RSN PT REC NOT ORD ANTIPLATELET AGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9610","description":"DOC MEDICAL RSN PT REC NOT ORD ANTIPLATELET AGT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MNTL HLTH ASSES PRIOR INTVN BACK PAIN 6WKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2044F","description":"DOC MNTL HLTH ASSES PRIOR INTVN BACK PAIN 6WKS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MNTL HLTH ASSES PRIOR INTVN BACK PAIN 6WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2044F","description":"DOC MNTL HLTH ASSES PRIOR INTVN BACK PAIN 6WKS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC NEW DIAG DX INIT/RECURRENT EPISODE OF MDD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3093F","description":"DOC NEW DIAG DX INIT/RECURRENT EPISODE OF MDD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC NEW DIAG DX INIT/RECURRENT EPISODE OF MDD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3093F","description":"DOC NEW DIAG DX INIT/RECURRENT EPISODE OF MDD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4047F","description":"DOC ORDER ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4047F","description":"DOC ORDER ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER CEFAZOLIN/CEFUROXIME ANTIMICRB PROPHYL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4041F","description":"DOC ORDER CEFAZOLIN/CEFUROXIME ANTIMICRB PROPHYL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER CEFAZOLIN/CEFUROXIME ANTIMICRB PROPHYL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4041F","description":"DOC ORDER CEFAZOLIN/CEFUROXIME ANTIMICRB PROPHYL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER DISCONT ANTIBIO W/IN 48 HOURS OF SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4043F","description":"DOC ORDER DISCONT ANTIBIO W/IN 48 HOURS OF SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER DISCONT ANTIBIO W/IN 48 HOURS OF SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4043F","description":"DOC ORDER DISCONT ANTIBIO W/IN 48 HOURS OF SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER GIVEN TO STOP ANTIBIO W/IN 24 HRS SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4049F","description":"DOC ORDER GIVEN TO STOP ANTIBIO W/IN 24 HRS SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER GIVEN TO STOP ANTIBIO W/IN 24 HRS SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4049F","description":"DOC ORDER GIVEN TO STOP ANTIBIO W/IN 24 HRS SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER VTE PROPHYL W/IN 24 HRS PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4044F","description":"DOC ORDER VTE PROPHYL W/IN 24 HRS PRIOR SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER VTE PROPHYL W/IN 24 HRS PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4044F","description":"DOC ORDER VTE PROPHYL W/IN 24 HRS PRIOR SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PERM/PERSISTENT/PAROXYSMAL ATRIAL FIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1060F","description":"DOC PERM/PERSISTENT/PAROXYSMAL ATRIAL FIB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PERM/PERSISTENT/PAROXYSMAL ATRIAL FIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1060F","description":"DOC PERM/PERSISTENT/PAROXYSMAL ATRIAL FIB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC POS FCN ASMT STD T;PLN NOT DOC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8543","description":"DOC POS FCN ASMT STD T;PLN NOT DOC RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC POS FO ASMT; CP NO DOC W/N 2D ASMT NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8543","description":"DOC POS FO ASMT; CP NO DOC W/N 2D ASMT NO RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC POS FO ASMT; CP NO DOC W/N 2D ASMT NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8543","description":"DOC POS FO ASMT; CP NO DOC W/N 2D ASMT NO RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PROPHY ANTIBIO NOT GIVEN W/IN 4 HR PRIOR SUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4042F","description":"DOC PROPHY ANTIBIO NOT GIVEN W/IN 4 HR PRIOR SUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PROPHY ANTIBIO NOT GIVEN W/IN 4 HR PRIOR SUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4042F","description":"DOC PROPHY ANTIBIO NOT GIVEN W/IN 4 HR PRIOR SUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D ASP/ANTI-PLT/DOC CONTRAIND ASP/ANTI-PLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9277","description":"DOC PT D ASP/ANTI-PLT/DOC CONTRAIND ASP/ANTI-PLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D ASP/ANTI-PLT/DOC CONTRAIND ASP/ANTI-PLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9277","description":"DOC PT D ASP/ANTI-PLT/DOC CONTRAIND ASP/ANTI-PLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME LATER THAN PO DA 2 FLW CEA/CAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9254","description":"DOC PT D/C HOME LATER THAN PO DA 2 FLW CEA/CAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME LATER THAN PO DA 2 FLW CEA/CAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9254","description":"DOC PT D/C HOME LATER THAN PO DA 2 FLW CEA/CAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME LATER THAN POST-OP DA 2 FLW CAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9254","description":"DOC PT D/C HOME LATER THAN POST-OP DA 2 FLW CAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME NO LTR THAN PO DAY 2 FLW CEA/CAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9255","description":"DOC PT D/C HOME NO LTR THAN PO DAY 2 FLW CEA/CAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME NO LTR THAN PO DAY 2 FLW CEA/CAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9255","description":"DOC PT D/C HOME NO LTR THAN PO DAY 2 FLW CEA/CAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME NO LTR THAN PST OP DAY 2 FLW CAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9255","description":"DOC PT D/C HOME NO LTR THAN PST OP DAY 2 FLW CAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT DECLINED CHG MED/ALT THERAPIES UNAVBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9765","description":"DOC PT DECLINED CHG MED/ALT THERAPIES UNAVBL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT DECLINED CHG MED/ALT THERAPIES UNAVBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9765","description":"DOC PT DECLINED CHG MED/ALT THERAPIES UNAVBL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT NOT ON DAILY ASPIRIN/ANTI-PLATELET REGIMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9278","description":"DOC PT NOT ON DAILY ASPIRIN/ANTI-PLATELET REGIMN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT NOT ON DAILY ASPIRIN/ANTI-PLATELET REGIMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9278","description":"DOC PT NOT ON DAILY ASPIRIN/ANTI-PLATELET REGIMN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT ON STATIN MED/DOC VALID CONTRAINDICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9507","description":"DOC PT ON STATIN MED/DOC VALID CONTRAINDICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT ON STATIN MED/DOC VALID CONTRAINDICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9507","description":"DOC PT ON STATIN MED/DOC VALID CONTRAINDICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT PRIM HA DX and IMAG OTH THAN CT/MRI OBTAIND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1028","description":"DOC PT PRIM HA DX and IMAG OTH THAN CT/MRI OBTAIND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT PRIM HA DX and IMAG OTH THAN CT/MRI OBTAIND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1028","description":"DOC PT PRIM HA DX and IMAG OTH THAN CT/MRI OBTAIND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT REASON NOT RECEIVING ANNUAL SCR HCV INF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9385","description":"DOC PT REASON NOT RECEIVING ANNUAL SCR HCV INF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT REASON NOT RECEIVING ANNUAL SCR HCV INF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9385","description":"DOC PT REASON NOT RECEIVING ANNUAL SCR HCV INF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RISK ASSESS RISK CALC W/PT/FAM NOT COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9317","description":"DOC PT RISK ASSESS RISK CALC W/PT/FAM NOT COMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RISK ASSESS RISK CALC W/PT/FAM NOT COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9317","description":"DOC PT RISK ASSESS RISK CALC W/PT/FAM NOT COMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RISK ASSESSMENT RISK CALCULATOR W/PT/FAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9316","description":"DOC PT RISK ASSESSMENT RISK CALCULATOR W/PT/FAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RISK ASSESSMENT RISK CALCULATOR W/PT/FAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9316","description":"DOC PT RISK ASSESSMENT RISK CALCULATOR W/PT/FAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8866","description":"DOC PT RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8866","description":"DOC PT RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT PRSCR ORAL AC FDA APPRVD PREV TE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8969","description":"DOC PT RSN NOT PRSCR ORAL AC FDA APPRVD PREV TE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT PRSCR ORAL AC FDA APPRVD PREV TE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8969","description":"DOC PT RSN NOT PRSCR ORAL AC FDA APPRVD PREV TE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT PRSCR WAR/ANOTHER ORAL AC PREV TE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8969","description":"DOC PT RSN NOT PRSCR WAR/ANOTHER ORAL AC PREV TE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT W/O SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1151F","description":"DOC PT W/O SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT W/O SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1151F","description":"DOC PT W/O SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT W/SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1150F","description":"DOC PT W/SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT W/SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1150F","description":"DOC PT W/SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RE-ASSESS APPROP OF FILTER REMOVAL W/I 3 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9542","description":"DOC RE-ASSESS APPROP OF FILTER REMOVAL W/I 3 M","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RE-ASSESS APPROP OF FILTER REMOVAL W/I 3 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9542","description":"DOC RE-ASSESS APPROP OF FILTER REMOVAL W/I 3 M","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REASON NOT DOCUMENTING ASMT SLEEP SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8840","description":"DOC REASON NOT DOCUMENTING ASMT SLEEP SYMPTOMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REASON NOT DOCUMENTING ASMT SLEEP SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8840","description":"DOC REASON NOT DOCUMENTING ASMT SLEEP SYMPTOMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REASON NOT MEASURING AHI/RDI TIME INIT DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8843","description":"DOC REASON NOT MEASURING AHI/RDI TIME INIT DX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REFERAL FOR UPPER GI ENDOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3132F","description":"DOC REFERAL FOR UPPER GI ENDOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REFERAL FOR UPPER GI ENDOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3132F","description":"DOC REFERAL FOR UPPER GI ENDOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REHAB SERVICES WERE CONSIDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4079F","description":"DOC REHAB SERVICES WERE CONSIDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REHAB SERVICES WERE CONSIDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4079F","description":"DOC REHAB SERVICES WERE CONSIDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO M AHI/RDI/REI WI 2MO AFTER SUS OSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8843","description":"DOC RSN NO M AHI/RDI/REI WI 2MO AFTER SUS OSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO M AHI/RDI/REI WI 2MO AFTER SUS OSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8843","description":"DOC RSN NO M AHI/RDI/REI WI 2MO AFTER SUS OSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO MIN INVASIVE BX DIAGNOSE BR CA PREOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8876","description":"DOC RSN NO MIN INVASIVE BX DIAGNOSE BR CA PREOP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO MIN INVASIVE BX DIAGNOSE BR CA PREOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8876","description":"DOC RSN NO MIN INVASIVE BX DIAGNOSE BR CA PREOP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO OBJ REPORTING ADH TO EVIDNCE-BASED TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8854","description":"DOC RSN NO OBJ REPORTING ADH TO EVIDNCE-BASED TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO OBJ REPORTING ADH TO EVIDNCE-BASED TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8854","description":"DOC RSN NO OBJ REPORTING ADH TO EVIDNCE-BASED TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NOT ASSESS HBV STS PRI INIT ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9504","description":"DOC RSN NOT ASSESS HBV STS PRI INIT ANTI-TNF TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NOT ASSESS HBV STS PRI INIT ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9504","description":"DOC RSN NOT ASSESS HBV STS PRI INIT ANTI-TNF TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SYS RSN NOT PRSC LA INHALED BRONCHODILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9698","description":"DOC SYS RSN NOT PRSC LA INHALED BRONCHODILATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SYS RSN NOT PRSC LA INHALED BRONCHODILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9698","description":"DOC SYS RSN NOT PRSC LA INHALED BRONCHODILATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SYS RSN ORD ADVANCE HEAD CT MRI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9537","description":"DOC SYS RSN ORD ADVANCE HEAD CT MRI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC T-PA ADMINISTRATION WAS CONSIDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4077F","description":"DOC T-PA ADMINISTRATION WAS CONSIDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC T-PA ADMINISTRATION WAS CONSIDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4077F","description":"DOC T-PA ADMINISTRATION WAS CONSIDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC VIRAL LOAD GT or equal to 200 COPIES/ML/VL NOT PRFRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9242","description":"DOC VIRAL LOAD GT or equal to 200 COPIES/ML/VL NOT PRFRM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC VIRAL LOAD GT or equal to 200 COPIES/ML/VL NOT PRFRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9242","description":"DOC VIRAL LOAD GT or equal to 200 COPIES/ML/VL NOT PRFRM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCD ANTIBIO W/IN 4 HRS PRIOR/INTRAOP SURG INCIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4046F","description":"DOCD ANTIBIO W/IN 4 HRS PRIOR/INTRAOP SURG INCIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCD ANTIBIO W/IN 4 HRS PRIOR/INTRAOP SURG INCIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4046F","description":"DOCD ANTIBIO W/IN 4 HRS PRIOR/INTRAOP SURG INCIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCD CONTACT THAT FX EXISTED and PT TSTED/TXD OP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5015F","description":"DOCD CONTACT THAT FX EXISTED and PT TSTED/TXD OP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCD CONTACT THAT FX EXISTED and PT TSTED/TXD OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5015F","description":"DOCD CONTACT THAT FX EXISTED and PT TSTED/TXD OP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCJ TB SCREEN PERFORMED AND RESULTS INTERPRET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3510F","description":"DOCJ TB SCREEN PERFORMED AND RESULTS INTERPRET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCJ TB SCREEN PERFORMED AND RESULTS INTERPRET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3510F","description":"DOCJ TB SCREEN PERFORMED AND RESULTS INTERPRET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT COUNSELING EXERCISE CALCIUM AND VITAMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4019F","description":"DOCUMENT COUNSELING EXERCISE CALCIUM AND VITAMIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT COUNSELING EXERCISE CALCIUM AND VITAMIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4019F","description":"DOCUMENT COUNSELING EXERCISE CALCIUM AND VITAMIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT PT RSN NOT RX/ADMN AD TX COM EBRT PROS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9896","description":"DOCUMENT PT RSN NOT RX/ADMN AD TX COM EBRT PROS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT PT RSN NOT RX/ADMN AD TX COM EBRT PROS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9896","description":"DOCUMENT PT RSN NOT RX/ADMN AD TX COM EBRT PROS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT RSN SENTINEL LYMPH NODE BX NOT PRFRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8880","description":"DOCUMENT RSN SENTINEL LYMPH NODE BX NOT PRFRM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT RSN SENTINEL LYMPH NODE BX NOT PRFRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8880","description":"DOCUMENT RSN SENTINEL LYMPH NODE BX NOT PRFRM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION AT LEAST TWO ATTEMPTS TO REACH PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9543","description":"DOCUMENTATION AT LEAST TWO ATTEMPTS TO REACH PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION AT LEAST TWO ATTEMPTS TO REACH PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9543","description":"DOCUMENTATION AT LEAST TWO ATTEMPTS TO REACH PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION CHLAMYDIA SCREENING TST PROPER F/U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9820","description":"DOCUMENTATION CHLAMYDIA SCREENING TST PROPER F/U","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION CHLAMYDIA SCREENING TST PROPER F/U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9820","description":"DOCUMENTATION CHLAMYDIA SCREENING TST PROPER F/U","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN COLONOSCOPY PERF PT GT 85 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9660","description":"DOCUMENTATION MED RSN COLONOSCOPY PERF PT GT 85 YRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN FOR PRESCRIB/DISPENS ABX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9712","description":"DOCUMENTATION MED RSN FOR PRESCRIB/DISPENS ABX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN FOR PRESCRIB/DISPENS ABX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9712","description":"DOCUMENTATION MED RSN FOR PRESCRIB/DISPENS ABX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN NOT PRSC BETA-BLOCKER TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9190","description":"DOCUMENTATION MED RSN NOT PRSC BETA-BLOCKER TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN NOT PRSC BETA-BLOCKER TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9190","description":"DOCUMENTATION MED RSN NOT PRSC BETA-BLOCKER TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN RECOMMENDING F/U IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9555","description":"DOCUMENTATION MED RSN RECOMMENDING F/U IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN RECOMMENDING F/U IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9555","description":"DOCUMENTATION MED RSN RECOMMENDING F/U IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MEDICAL REASON FOR NOT ON A STATIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9940","description":"DOCUMENTATION MEDICAL REASON FOR NOT ON A STATIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MEDICAL REASON FOR NOT ON A STATIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9940","description":"DOCUMENTATION MEDICAL REASON FOR NOT ON A STATIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MEDICAL REASON NOT RECV COMB TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9957","description":"DOCUMENTATION MEDICAL REASON NOT RECV COMB TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MEDICAL REASON NOT RECV COMB TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9957","description":"DOCUMENTATION MEDICAL REASON NOT RECV COMB TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MEDICAL RSN FOR NOT PERF FOOT EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9502","description":"DOCUMENTATION MEDICAL RSN FOR NOT PERF FOOT EXAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MEDICAL RSN FOR NOT PERF FOOT EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9502","description":"DOCUMENTATION MEDICAL RSN FOR NOT PERF FOOT EXAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF ACTIVE INJECTION DRUG USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9518","description":"DOCUMENTATION OF ACTIVE INJECTION DRUG USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF ACTIVE INJECTION DRUG USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9518","description":"DOCUMENTATION OF ACTIVE INJECTION DRUG USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF CHA2DS2-VASC RISK SCORE OF 0/1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9931","description":"DOCUMENTATION OF CHA2DS2-VASC RISK SCORE OF 0/1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF ORDER FOR ANTIPLATELET AGENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9609","description":"DOCUMENTATION OF ORDER FOR ANTIPLATELET AGENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF ORDER FOR ANTIPLATELET AGENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9609","description":"DOCUMENTATION OF ORDER FOR ANTIPLATELET AGENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF SEXUAL ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9818","description":"DOCUMENTATION OF SEXUAL ACTIVITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF SEXUAL ACTIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9818","description":"DOCUMENTATION OF SEXUAL ACTIVITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF TREATMENT FOR NEPHROPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3066F","description":"DOCUMENTATION OF TREATMENT FOR NEPHROPATHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF TREATMENT FOR NEPHROPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3066F","description":"DOCUMENTATION OF TREATMENT FOR NEPHROPATHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PATIENT CURRENT NON-TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9275","description":"DOCUMENTATION PATIENT CURRENT NON-TOBACCO USER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PATIENT CURRENT NON-TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9275","description":"DOCUMENTATION PATIENT CURRENT NON-TOBACCO USER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PATIENT IS A CURRENT TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9276","description":"DOCUMENTATION PATIENT IS A CURRENT TOBACCO USER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PATIENT IS A CURRENT TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9276","description":"DOCUMENTATION PATIENT IS A CURRENT TOBACCO USER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT HAS ACTIVE DX DEPRESSION/BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9717","description":"DOCUMENTATION PT HAS ACTIVE DX DEPRESSION/BD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT IS NOT ON A STATIN MEDICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9508","description":"DOCUMENTATION PT IS NOT ON A STATIN MEDICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT IS NOT ON A STATIN MEDICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9508","description":"DOCUMENTATION PT IS NOT ON A STATIN MEDICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT REASON NOT PRSC BETA-BLOCKER TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9191","description":"DOCUMENTATION PT REASON NOT PRSC BETA-BLOCKER TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT REASON NOT PRSC BETA-BLOCKER TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9191","description":"DOCUMENTATION PT REASON NOT PRSC BETA-BLOCKER TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION REASON NOT OBJ MSR ADHERENCE CPAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8854","description":"DOCUMENTATION REASON NOT OBJ MSR ADHERENCE CPAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION RSN NOT PRSC POS AIRWAY PRESS TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8849","description":"DOCUMENTATION RSN NOT PRSC POS AIRWAY PRESS TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION RSN NOT PRSC POS AIRWAY PRESS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8849","description":"DOCUMENTATION RSN NOT PRSC POS AIRWAY PRESS TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION STATING PT HAD DX OF BIPOLAR D/O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9717","description":"DOCUMENTATION STATING PT HAD DX OF BIPOLAR D/O","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION STATING PT HAD DX OF BIPOLAR D/O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9717","description":"DOCUMENTATION STATING PT HAD DX OF BIPOLAR D/O","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION VIRAL LOAD LESS THAN 200 COPIES/ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9243","description":"DOCUMENTATION VIRAL LOAD LESS THAN 200 COPIES/ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION VIRAL LOAD LESS THAN 200 COPIES/ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9243","description":"DOCUMENTATION VIRAL LOAD LESS THAN 200 COPIES/ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED IMMUNITY HEPATITIS A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3215F","description":"DOCUMENTED IMMUNITY HEPATITIS A","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED IMMUNITY HEPATITIS A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3215F","description":"DOCUMENTED IMMUNITY HEPATITIS A","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED IMMUNITY HEPATITIS B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3216F","description":"DOCUMENTED IMMUNITY HEPATITIS B","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED IMMUNITY HEPATITIS B","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3216F","description":"DOCUMENTED IMMUNITY HEPATITIS B","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED LENGTH CORNEAL POWER AND LENS POWER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3073F","description":"DOCUMENTED LENGTH CORNEAL POWER AND LENS POWER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED LENGTH CORNEAL POWER AND LENS POWER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3073F","description":"DOCUMENTED LENGTH CORNEAL POWER AND LENS POWER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED MED RSN NOT REPORTING BLADDER INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9626","description":"DOCUMENTED MED RSN NOT REPORTING BLADDER INJURY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED MED RSN NOT REPORTING BLADDER INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9626","description":"DOCUMENTED MED RSN NOT REPORTING BLADDER INJURY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED MED RSN NOT REPORTING BOWEL INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9629","description":"DOCUMENTED MED RSN NOT REPORTING BOWEL INJURY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED MED RSN NOT REPORTING BOWEL INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9629","description":"DOCUMENTED MED RSN NOT REPORTING BOWEL INJURY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED REASON FOR NOT SCREENING/REC F/U HBP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9745","description":"DOCUMENTED REASON FOR NOT SCREENING/REC F/U HBP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED REASON FOR NOT SCREENING/REC F/U HBP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9745","description":"DOCUMENTED REASON FOR NOT SCREENING/REC F/U HBP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED REASON MED REC WHY STATIN TX NOT PRSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8815","description":"DOCUMENTED REASON MED REC WHY STATIN TX NOT PRSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED REASON MED REC WHY STATIN TX NOT PRSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8815","description":"DOCUMENTED REASON MED REC WHY STATIN TX NOT PRSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOME and MOUTHPIECE USED W/SMALL VOLUME US NEBULIZR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7016","description":"DOME and MOUTHPIECE USED W/SMALL VOLUME US NEBULIZR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DOME and MOUTHPIECE USED W/SMALL VOLUME US NEBULIZR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7016","description":"DOME and MOUTHPIECE USED W/SMALL VOLUME US NEBULIZR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR CARDIECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33940","description":"DONOR CARDIECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR CARDIECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33940","description":"DONOR CARDIECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR CARDIECTOMY-PNEUMONECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33930","description":"DONOR CARDIECTOMY-PNEUMONECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR CARDIECTOMY-PNEUMONECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33930","description":"DONOR CARDIECTOMY-PNEUMONECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47133","description":"DONOR HEPATECTOMY CADAVER DONOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47133","description":"DONOR HEPATECTOMY CADAVER DONOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG II AND III","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47140","description":"DONOR HEPATECTOMY LIVING DONOR SEG II AND III","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG II AND III","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47140","description":"DONOR HEPATECTOMY LIVING DONOR SEG II AND III","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG II III AND IV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47141","description":"DONOR HEPATECTOMY LIVING DONOR SEG II III AND IV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG II III AND IV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47141","description":"DONOR HEPATECTOMY LIVING DONOR SEG II III AND IV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG V VI VII AND VI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47142","description":"DONOR HEPATECTOMY LIVING DONOR SEG V VI VII AND VI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG V VI VII AND VI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47142","description":"DONOR HEPATECTOMY LIVING DONOR SEG V VI VII AND VI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR NEPHRECTOMY CADAVER DONOR UNI/BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50300","description":"DONOR NEPHRECTOMY CADAVER DONOR UNI/BILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR NEPHRECTOMY CADAVER DONOR UNI/BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50300","description":"DONOR NEPHRECTOMY CADAVER DONOR UNI/BILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR NEPHRECTOMY OPEN LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50320","description":"DONOR NEPHRECTOMY OPEN LIVING DONOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR NEPHRECTOMY OPEN LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50320","description":"DONOR NEPHRECTOMY OPEN LIVING DONOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR PANCREATECTOMY DUODENAL SGM TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48550","description":"DONOR PANCREATECTOMY DUODENAL SGM TRANSPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR PANCREATECTOMY DUODENAL SGM TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48550","description":"DONOR PANCREATECTOMY DUODENAL SGM TRANSPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR PNEUMONECTOMY FROM CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32850","description":"DONOR PNEUMONECTOMY FROM CADAVER DONOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR PNEUMONECTOMY FROM CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32850","description":"DONOR PNEUMONECTOMY FROM CADAVER DONOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF GT 2 HRS NO REASON GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9582","description":"DOOR TO PUNCTURE TIME OF GT 2 HRS NO REASON GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF GT 90 MIN NO REASON GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9582","description":"DOOR TO PUNCTURE TIME OF GT 90 MIN NO REASON GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF GT 90 MIN NO REASON GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9582","description":"DOOR TO PUNCTURE TIME OF GT 90 MIN NO REASON GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF LESS THAN 2 HOURS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9580","description":"DOOR TO PUNCTURE TIME OF LESS THAN 2 HOURS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF LESS THAN 90 MIN/LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9580","description":"DOOR TO PUNCTURE TIME OF LESS THAN 90 MIN/LESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF LESS THAN 90 MIN/LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9580","description":"DOOR TO PUNCTURE TIME OF LESS THAN 90 MIN/LESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOP ECHOCARD COLOR FLOW VELOCITY MAPPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93325","description":"DOP ECHOCARD COLOR FLOW VELOCITY MAPPING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DOP ECHOCARD PULSE WAVE W/SPECTRAL F-UP/LMTD STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93321","description":"DOP ECHOCARD PULSE WAVE W/SPECTRAL F-UP/LMTD STD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO COLOR FLOW VELOCITY MAPPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93325","description":"DOPPLER ECHO COLOR FLOW VELOCITY MAPPING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO COLOR FLOW VELOCITY MAPPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93325","description":"DOPPLER ECHO COLOR FLOW VELOCITY MAPPING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76828","description":"DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76828","description":"DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76827","description":"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76827","description":"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93320","description":"DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93320","description":"DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93321","description":"DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93321","description":"DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93320","description":"DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76821","description":"DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76821","description":"DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76820","description":"DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76820","description":"DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7639","description":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7639","description":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PALATE UVULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42000","description":"DRAINAGE ABSCESS PALATE UVULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PALATE UVULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42000","description":"DRAINAGE ABSCESS PALATE UVULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PAROTID COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42305","description":"DRAINAGE ABSCESS PAROTID COMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PAROTID COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42305","description":"DRAINAGE ABSCESS PAROTID COMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PAROTID SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42300","description":"DRAINAGE ABSCESS PAROTID SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PAROTID SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42300","description":"DRAINAGE ABSCESS PAROTID SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42320","description":"DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42320","description":"DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30000","description":"DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30000","description":"DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30020","description":"DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30020","description":"DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE DEEP PERIURETHRAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53040","description":"DRAINAGE DEEP PERIURETHRAL ABSCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE DEEP PERIURETHRAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53040","description":"DRAINAGE DEEP PERIURETHRAL ABSCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69020","description":"DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69020","description":"DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69005","description":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69005","description":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA COMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69005","description":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA COMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69000","description":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69000","description":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE FINGER ABSCESS COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26011","description":"DRAINAGE FINGER ABSCESS COMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE FINGER ABSCESS COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26011","description":"DRAINAGE FINGER ABSCESS COMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE FINGER ABSCESS SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26010","description":"DRAINAGE FINGER ABSCESS SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE FINGER ABSCESS SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26010","description":"DRAINAGE FINGER ABSCESS SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF PALMAR BURSA MULTIPLE BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26030","description":"DRAINAGE OF PALMAR BURSA MULTIPLE BURSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF PALMAR BURSA MULTIPLE BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26030","description":"DRAINAGE OF PALMAR BURSA MULTIPLE BURSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF PALMAR BURSA SINGLE BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26025","description":"DRAINAGE OF PALMAR BURSA SINGLE BURSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF PALMAR BURSA SINGLE BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26025","description":"DRAINAGE OF PALMAR BURSA SINGLE BURSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF RETROPERITONEAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49060","description":"DRAINAGE OF RETROPERITONEAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF RETROPERITONEAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49060","description":"DRAINAGE OF RETROPERITONEAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58822","description":"DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58822","description":"DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58820","description":"DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58820","description":"DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58805","description":"DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58805","description":"DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58800","description":"DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58800","description":"DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE PERIRENAL/RENAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50020","description":"DRAINAGE PERIRENAL/RENAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE PERIRENAL/RENAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50020","description":"DRAINAGE PERIRENAL/RENAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49020","description":"DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49020","description":"DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49040","description":"DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49040","description":"DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE TENDON SHEATH DIGIT and /PALM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26020","description":"DRAINAGE TENDON SHEATH DIGIT and /PALM EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE TENDON SHEATH DIGIT and /PALM EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26020","description":"DRAINAGE TENDON SHEATH DIGIT and /PALM EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRESSING CHANGE UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15852","description":"DRESSING CHANGE UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRESSING CHANGE UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15852","description":"DRESSING CHANGE UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41800","description":"DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41800","description":"DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA VESTIBULE MOUTH COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40801","description":"DRG ABSC CST HMTMA VESTIBULE MOUTH COMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA VESTIBULE MOUTH COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40801","description":"DRG ABSC CST HMTMA VESTIBULE MOUTH COMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40800","description":"DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40800","description":"DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42310","description":"DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42310","description":"DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38305","description":"DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38305","description":"DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38300","description":"DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38300","description":"DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG OF SKENE'S GLAND ABSCESS OR CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53060","description":"DRG OF SKENE'S GLAND ABSCESS OR CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG OF SKENE'S GLAND ABSCESS OR CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53060","description":"DRG OF SKENE'S GLAND ABSCESS OR CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG PERINEAL URINARY XTRVASATION COMPLIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53085","description":"DRG PERINEAL URINARY XTRVASATION COMPLIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG PERINEAL URINARY XTRVASATION COMPLIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53085","description":"DRG PERINEAL URINARY XTRVASATION COMPLIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG PERINEAL URINARY XTRVASATION UNCOMP SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53080","description":"DRG PERINEAL URINARY XTRVASATION UNCOMP SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG PERINEAL URINARY XTRVASATION UNCOMP SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53080","description":"DRG PERINEAL URINARY XTRVASATION UNCOMP SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG PRIVESICAL/PREVESICAL SPACE ABSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51080","description":"DRG PRIVESICAL/PREVESICAL SPACE ABSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG PRIVESICAL/PREVESICAL SPACE ABSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51080","description":"DRG PRIVESICAL/PREVESICAL SPACE ABSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49062","description":"DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49062","description":"DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRIVE BELT FOR POWER WHEELCHAIR REPLACEMNT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0098","description":"DRIVE BELT FOR POWER WHEELCHAIR REPLACEMNT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRIVER FOR USE WITH PNEUMATIC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0480","description":"DRIVER FOR USE WITH PNEUMATIC VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRIVER FOR USE WITH PNEUMATIC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0480","description":"DRIVER FOR USE WITH PNEUMATIC VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16030","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16030","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16025","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16025","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16020","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16020","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CARBAMAZEPINE FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80157","description":"DRUG ASSAY CARBAMAZEPINE FREE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CARBAMAZEPINE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80156","description":"DRUG ASSAY CARBAMAZEPINE TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CYCLOSPORINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80158","description":"DRUG ASSAY CYCLOSPORINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY VALPROIC DIPROPYLACETIC ACID TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80164","description":"DRUG ASSAY VALPROIC DIPROPYLACETIC ACID TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE AMIKACIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80150","description":"DRUG SCREEN QUANTITATIVE AMIKACIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE DIGOXIN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80162","description":"DRUG SCREEN QUANTITATIVE DIGOXIN TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE ETHOSUXIMIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80168","description":"DRUG SCREEN QUANTITATIVE ETHOSUXIMIDE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE GENTAMICIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80170","description":"DRUG SCREEN QUANTITATIVE GENTAMICIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE HALOPRIDOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80173","description":"DRUG SCREEN QUANTITATIVE HALOPRIDOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE LIDOCAINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80176","description":"DRUG SCREEN QUANTITATIVE LIDOCAINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE LITHIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80178","description":"DRUG SCREEN QUANTITATIVE LITHIUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PHENOBARBITAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80184","description":"DRUG SCREEN QUANTITATIVE PHENOBARBITAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PHENYTOIN FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80186","description":"DRUG SCREEN QUANTITATIVE PHENYTOIN FREE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PHENYTOIN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80185","description":"DRUG SCREEN QUANTITATIVE PHENYTOIN TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PRIMIDONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80188","description":"DRUG SCREEN QUANTITATIVE PRIMIDONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PROCAINAMIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80190","description":"DRUG SCREEN QUANTITATIVE PROCAINAMIDE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PROCAINAMIDE METABOLITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80192","description":"DRUG SCREEN QUANTITATIVE PROCAINAMIDE METABOLITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE QUINIDINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80194","description":"DRUG SCREEN QUANTITATIVE QUINIDINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE SIROLIMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80195","description":"DRUG SCREEN QUANTITATIVE SIROLIMUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE TACROLIMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80197","description":"DRUG SCREEN QUANTITATIVE TACROLIMUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE THEOPHYLLINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80198","description":"DRUG SCREEN QUANTITATIVE THEOPHYLLINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE TOBRAMYCIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80200","description":"DRUG SCREEN QUANTITATIVE TOBRAMYCIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE TOPIRAMATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80201","description":"DRUG SCREEN QUANTITATIVE TOPIRAMATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE VANCOMYCIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80202","description":"DRUG SCREEN QUANTITATIVE VANCOMYCIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DRY PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0199","description":"DRY PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSCHRG INSTRUCTIONS HRT FAILURE XCP PTS 18 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4014F","description":"DSCHRG INSTRUCTIONS HRT FAILURE XCP PTS 18 YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSCHRG INSTRUCTIONS HRT FAILURE XCP PTS 18 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4014F","description":"DSCHRG INSTRUCTIONS HRT FAILURE XCP PTS 18 YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-5 CRITERIA MDD DOCD AT THE INITIAL EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1040F","description":"DSM-5 CRITERIA MDD DOCD AT THE INITIAL EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-5 CRITERIA MDD DOCD AT THE INITIAL EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1040F","description":"DSM-5 CRITERIA MDD DOCD AT THE INITIAL EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-IV-TR CRITERIA MDD NOT DOC INIT EVAL RSN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9213","description":"DSM-IV-TR CRITERIA MDD NOT DOC INIT EVAL RSN NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-IV-TR CRITERIA MDD NOT DOC INIT EVAL RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9213","description":"DSM-IV-TR CRITERIA MDD NOT DOC INIT EVAL RSN NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-IVTM CRITERIA MDD DOC INITIAL EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9212","description":"DSM-IVTM CRITERIA MDD DOC INITIAL EVALUATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-IVTM CRITERIA MDD DOC INITIAL EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9212","description":"DSM-IVTM CRITERIA MDD DOC INITIAL EVALUATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTL REVSC AND INTERVAL LIG UXTR HEMO ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36838","description":"DSTL REVSC AND INTERVAL LIG UXTR HEMO ACCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTL REVSC AND INTERVAL LIG UXTR HEMO ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36838","description":"DSTL REVSC AND INTERVAL LIG UXTR HEMO ACCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64634","description":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64634","description":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64636","description":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64636","description":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64633","description":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64633","description":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64635","description":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64635","description":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR LESIONS GT 50.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17108","description":"DSTRJ CUTANEOUS VASCULAR LESIONS GT 50.0 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR LESIONS 10.0-50.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17107","description":"DSTRJ CUTANEOUS VASCULAR LESIONS 10.0-50.0 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17107","description":"DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17107","description":"DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR PRLF LESIONS GT 50.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17108","description":"DSTRJ CUTANEOUS VASCULAR PRLF LESIONS GT 50.0 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR PRLF LESIONS GT 50.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17108","description":"DSTRJ CUTANEOUS VASCULAR PRLF LESIONS GT 50.0 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CYST/LESION IRIS/CILIARY BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66770","description":"DSTRJ CYST/LESION IRIS/CILIARY BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CYST/LESION IRIS/CILIARY BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66770","description":"DSTRJ CYST/LESION IRIS/CILIARY BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40820","description":"DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40820","description":"DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46924","description":"DSTRJ LESION ANUS EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46924","description":"DSTRJ LESION ANUS EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE CHEMICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46900","description":"DSTRJ LESION ANUS SIMPLE CHEMICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE CHEMICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46900","description":"DSTRJ LESION ANUS SIMPLE CHEMICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE CRYOSURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46916","description":"DSTRJ LESION ANUS SIMPLE CRYOSURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE CRYOSURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46916","description":"DSTRJ LESION ANUS SIMPLE CRYOSURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE LASER SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46917","description":"DSTRJ LESION ANUS SIMPLE LASER SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE LASER SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46917","description":"DSTRJ LESION ANUS SIMPLE LASER SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE SURG EXCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46922","description":"DSTRJ LESION ANUS SIMPLE SURG EXCISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE SURG EXCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46922","description":"DSTRJ LESION ANUS SIMPLE SURG EXCISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SMPL ELTRDSICCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46910","description":"DSTRJ LESION ANUS SMPL ELTRDSICCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SMPL ELTRDSICCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46910","description":"DSTRJ LESION ANUS SMPL ELTRDSICCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CHOROID PC 1 OR GT SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67220","description":"DSTRJ LESION CHOROID PC 1 OR GT SESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CHOROID PC 1 OR GT SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67220","description":"DSTRJ LESION CHOROID PC 1 OR GT SESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67225","description":"DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67225","description":"DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CHOROID PHOTODYNAMIC THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67221","description":"DSTRJ LESION CHOROID PHOTODYNAMIC THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CHOROID PHOTODYNAMIC THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67221","description":"DSTRJ LESION CHOROID PHOTODYNAMIC THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65450","description":"DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65450","description":"DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42160","description":"DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42160","description":"DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION RETINA 1 OR GT SESS RADJ IMPLTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67218","description":"DSTRJ LESION RETINA 1 OR GT SESS RADJ IMPLTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION RETINA 1 OR GT SESS RADJ IMPLTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67218","description":"DSTRJ LESION RETINA 1 OR GT SESS RADJ IMPLTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LOCLZD LESION RETINA 1 OR GT SESS CRTX DTHRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67208","description":"DSTRJ LOCLZD LESION RETINA 1 OR GT SESS CRTX DTHRM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LOCLZD LESION RETINA 1 OR GT SESS CRTX DTHRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67208","description":"DSTRJ LOCLZD LESION RETINA 1 OR GT SESS CRTX DTHRM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LOCLZD LESION RETINA 1 OR GT SESS PC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67210","description":"DSTRJ LOCLZD LESION RETINA 1 OR GT SESS PC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LOCLZD LESION RETINA 1 OR GT SESS PC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67210","description":"DSTRJ LOCLZD LESION RETINA 1 OR GT SESS PC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ MAL LESION S/N/H/F/G LESION DIAM GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17276","description":"DSTRJ MAL LESION S/N/H/F/G LESION DIAM GT 4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ MAL LESION S/N/H/F/G LESION DIAM GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17276","description":"DSTRJ MAL LESION S/N/H/F/G LESION DIAM GT 4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64610","description":"DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64610","description":"DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64620","description":"DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64620","description":"DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64640","description":"DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64640","description":"DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64630","description":"DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64630","description":"DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64632","description":"DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64632","description":"DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64605","description":"DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64605","description":"DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64680","description":"DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64680","description":"DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64681","description":"DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64681","description":"DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64600","description":"DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64600","description":"DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DTACHBLE ADJUST HT ARMREST UP PRTN REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0018","description":"DTACHBLE ADJUST HT ARMREST UP PRTN REPL ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DTAP-HEPB-IPV VACCINE INTRAMUSCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90723","description":"DTAP-HEPB-IPV VACCINE INTRAMUSCULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DTAP-HEPB-IPV VACCINE INTRAMUSCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90723","description":"DTAP-HEPB-IPV VACCINE INTRAMUSCULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90696","description":"DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90696","description":"DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90698","description":"DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90698","description":"DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43757","description":"DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43757","description":"DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43756","description":"DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43756","description":"DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL MOTILITY MANOMETRIC STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91022","description":"DUODENAL MOTILITY MANOMETRIC STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL MOTILITY MANOMETRIC STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91022","description":"DUODENAL MOTILITY MANOMETRIC STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44010","description":"DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44010","description":"DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48547","description":"DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48547","description":"DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93978","description":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93978","description":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93979","description":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93979","description":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN COM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93975","description":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN COM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN COM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93975","description":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN COM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN LMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93976","description":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN LMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN LMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93976","description":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN LMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93980","description":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL COMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93980","description":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL COMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL F-UP/LMTD STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93981","description":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL F-UP/LMTD STD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL F-UP/LMTD STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93981","description":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL F-UP/LMTD STD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93925","description":"DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93925","description":"DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93926","description":"DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93926","description":"DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93930","description":"DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93930","description":"DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93931","description":"DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93931","description":"DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93970","description":"DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93970","description":"DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93971","description":"DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93971","description":"DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93880","description":"DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93880","description":"DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93882","description":"DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93882","description":"DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN HEMODIALYSIS ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93990","description":"DUPLEX SCAN HEMODIALYSIS ACCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN HEMODIALYSIS ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93990","description":"DUPLEX SCAN HEMODIALYSIS ACCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DURAL GRAFT SPINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63710","description":"DURAL GRAFT SPINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DURAL GRAFT SPINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63710","description":"DURAL GRAFT SPINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DURATION GEN NEUR ANESTH LT 60 MIN DOCD RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4256F","description":"DURATION GEN NEUR ANESTH LT 60 MIN DOCD RECORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURATION GEN NEUR ANESTH LT 60 MIN DOCD RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4256F","description":"DURATION GEN NEUR ANESTH LT 60 MIN DOCD RECORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURATION GEN NEUR ANESTH 60 MINS OR GT DOC RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4255F","description":"DURATION GEN NEUR ANESTH 60 MINS OR GT DOC RECORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURATION GEN NEUR ANESTH 60 MINS OR GT DOC RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4255F","description":"DURATION GEN NEUR ANESTH 60 MINS OR GT DOC RECORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX DARK ADAPTATION EXAM INTERPRETATION and REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92284","description":"DX DARK ADAPTATION EXAM INTERPRETATION and REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DX DARK ADAPTATION EXAM INTERPRETATION and REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92284","description":"DX DARK ADAPTATION EXAM INTERPRETATION and REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76513","description":"DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76513","description":"DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STUDY 1 OR GT SITES AXIAL SKEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77080","description":"DXA BONE DENSITY STUDY 1 OR GT SITES AXIAL SKEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STUDY 1 OR GT SITES AXIAL SKEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77080","description":"DXA BONE DENSITY STUDY 1 OR GT SITES AXIAL SKEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STUDY 1 OR GT SITES APPENDICLR SKEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77081","description":"DXA BONE DENSITY STUDY 1 OR GT SITES APPENDICLR SKEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STUDY 1 OR GT SITES APPENDICLR SKEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77081","description":"DXA BONE DENSITY STUDY 1 OR GT SITES APPENDICLR SKEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJ ANKLE EXT and FLEX DEVC SOFT INTF MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1815","description":"DYN ADJ ANKLE EXT and FLEX DEVC SOFT INTF MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJ ANKLE EXT and FLEX DEVC SOFT INTF MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1815","description":"DYN ADJ ANKLE EXT and FLEX DEVC SOFT INTF MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJ ANKLE EXT/FLEX DEVC INCL SOFT INTF MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1815","description":"DYN ADJ ANKLE EXT/FLEX DEVC INCL SOFT INTF MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL ELB EXT and FLX DEVC SFT INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1800","description":"DYN ADJUSTBL ELB EXT and FLX DEVC SFT INTRFCE MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL ELB EXT and FLX DEVC SFT INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1800","description":"DYN ADJUSTBL ELB EXT and FLX DEVC SFT INTRFCE MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL ELB EXT/FLX DEVC W/SFT INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1800","description":"DYN ADJUSTBL ELB EXT/FLX DEVC W/SFT INTRFCE MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL FNGR EXT and FLX DEVC SFT INTRFCE MAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1825","description":"DYN ADJUSTBL FNGR EXT and FLX DEVC SFT INTRFCE MAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL FNGR EXT and FLX DEVC SFT INTRFCE MAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1825","description":"DYN ADJUSTBL FNGR EXT and FLX DEVC SFT INTRFCE MAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL FNGR EXT/FLX DEVC W/SFT INTRFCE MAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1825","description":"DYN ADJUSTBL FNGR EXT/FLX DEVC W/SFT INTRFCE MAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL FORARM PRON/SUPIN DEVC INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1802","description":"DYN ADJUSTBL FORARM PRON/SUPIN DEVC INTRFCE MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL FORARM PRON/SUPIN DEVC INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1802","description":"DYN ADJUSTBL FORARM PRON/SUPIN DEVC INTRFCE MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL KNEE EXT and FLX DEVC INTERFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1810","description":"DYN ADJUSTBL KNEE EXT and FLX DEVC INTERFCE MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL KNEE EXT and FLX DEVC INTERFCE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1810","description":"DYN ADJUSTBL KNEE EXT and FLX DEVC INTERFCE MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL KNEE EXT/FLX DEVC W/INTERFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1810","description":"DYN ADJUSTBL KNEE EXT/FLX DEVC W/INTERFCE MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL SHLDR FLX/ABDCT/ROT DEVC SFT MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1840","description":"DYN ADJUSTBL SHLDR FLX/ABDCT/ROT DEVC SFT MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL SHLDR FLX/ABDCT/ROT DEVC SFT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1840","description":"DYN ADJUSTBL SHLDR FLX/ABDCT/ROT DEVC SFT MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL TOE EXT and FLX DEVC SFT INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1830","description":"DYN ADJUSTBL TOE EXT and FLX DEVC SFT INTRFCE MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL TOE EXT and FLX DEVC SFT INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1830","description":"DYN ADJUSTBL TOE EXT and FLX DEVC SFT INTRFCE MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL TOE EXT/FLX DEVC W/SFT INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1830","description":"DYN ADJUSTBL TOE EXT/FLX DEVC W/SFT INTRFCE MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL WRIST EXT and FLX DEVC INTERFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1805","description":"DYN ADJUSTBL WRIST EXT and FLX DEVC INTERFCE MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL WRIST EXT and FLX DEVC INTERFCE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1805","description":"DYN ADJUSTBL WRIST EXT and FLX DEVC INTERFCE MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL WRIST EXT/FLX DEVC W/INTERFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1805","description":"DYN ADJUSTBL WRIST EXT/FLX DEVC W/INTERFCE MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN KNEE EXT/FLEX DEVC W/ACTV RESISTANCE CONTROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1812","description":"DYN KNEE EXT/FLEX DEVC W/ACTV RESISTANCE CONTROL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN KNEE EXT/FLEX DEVC W/ACTV RESISTANCE CONTROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1812","description":"DYN KNEE EXT/FLEX DEVC W/ACTV RESISTANCE CONTROL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96002","description":"DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96002","description":"DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"DYSPHAGIA SCREENING PRIOR ORAL INTAKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6010F","description":"DYSPHAGIA SCREENING PRIOR ORAL INTAKE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPHAGIA SCREENING PRIOR ORAL INTAKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6010F","description":"DYSPHAGIA SCREENING PRIOR ORAL INTAKE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA ASSESSED NOT PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1018F","description":"DYSPNEA ASSESSED NOT PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA ASSESSED NOT PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1018F","description":"DYSPNEA ASSESSED NOT PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA ASSESSED PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1019F","description":"DYSPNEA ASSESSED PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA ASSESSED PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1019F","description":"DYSPNEA ASSESSED PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA MANAGEMENT PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0535F","description":"DYSPNEA MANAGEMENT PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA MANAGEMENT PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0535F","description":"DYSPNEA MANAGEMENT PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA NOT SCREENED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3452F","description":"DYSPNEA NOT SCREENED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA NOT SCREENED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3452F","description":"DYSPNEA NOT SCREENED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA SCRND MOD-SEVERE DYSPNEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3451F","description":"DYSPNEA SCRND MOD-SEVERE DYSPNEA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA SCRND MOD-SEVERE DYSPNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3451F","description":"DYSPNEA SCRND MOD-SEVERE DYSPNEA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA SCRND NO-MILD DYSPNEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3450F","description":"DYSPNEA SCRND NO-MILD DYSPNEA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA SCRND NO-MILD DYSPNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3450F","description":"DYSPNEA SCRND NO-MILD DYSPNEA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Dry pressure mattress","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0184","description":"Dry pressure mattress","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"E-STIM 1 OR GT AREAS CHRONIC STAGE III and IV ULCERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0281","description":"E-STIM 1 OR GT AREAS CHRONIC STAGE III and IV ULCERS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"E-STIM 1 OR GT AREAS CHRONIC STAGE III and IV ULCERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0281","description":"E-STIM 1 OR GT AREAS CHRONIC STAGE III and IV ULCERS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"E-STIM 1 OR GT AREAS OTH THAN WND CARE PART TX PLAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0283","description":"E-STIM 1 OR GT AREAS OTH THAN WND CARE PART TX PLAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"E-STIM 1 OR GT AREAS OTH THAN WND CARE PART TX PLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0283","description":"E-STIM 1 OR GT AREAS OTH THAN WND CARE PART TX PLAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EAR PROTECTOR ATTENUATION MEASUREMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92596","description":"EAR PROTECTOR ATTENUATION MEASUREMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EAR PROTECTOR ATTENUATION MEASUREMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92596","description":"EAR PROTECTOR ATTENUATION MEASUREMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EARLY ELECTIVE DELIVERY/EARLY INDUCTION NOT PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9355","description":"EARLY ELECTIVE DELIVERY/EARLY INDUCTION NOT PERF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EARLY ELECTIVE DELIVERY/EARLY INDUCTION PERFORMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9356","description":"EARLY ELECTIVE DELIVERY/EARLY INDUCTION PERFORMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS I and R ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93010","description":"ECG ROUTINE ECG W/LEAST 12 LDS I and R ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS I and R ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93010","description":"ECG ROUTINE ECG W/LEAST 12 LDS I and R ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93005","description":"ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93005","description":"ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93000","description":"ECG ROUTINE ECG W/LEAST 12 LDS W/I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93000","description":"ECG ROUTINE ECG W/LEAST 12 LDS W/I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECG RTN ECG W/12 LEADS INTERPR and REPORT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0405","description":"ECG RTN ECG W/12 LEADS INTERPR and REPORT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECG RTN ECG W/12 LEADS INTERPR and REPORT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0405","description":"ECG RTN ECG W/12 LEADS INTERPR and REPORT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECG RTN ECG W/12 LEADS SCR INIT PREVNTV PE W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0403","description":"ECG RTN ECG W/12 LEADS SCR INIT PREVNTV PE W/I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECG RTN ECG W/12 LEADS SCR INIT PREVNTV PE W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0403","description":"ECG RTN ECG W/12 LEADS SCR INIT PREVNTV PE W/I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECG RTN ECG W/12 LEADS TRACING ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0404","description":"ECG RTN ECG W/12 LEADS TRACING ONLY W/O I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECG RTN ECG W/12 LEADS TRACING ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0404","description":"ECG RTN ECG W/12 LEADS TRACING ONLY W/O I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76825","description":"ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76825","description":"ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76826","description":"ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76826","description":"ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO R-T 2D W/PROBE PLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93313","description":"ECHO R-T 2D W/PROBE PLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO R-T 2D W/PROBE PLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93313","description":"ECHO R-T 2D W/PROBE PLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93316","description":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93316","description":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I AND R ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93314","description":"ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I AND R ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I AND R ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93314","description":"ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I AND R ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93312","description":"ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93312","description":"ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93307","description":"ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93307","description":"ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93308","description":"ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93308","description":"ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST and ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93350","description":"ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST and ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST and ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93350","description":"ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST and ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WO M-MODE REST and STRS CONT ECG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93351","description":"ECHO TTHRC R-T 2D W/WO M-MODE REST and STRS CONT ECG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WO M-MODE REST and STRS CONT ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93351","description":"ECHO TTHRC R-T 2D W/WO M-MODE REST and STRS CONT ECG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC and COLR D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93306","description":"ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC and COLR D","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC and COLR D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93306","description":"ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC and COLR D","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHOENCEPHALOGRAPHY REAL TIME IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76506","description":"ECHOENCEPHALOGRAPHY REAL TIME IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHOENCEPHALOGRAPHY REAL TIME IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76506","description":"ECHOENCEPHALOGRAPHY REAL TIME IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66711","description":"ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66711","description":"ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43259","description":"EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43259","description":"EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EEG EXTENDED MONITORING 61-119 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95813","description":"EEG EXTENDED MONITORING 61-119 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EEG EXTENDED MONITORING 61-119 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95813","description":"EEG EXTENDED MONITORING 61-119 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EEG NONINTRACRANIAL SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95955","description":"EEG NONINTRACRANIAL SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EEG NONINTRACRANIAL SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95955","description":"EEG NONINTRACRANIAL SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD BALLOON DILATION ESOPHAGUS LT 30 MM DIAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43249","description":"EGD BALLOON DILATION ESOPHAGUS LT 30 MM DIAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD BALLOON DILATION ESOPHAGUS LT 30 MM DIAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43249","description":"EGD BALLOON DILATION ESOPHAGUS LT 30 MM DIAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43244","description":"EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43244","description":"EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43257","description":"EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43257","description":"EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD DILATION GASTRIC/DUODENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43245","description":"EGD DILATION GASTRIC/DUODENAL STRICTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD DILATION GASTRIC/DUODENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43245","description":"EGD DILATION GASTRIC/DUODENAL STRICTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43250","description":"EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43250","description":"EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEXIBLE FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43247","description":"EGD FLEXIBLE FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEXIBLE FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43247","description":"EGD FLEXIBLE FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43243","description":"EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43243","description":"EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43248","description":"EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43248","description":"EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRALUMINAL TUBE/CATHETER INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43241","description":"EGD INTRALUMINAL TUBE/CATHETER INSERTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRALUMINAL TUBE/CATHETER INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43241","description":"EGD INTRALUMINAL TUBE/CATHETER INSERTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43242","description":"EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43242","description":"EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43238","description":"EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43238","description":"EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43246","description":"EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43246","description":"EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43251","description":"EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43251","description":"EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43239","description":"EGD TRANSORAL BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43239","description":"EGD TRANSORAL BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL CONTROL BLEEDING ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43255","description":"EGD TRANSORAL CONTROL BLEEDING ANY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL CONTROL BLEEDING ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43255","description":"EGD TRANSORAL CONTROL BLEEDING ANY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43240","description":"EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43240","description":"EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGST W/WO VAGOTOMY and PYLOROPLASTY TABDL/TTHRC AP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43320","description":"EGST W/WO VAGOTOMY and PYLOROPLASTY TABDL/TTHRC AP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EGST W/WO VAGOTOMY and PYLOROPLASTY TABDL/TTHRC AP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43320","description":"EGST W/WO VAGOTOMY and PYLOROPLASTY TABDL/TTHRC AP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELASTASE PANCREATIC FECAL QUAL/SEMI-QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82656","description":"ELASTASE PANCREATIC FECAL QUAL/SEMI-QUAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELASTASE PANCREATIC FECAL QUAL/SEMI-QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82656","description":"ELASTASE PANCREATIC FECAL QUAL/SEMI-QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISARTC MOLD SCKT W/XPND INTRFCE LOCK FORARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6205","description":"ELB DISARTC MOLD SCKT W/XPND INTRFCE LOCK FORARM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISARTC MOLD SOCKT OUTSIDE LOCK HINGE FORARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6200","description":"ELB DISARTC MOLD SOCKT OUTSIDE LOCK HINGE FORARM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6945","description":"ELB DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISRTC MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6450","description":"ELB DISRTC MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW DISARTIC OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6940","description":"ELBOW DISARTIC OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB ITEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3760","description":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB ITEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS ELASTIC W/METAL JOINTS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3710","description":"ELBOW ORTHOSIS ELASTIC W/METAL JOINTS PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS RIGID W/O JOINT PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3762","description":"ELBOW ORTHOSIS RIGID W/O JOINT PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3702","description":"ELBOW ORTHOSIS W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELCTROPHORETIC TECHNIQUE NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82664","description":"ELCTROPHORETIC TECHNIQUE NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8734","description":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8734","description":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTREATMENT SCREENING DOC NEG NO F/U REQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8734","description":"ELDER MALTREATMENT SCREENING DOC NEG NO F/U REQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTX SCR DOC POS F/U NOT DOC RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8735","description":"ELDER MALTX SCR DOC POS F/U NOT DOC RSN NOT GIVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTX SCR DOC POS F/U NOT DOC RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8735","description":"ELDER MALTX SCR DOC POS F/U NOT DOC RSN NOT GIVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTX SCR DOC POSITIVE and F/U PLAN IS DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8733","description":"ELDER MALTX SCR DOC POSITIVE and F/U PLAN IS DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTX SCR DOC POSITIVE and F/U PLAN IS DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8733","description":"ELDER MALTX SCR DOC POSITIVE and F/U PLAN IS DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95972","description":"ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95972","description":"ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95970","description":"ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95970","description":"ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95971","description":"ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95971","description":"ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95981","description":"ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95981","description":"ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95980","description":"ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95980","description":"ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95982","description":"ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95982","description":"ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62370","description":"ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62370","description":"ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB ADOLES VRITY VILLAGE/ Equal to MYOELEC CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7190","description":"ELEC ELB ADOLES VRITY VILLAGE/ Equal to MYOELEC CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB ADOLES VRITY VILLAGE/EQUAL SWITCH CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7185","description":"ELEC ELB ADOLES VRITY VILLAGE/EQUAL SWITCH CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB CHILD VRITY VILLAGE/EQUAL SWITCH CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7186","description":"ELEC ELB CHILD VRITY VILLAGE/EQUAL SWITCH CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB CHLD VRITY VILL/ Equal to MYOELECTRNICALY CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7191","description":"ELEC ELB CHLD VRITY VILL/ Equal to MYOELECTRNICALY CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB MICROPRC SEQENTIAL CNTRL ELB AND TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7180","description":"ELEC ELB MICROPRC SEQENTIAL CNTRL ELB AND TERM DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB MICROPRC SIMULTAN CNTRL ELB AND TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7181","description":"ELEC ELB MICROPRC SIMULTAN CNTRL ELB AND TERM DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC HAND SWTCH/MYOELEC CNTRL INDEP ARTC DIG MTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6880","description":"ELEC HAND SWTCH/MYOELEC CNTRL INDEP ARTC DIG MTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC HOOK SWITCH/MYOELECTRIC CONTOL PEDIATRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7045","description":"ELEC HOOK SWITCH/MYOELECTRIC CONTOL PEDIATRIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC STIM DVC U CANCER TX INCL ALL ACC ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0766","description":"ELEC STIM DVC U CANCER TX INCL ALL ACC ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECMAGNET TX ULCERS NOT HEALING 30 DAYS CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0329","description":"ELECMAGNET TX ULCERS NOT HEALING 30 DAYS CARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECMAGNET TX ULCERS NOT HEALING 30 DAYS CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0329","description":"ELECMAGNET TX ULCERS NOT HEALING 30 DAYS CARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62368","description":"ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62368","description":"ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62367","description":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62367","description":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG and REFIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62369","description":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG and REFIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG and REFIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62369","description":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG and REFIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE DELIVERY C-BIRTH/INDUCTION LBR NOT PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9355","description":"ELECTIVE DELIVERY C-BIRTH/INDUCTION LBR NOT PERF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE DELIVERY C-BIRTH/INDUCTION LBR NOT PERF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9355","description":"ELECTIVE DELIVERY C-BIRTH/INDUCTION LBR NOT PERF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE DELVERY BY C/SECT /INDUCTION LABOR PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9356","description":"ELECTIVE DELVERY BY C/SECT /INDUCTION LABOR PERF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE DELVERY BY C/SECT /INDUCTION LABOR PERF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9356","description":"ELECTIVE DELVERY BY C/SECT /INDUCTION LABOR PERF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9643","description":"ELECTIVE SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9643","description":"ELECTIVE SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRIC HAND SWITCH/MYOELECTRIC CNTRL PEDIATRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7008","description":"ELECTRIC HAND SWITCH/MYOELECTRIC CNTRL PEDIATRIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRIC HAND SWITCH/MYOELECTRIC CONTROL ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7007","description":"ELECTRIC HAND SWITCH/MYOELECTRIC CONTROL ADULT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRIC HOOK SWITCH/MYOELECTRIC CONTROL ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7009","description":"ELECTRIC HOOK SWITCH/MYOELECTRIC CONTROL ADULT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION BONE HEALING INVASIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20975","description":"ELECTRICAL STIMULATION BONE HEALING INVASIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION BONE HEALING INVASIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20975","description":"ELECTRICAL STIMULATION BONE HEALING INVASIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION BONE HEALING NONINVASIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20974","description":"ELECTRICAL STIMULATION BONE HEALING NONINVASIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION BONE HEALING NONINVASIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20974","description":"ELECTRICAL STIMULATION BONE HEALING NONINVASIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION GUID W/CHEMODENERVATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95873","description":"ELECTRICAL STIMULATION GUID W/CHEMODENERVATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION GUID W/CHEMODENERVATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95873","description":"ELECTRICAL STIMULATION GUID W/CHEMODENERVATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATOR SUPPLIES 2 LEAD PER MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4595","description":"ELECTRICAL STIMULATOR SUPPLIES 2 LEAD PER MONTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATOR SUPPLIES 2 LEAD PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4595","description":"ELECTRICAL STIMULATOR SUPPLIES 2 LEAD PER MONTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRO-OCULOGRAPY W/INTERPRETATION and REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92270","description":"ELECTRO-OCULOGRAPY W/INTERPRETATION and REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRO-OCULOGRAPY W/INTERPRETATION and REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92270","description":"ELECTRO-OCULOGRAPY W/INTERPRETATION and REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCOCHLEOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92584","description":"ELECTROCOCHLEOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCONVULSIVE THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90870","description":"ELECTROCONVULSIVE THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCONVULSIVE THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90870","description":"ELECTROCONVULSIVE THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCONVULSIVE THERAPY (ECT) PROVIDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4066F","description":"ELECTROCONVULSIVE THERAPY (ECT) PROVIDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCONVULSIVE THERAPY (ECT) PROVIDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4066F","description":"ELECTROCONVULSIVE THERAPY (ECT) PROVIDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCORTICOGRAM SURGERY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95829","description":"ELECTROCORTICOGRAM SURGERY SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCORTICOGRAM SURGERY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95829","description":"ELECTROCORTICOGRAM SURGERY SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRODES PER PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4556","description":"ELECTRODES PER PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRODES PER PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4556","description":"ELECTRODES PER PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95812","description":"ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95812","description":"ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM ORDERED RVWD OR REQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3650F","description":"ELECTROENCEPHALOGRAM ORDERED RVWD OR REQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM ORDERED RVWD OR REQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3650F","description":"ELECTROENCEPHALOGRAM ORDERED RVWD OR REQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95822","description":"ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95822","description":"ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM W/REC AWAKE and ASLEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95819","description":"ELECTROENCEPHALOGRAM W/REC AWAKE and ASLEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM W/REC AWAKE and ASLEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95819","description":"ELECTROENCEPHALOGRAM W/REC AWAKE and ASLEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM W/REC AWAKE and DROWSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95816","description":"ELECTROENCEPHALOGRAM W/REC AWAKE and DROWSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM W/REC AWAKE and DROWSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95816","description":"ELECTROENCEPHALOGRAM W/REC AWAKE and DROWSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91133","description":"ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91133","description":"ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROGASTROGRAPHY DX TRANSCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91132","description":"ELECTROGASTROGRAPHY DX TRANSCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROGASTROGRAPHY DX TRANSCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91132","description":"ELECTROGASTROGRAPHY DX TRANSCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROLYTE PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80051","description":"ELECTROLYTE PANEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRON MICROSCOPY DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88348","description":"ELECTRON MICROSCOPY DIAGNOSTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC ALYS ANTITACHYCARDIA PACEMAKER SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93724","description":"ELECTRONIC ALYS ANTITACHYCARDIA PACEMAKER SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC ALYS ANTITACHYCARDIA PACEMAKER SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93724","description":"ELECTRONIC ALYS ANTITACHYCARDIA PACEMAKER SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC ANALYSIS ANTITACHY PACEMAKER SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93724","description":"ELECTRONIC ANALYSIS ANTITACHY PACEMAKER SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC ELBOW HOSMER/EQUAL SWITCH CONTROLLED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7170","description":"ELECTRONIC ELBOW HOSMER/EQUAL SWITCH CONTROLLED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0513F","description":"ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0513F","description":"ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATED HTN BP READING DOC and INDICATED F/U DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8950","description":"ELEVATED HTN BP READING DOC and INDICATED F/U DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATED HTN BP READING DOC and INDICATED F/U DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8950","description":"ELEVATED HTN BP READING DOC and INDICATED F/U DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING FOOTRESTS ARTICULATING EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0053","description":"ELEVATING FOOTRESTS ARTICULATING EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING LEGREST LWR EXTENSN TUBE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0046","description":"ELEVATING LEGREST LWR EXTENSN TUBE REPL ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING LEGREST PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0195","description":"ELEVATING LEGREST PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING LEGREST PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0195","description":"ELEVATING LEGREST PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING LEGREST UPR HANGER BRACKT REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0047","description":"ELEVATING LEGREST UPR HANGER BRACKT REPL ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62000","description":"ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62000","description":"ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELIG CLIN ATTSTS DOC M REC OBTD UPD/REV PT MEDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8427","description":"ELIG CLIN ATTSTS DOC M REC OBTD UPD/REV PT MEDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELIG CLIN ATTSTS DOC M REC OBTD UPD/REV PT MEDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8427","description":"ELIG CLIN ATTSTS DOC M REC OBTD UPD/REV PT MEDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELIG CLIN DOC MR PT NOT ELIG CUR MEDS UPDATE/REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8430","description":"ELIG CLIN DOC MR PT NOT ELIG CUR MEDS UPDATE/REV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELVATD/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8952","description":"ELVATD/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELVATD/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8952","description":"ELVATD/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62005","description":"ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62005","description":"ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELVTN DEPRS SKL FX W/RPR DURA and /DBRDMT BRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62010","description":"ELVTN DEPRS SKL FX W/RPR DURA and /DBRDMT BRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ELVTN DEPRS SKL FX W/RPR DURA and /DBRDMT BRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62010","description":"ELVTN DEPRS SKL FX W/RPR DURA and /DBRDMT BRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EM SCR NOT DOC-DOC PT NOT ELIG EM SCR TIME ENCTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8535","description":"EM SCR NOT DOC-DOC PT NOT ELIG EM SCR TIME ENCTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EM SCR NOT DOC-DOC PT NOT ELIG EM SCR TIME ENCTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8535","description":"EM SCR NOT DOC-DOC PT NOT ELIG EM SCR TIME ENCTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EM SCR NOT DOC;DOC PT NOT ELIG EM SCR TIME ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8535","description":"EM SCR NOT DOC;DOC PT NOT ELIG EM SCR TIME ENC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMB EPT NOT DOC SEP EMB VESS/OA AG/EMB NOT PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9963","description":"EMB EPT NOT DOC SEP EMB VESS/OA AG/EMB NOT PERF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMB EPT NOT DOC SEP EMB VESS/OA AG/EMB NOT PERF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9963","description":"EMB EPT NOT DOC SEP EMB VESS/OA AG/EMB NOT PERF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34101","description":"EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34101","description":"EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34001","description":"EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34001","description":"EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34201","description":"EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34201","description":"EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34051","description":"EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34051","description":"EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34203","description":"EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34203","description":"EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34151","description":"EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34151","description":"EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34111","description":"EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34111","description":"EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBO EPT DOC SEP EA EMBO VESSEL and OA ANGIO/EMBO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9962","description":"EMBO EPT DOC SEP EA EMBO VESSEL and OA ANGIO/EMBO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBO EPT DOC SEP EA EMBO VESSEL and OA ANGIO/EMBO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9962","description":"EMBO EPT DOC SEP EA EMBO VESSEL and OA ANGIO/EMBO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERG POWER SRC FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0491","description":"EMERG POWER SRC FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERG POWER SRC FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0491","description":"EMERG POWER SRC FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERG PWR CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0493","description":"EMERG PWR CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERG PWR CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0493","description":"EMERG PWR CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT HIGH MDM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99285","description":"EMERGENCY DEPARTMENT VISIT HIGH MDM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT HIGH MDM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99285","description":"EMERGENCY DEPARTMENT VISIT HIGH MDM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99284","description":"EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99281","description":"EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT LOW MDM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99283","description":"EMERGENCY DEPARTMENT VISIT LOW MDM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT LOW MDM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99283","description":"EMERGENCY DEPARTMENT VISIT LOW MDM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99282","description":"EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99281","description":"EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99281","description":"EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MODERATE MDM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99284","description":"EMERGENCY DEPARTMENT VISIT MODERATE MDM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MODERATE MDM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99284","description":"EMERGENCY DEPARTMENT VISIT MODERATE MDM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99283","description":"EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99282","description":"EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99282","description":"EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPT VISIT HIGH SEVERITY AND THREAT FUNCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99285","description":"EMERGENCY DEPT VISIT HIGH SEVERITY AND THREAT FUNCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY HAND PUMP REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0494","description":"EMERGENCY HAND PUMP REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY HAND PUMP REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0494","description":"EMERGENCY HAND PUMP REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY POWER SOURCE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0490","description":"EMERGENCY POWER SOURCE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY POWER SOURCE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0490","description":"EMERGENCY POWER SOURCE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY POWER SPL CABLE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0492","description":"EMERGENCY POWER SPL CABLE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY POWER SPL CABLE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0492","description":"EMERGENCY POWER SPL CABLE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9752","description":"EMERGENCY SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9752","description":"EMERGENCY SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51784","description":"EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51784","description":"EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D AND C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57505","description":"ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D AND C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D AND C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57505","description":"ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D AND C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLYMPHATIC SAC SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69806","description":"ENDOLYMPHATIC SAC SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLYMPHATIC SAC SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69806","description":"ENDOLYMPHATIC SAC SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLYMPHATIC SAC W/O SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69805","description":"ENDOLYMPHATIC SAC W/O SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLYMPHATIC SAC W/O SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69805","description":"ENDOLYMPHATIC SAC W/O SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58353","description":"ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58353","description":"ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58110","description":"ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58110","description":"ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58100","description":"ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58100","description":"ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL CRYOABLATION W/US and ENDOMETRIAL CR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58356","description":"ENDOMETRIAL CRYOABLATION W/US and ENDOMETRIAL CR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL CRYOABLATION W/US and ENDOMETRIAL CR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58356","description":"ENDOMETRIAL CRYOABLATION W/US and ENDOMETRIAL CR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX and RSLT DC 12M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9823","description":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX and RSLT DC 12M","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX and RSLT DC 12M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9823","description":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX and RSLT DC 12M","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX and RSLT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9823","description":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX and RSLT DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SMP/HYSTEROSCOPY BX and RSLT NOT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9824","description":"ENDOMETRIAL SMP/HYSTEROSCOPY BX and RSLT NOT DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SMP/HYSTEROSCPY BX and RSLT NT DOC 12M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9824","description":"ENDOMETRIAL SMP/HYSTEROSCPY BX and RSLT NT DOC 12M","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SMP/HYSTEROSCPY BX and RSLT NT DOC 12M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9824","description":"ENDOMETRIAL SMP/HYSTEROSCPY BX and RSLT NT DOC 12M","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMYOCARDIAL BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93505","description":"ENDOMYOCARDIAL BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMYOCARDIAL BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93505","description":"ENDOMYOCARDIAL BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74328","description":"ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74328","description":"ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74329","description":"ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74329","description":"ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43273","description":"ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43273","description":"ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC PLANTAR FASCIOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29893","description":"ENDOSCOPIC PLANTAR FASCIOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC PLANTAR FASCIOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29893","description":"ENDOSCOPIC PLANTAR FASCIOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPY UPPER SMALL INTESTINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44360","description":"ENDOSCOPY UPPER SMALL INTESTINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPY UPPER SMALL INTESTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44360","description":"ENDOSCOPY UPPER SMALL INTESTINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44361","description":"ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44361","description":"ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSKEL ANK FOOT SYS MICRPROCSS CONTROL PWR SRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5973","description":"ENDOSKEL ANK FOOT SYS MICRPROCSS CONTROL PWR SRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36478","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36478","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND PLUS VEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36479","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND PLUS VEINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND PLUS VEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36479","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND PLUS VEINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36475","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36475","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND PLUS VEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36476","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND PLUS VEINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND PLUS VEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36476","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND PLUS VEINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ AND ANA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44121","description":"ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ AND ANA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ AND ANA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44121","description":"ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ AND ANA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44125","description":"ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44125","description":"ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51960","description":"ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51960","description":"ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44130","description":"ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44130","description":"ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROLSS FRING INTSTINAL ADHESION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44005","description":"ENTEROLSS FRING INTSTINAL ADHESION SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROLSS FRING INTSTINAL ADHESION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44005","description":"ENTEROLSS FRING INTSTINAL ADHESION SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTERORRHAPHY MULTIPLE PERFORATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44603","description":"ENTERORRHAPHY MULTIPLE PERFORATIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTERORRHAPHY MULTIPLE PERFORATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44603","description":"ENTERORRHAPHY MULTIPLE PERFORATIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTERORRHAPHY SINGLE PERFORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44602","description":"ENTERORRHAPHY SINGLE PERFORATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTERORRHAPHY SINGLE PERFORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44602","description":"ENTERORRHAPHY SINGLE PERFORATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSC GT 2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44377","description":"ENTEROSC GT 2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSC GT 2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44377","description":"ENTEROSC GT 2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSC GT 2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44376","description":"ENTEROSC GT 2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSC GT 2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44376","description":"ENTEROSC GT 2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY GT 2ND PRTN ABLTJ LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44369","description":"ENTEROSCOPY GT 2ND PRTN ABLTJ LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY GT 2ND PRTN ABLTJ LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44369","description":"ENTEROSCOPY GT 2ND PRTN ABLTJ LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY GT 2ND PRTN CONV GSTRST TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44373","description":"ENTEROSCOPY GT 2ND PRTN CONV GSTRST TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY GT 2ND PRTN CONV GSTRST TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44373","description":"ENTEROSCOPY GT 2ND PRTN CONV GSTRST TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY GT 2ND PRTN ILEUM CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44378","description":"ENTEROSCOPY GT 2ND PRTN ILEUM CONTROL BLEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY GT 2ND PRTN ILEUM CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44378","description":"ENTEROSCOPY GT 2ND PRTN ILEUM CONTROL BLEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY GT 2ND PRTN TNDSC STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44370","description":"ENTEROSCOPY GT 2ND PRTN TNDSC STENT PLMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY GT 2ND PRTN TNDSC STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44370","description":"ENTEROSCOPY GT 2ND PRTN TNDSC STENT PLMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY GT 2ND PRTN W/CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44366","description":"ENTEROSCOPY GT 2ND PRTN W/CONTROL BLEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY GT 2ND PRTN W/CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44366","description":"ENTEROSCOPY GT 2ND PRTN W/CONTROL BLEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY GT 2ND PRTN W/ILEUM W/STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44379","description":"ENTEROSCOPY GT 2ND PRTN W/ILEUM W/STENT PLMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY GT 2ND PRTN W/ILEUM W/STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44379","description":"ENTEROSCOPY GT 2ND PRTN W/ILEUM W/STENT PLMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY GT 2ND PRTN W/PLMT PRQ TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44372","description":"ENTEROSCOPY GT 2ND PRTN W/PLMT PRQ TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY GT 2ND PRTN W/PLMT PRQ TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44372","description":"ENTEROSCOPY GT 2ND PRTN W/PLMT PRQ TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY GT 2ND PRTN W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44363","description":"ENTEROSCOPY GT 2ND PRTN W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY GT 2ND PRTN W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44363","description":"ENTEROSCOPY GT 2ND PRTN W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY GT 2ND PRTN W/RMVL LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44365","description":"ENTEROSCOPY GT 2ND PRTN W/RMVL LESION CAUTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY GT 2ND PRTN W/RMVL LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44365","description":"ENTEROSCOPY GT 2ND PRTN W/RMVL LESION CAUTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY GT 2ND PRTN W/RMVL LESION SNARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44364","description":"ENTEROSCOPY GT 2ND PRTN W/RMVL LESION SNARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY GT 2ND PRTN W/RMVL LESION SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44364","description":"ENTEROSCOPY GT 2ND PRTN W/RMVL LESION SNARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROTOMY SM INT OTH/THN DUO DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44021","description":"ENTEROTOMY SM INT OTH/THN DUO DCMPRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROTOMY SM INT OTH/THN DUO DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44021","description":"ENTEROTOMY SM INT OTH/THN DUO DCMPRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44020","description":"ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44020","description":"ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA EA RESCJ AND ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44128","description":"ENTRC RESCJ ATRESIA EA RESCJ AND ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA EA RESCJ AND ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44128","description":"ENTRC RESCJ ATRESIA EA RESCJ AND ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA RESCJ and ANAST SGM W/TAPRING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44127","description":"ENTRC RESCJ ATRESIA RESCJ and ANAST SGM W/TAPRING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA RESCJ and ANAST SGM W/TAPRING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44127","description":"ENTRC RESCJ ATRESIA RESCJ and ANAST SGM W/TAPRING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA RESCJ and ANAST W/O TAPRING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44126","description":"ENTRC RESCJ ATRESIA RESCJ and ANAST W/O TAPRING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA RESCJ and ANAST W/O TAPRING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44126","description":"ENTRC RESCJ ATRESIA RESCJ and ANAST W/O TAPRING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ SMALL INTESTINE 1 RESCJ AND ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44120","description":"ENTRC RESCJ SMALL INTESTINE 1 RESCJ AND ANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ SMALL INTESTINE 1 RESCJ AND ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44120","description":"ENTRC RESCJ SMALL INTESTINE 1 RESCJ AND ANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65105","description":"ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65105","description":"ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65103","description":"ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65103","description":"ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION OF EYE W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65101","description":"ENUCLEATION OF EYE W/O IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION OF EYE W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65101","description":"ENUCLEATION OF EYE W/O IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EO DBL UPRT W/CUFF ADJ LOCK W/ACTV CNTRL CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3740","description":"EO DBL UPRT W/CUFF ADJ LOCK W/ACTV CNTRL CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EO DBL UPRT W/CUFF EXT/FLX ASST CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3730","description":"EO DBL UPRT W/CUFF EXT/FLX ASST CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EO DBL UPRT W/FORARM/ARM CUFF FREE MOT CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3720","description":"EO DBL UPRT W/FORARM/ARM CUFF FREE MOT CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2 CHMB TRANSVNS PAC CVDFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93642","description":"EP EVAL 1/2 CHMB TRANSVNS PAC CVDFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2 CHMB TRANSVNS PAC CVDFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93642","description":"EP EVAL 1/2 CHMB TRANSVNS PAC CVDFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPDRM AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15111","description":"EPDRM AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPDRM AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15111","description":"EPDRM AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93642","description":"EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPI WHERE PT TAKING ABX 30 DAYS PRI TO EPI DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9703","description":"EPI WHERE PT TAKING ABX 30 DAYS PRI TO EPI DATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPI WHERE PT TAKING ABX 30 DAYS PRI TO EPI DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9703","description":"EPI WHERE PT TAKING ABX 30 DAYS PRI TO EPI DATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15115","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15116","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15115","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15115","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15116","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15116","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDRM AGRFT T/A/L 1ST 100 CM/ and /1 PCT BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15110","description":"EPIDRM AGRFT T/A/L 1ST 100 CM/ and /1 PCT BDY INFT/CHLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDRM AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15110","description":"EPIDRM AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDRM AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15110","description":"EPIDRM AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDRM AGRFT T/A/L EA 100 CM/EA 1 PCT BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15111","description":"EPIDRM AGRFT T/A/L EA 100 CM/EA 1 PCT BDY INFT/CHLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIGLOTTIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31420","description":"EPIGLOTTIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIGLOTTIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31420","description":"EPIGLOTTIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPILEPSY SPECIFIC SAFETY COUNSELING TO PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4330F","description":"EPILEPSY SPECIFIC SAFETY COUNSELING TO PATIENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPILEPSY SPECIFIC SAFETY COUNSELING TO PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4330F","description":"EPILEPSY SPECIFIC SAFETY COUNSELING TO PATIENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25455","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS and ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS and ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25455","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS and ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25450","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/U","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25450","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25450","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27185","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27185","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPISIOTOMY/VAG RPR OTH/THN ATTENDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59300","description":"EPISIOTOMY/VAG RPR OTH/THN ATTENDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPISIOTOMY/VAG RPR OTH/THN ATTENDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59300","description":"EPISIOTOMY/VAG RPR OTH/THN ATTENDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING GT 12 WKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1137F","description":"EPISODE BACK PAIN LASTING GT 12 WKS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING GT 12 WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1137F","description":"EPISODE BACK PAIN LASTING GT 12 WKS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING GT SIX WEEKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1135F","description":"EPISODE BACK PAIN LASTING GT SIX WEEKS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING GT SIX WEEKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1135F","description":"EPISODE BACK PAIN LASTING GT SIX WEEKS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING 12 WEEKS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1136F","description":"EPISODE BACK PAIN LASTING 12 WEEKS OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING 12 WEEKS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1136F","description":"EPISODE BACK PAIN LASTING 12 WEEKS OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING SIX WEEKS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1134F","description":"EPISODE BACK PAIN LASTING SIX WEEKS OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING SIX WEEKS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1134F","description":"EPISODE BACK PAIN LASTING SIX WEEKS OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43277","description":"ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43277","description":"ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43265","description":"ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43265","description":"ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43260","description":"ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43260","description":"ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43264","description":"ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43264","description":"ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43274","description":"ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43274","description":"ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43261","description":"ERCP W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43261","description":"ERCP W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43263","description":"ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43263","description":"ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/SPHINCTEROTOMY/PAPILLOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43262","description":"ERCP W/SPHINCTEROTOMY/PAPILLOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/SPHINCTEROTOMY/PAPILLOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43262","description":"ERCP W/SPHINCTEROTOMY/PAPILLOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ERGONOVINE PROVOCATION TST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93024","description":"ERGONOVINE PROVOCATION TST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ERGONOVINE PROVOCATION TST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93024","description":"ERGONOVINE PROVOCATION TST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESCHAROTOMY EACH ADDITIONAL INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16036","description":"ESCHAROTOMY EACH ADDITIONAL INCISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESCHAROTOMY EACH ADDITIONAL INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16036","description":"ESCHAROTOMY EACH ADDITIONAL INCISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESCHAROTOMY FIRST INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16035","description":"ESCHAROTOMY FIRST INCISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESCHAROTOMY INITIAL INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16035","description":"ESCHAROTOMY INITIAL INCISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESCHAROTOMY INITIAL INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16035","description":"ESCHAROTOMY INITIAL INCISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43325","description":"ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43325","description":"ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43327","description":"ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43327","description":"ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43328","description":"ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43328","description":"ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43460","description":"ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43460","description":"ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPH BX RPRT W/DYSPLAS INFO AND APPROP GRADING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3126F","description":"ESOPH BX RPRT W/DYSPLAS INFO AND APPROP GRADING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPH BX RPRT W/DYSPLAS INFO AND APPROP GRADING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3126F","description":"ESOPH BX RPRT W/DYSPLAS INFO AND APPROP GRADING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78258","description":"ESOPHAGEAL MOTILITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78258","description":"ESOPHAGEAL MOTILITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY STD W/I and R STIM/PERFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91013","description":"ESOPHAGEAL MOTILITY STD W/I and R STIM/PERFUSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY STD W/I and R STIM/PERFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91013","description":"ESOPHAGEAL MOTILITY STD W/I and R STIM/PERFUSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY STUDY W/INTERP and RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91010","description":"ESOPHAGEAL MOTILITY STUDY W/INTERP and RPT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY STUDY W/INTERP and RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91010","description":"ESOPHAGEAL MOTILITY STUDY W/INTERP and RPT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43236","description":"ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43236","description":"ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43235","description":"ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43235","description":"ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43237","description":"ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43237","description":"ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43340","description":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43340","description":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43341","description":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43341","description":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43330","description":"ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43330","description":"ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43331","description":"ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43331","description":"ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX BALLOON DILAT LT 30 MM DIAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43220","description":"ESOPHAGOSCOPY FLEX BALLOON DILAT LT 30 MM DIAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX BALLOON DILAT LT 30 MM DIAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43220","description":"ESOPHAGOSCOPY FLEX BALLOON DILAT LT 30 MM DIAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43204","description":"ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43204","description":"ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43217","description":"ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43217","description":"ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43226","description":"ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43226","description":"ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43215","description":"ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43215","description":"ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43200","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43200","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43231","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43231","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43201","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43201","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43202","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43202","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43227","description":"ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43227","description":"ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43232","description":"ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43232","description":"ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43352","description":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43352","description":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43351","description":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43351","description":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOTOMY CERVICAL APPR W/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43020","description":"ESOPHAGOTOMY CERVICAL APPR W/RMVL FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOTOMY CERVICAL APPR W/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43020","description":"ESOPHAGOTOMY CERVICAL APPR W/RMVL FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOTOMY THORACIC APPR W/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43045","description":"ESOPHAGOTOMY THORACIC APPR W/RMVL FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOTOMY THORACIC APPR W/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43045","description":"ESOPHAGOTOMY THORACIC APPR W/RMVL FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91030","description":"ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91030","description":"ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGUS LENGTHENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43338","description":"ESOPHAGUS LENGTHENING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGUS LENGTHENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43338","description":"ESOPHAGUS LENGTHENING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL BALO DISTENSION DX STD W/PROVOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91040","description":"ESOPHGL BALO DISTENSION DX STD W/PROVOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL BALO DISTENSION DX STD W/PROVOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91040","description":"ESOPHGL BALO DISTENSION DX STD W/PROVOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91038","description":"ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91038","description":"ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43216","description":"ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43216","description":"ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43205","description":"ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43205","description":"ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43313","description":"ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43313","description":"ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CGEN DFCT THRC APPR W/RPR FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43314","description":"ESPHGP CGEN DFCT THRC APPR W/RPR FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CGEN DFCT THRC APPR W/RPR FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43314","description":"ESPHGP CGEN DFCT THRC APPR W/RPR FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43300","description":"ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43300","description":"ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43305","description":"ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43305","description":"ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43310","description":"ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43310","description":"ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43312","description":"ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43312","description":"ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD DEMO BASIC BUNDLE LEVEL I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9013","description":"ESRD DEMO BASIC BUNDLE LEVEL I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD DEMO BASIC BUNDLE LEVEL I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9013","description":"ESRD DEMO BASIC BUNDLE LEVEL I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS AND REL SRVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9014","description":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS AND REL SRVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS AND REL SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9014","description":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS AND REL SRVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC LT FULL MONTH LT 2 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90967","description":"ESRD RELATED SVC LT FULL MONTH LT 2 YR OLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC LT FULL MONTH LT 2 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90967","description":"ESRD RELATED SVC LT FULL MONTH LT 2 YR OLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC LT FULL MONTH 12-19 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90969","description":"ESRD RELATED SVC LT FULL MONTH 12-19 YR OLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC LT FULL MONTH 12-19 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90969","description":"ESRD RELATED SVC LT FULL MONTH 12-19 YR OLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC LT FULL MONTH 2-11 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90968","description":"ESRD RELATED SVC LT FULL MONTH 2-11 YR OLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC LT FULL MONTH 2-11 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90968","description":"ESRD RELATED SVC LT FULL MONTH 2-11 YR OLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC LT FULL MONTH 20 OR GT YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90970","description":"ESRD RELATED SVC LT FULL MONTH 20 OR GT YR OLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC LT FULL MONTH 20 OR GT YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90970","description":"ESRD RELATED SVC LT FULL MONTH 20 OR GT YR OLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90959","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90959","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90958","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90958","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 4 OR GT VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90957","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 4 OR GT VISITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 4 OR GT VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90957","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 4 OR GT VISITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90956","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90956","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90955","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90955","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 4 OR GT VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90954","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 4 OR GT VISITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 4 OR GT VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90954","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 4 OR GT VISITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 OR GT YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90961","description":"ESRD RELATED SVC MONTHLY 20 OR GT YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 OR GT YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90961","description":"ESRD RELATED SVC MONTHLY 20 OR GT YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 and OR GT YR OLD 4 OR GT VI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90960","description":"ESRD RELATED SVC MONTHLY 20 and OR GT YR OLD 4 OR GT VI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 and OR GT YR OLD 4 OR GT VI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90960","description":"ESRD RELATED SVC MONTHLY 20 and OR GT YR OLD 4 OR GT VI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 and OR GT YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90962","description":"ESRD RELATED SVC MONTHLY 20 and OR GT YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 and OR GT YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90962","description":"ESRD RELATED SVC MONTHLY 20 and OR GT YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH LT 2YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90963","description":"ESRD SVC HOME DIALYSIS FULL MONTH LT 2YR OLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH LT 2YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90963","description":"ESRD SVC HOME DIALYSIS FULL MONTH LT 2YR OLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90965","description":"ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90965","description":"ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90964","description":"ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90964","description":"ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90966","description":"ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90966","description":"ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESTROGEN/PROGEST RECEPTOR NEGATIVE BREAST CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3316F","description":"ESTROGEN/PROGEST RECEPTOR NEGATIVE BREAST CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESTROGEN/PROGEST RECEPTOR NEGATIVE BREAST CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3316F","description":"ESTROGEN/PROGEST RECEPTOR NEGATIVE BREAST CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESTROGEN/PROGEST RECEPTOR POSITIVE BREAST CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3315F","description":"ESTROGEN/PROGEST RECEPTOR POSITIVE BREAST CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESTROGEN/PROGEST RECEPTOR POSITIVE BREAST CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3315F","description":"ESTROGEN/PROGEST RECEPTOR POSITIVE BREAST CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28890","description":"ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28890","description":"ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY EXTRANASAL TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31205","description":"ETHMOIDECTOMY EXTRANASAL TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY EXTRANASAL TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31205","description":"ETHMOIDECTOMY EXTRANASAL TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY INTRANASAL ANTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31200","description":"ETHMOIDECTOMY INTRANASAL ANTERIOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY INTRANASAL ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31200","description":"ETHMOIDECTOMY INTRANASAL ANTERIOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY INTRANASAL TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31201","description":"ETHMOIDECTOMY INTRANASAL TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY INTRANASAL TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31201","description":"ETHMOIDECTOMY INTRANASAL TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ETIOLOGY OF EPILEPSY SYNDROME RVWD AND DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1205F","description":"ETIOLOGY OF EPILEPSY SYNDROME RVWD AND DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETIOLOGY OF EPILEPSY SYNDROME RVWD AND DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1205F","description":"ETIOLOGY OF EPILEPSY SYNDROME RVWD AND DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETOPOSIDE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8560","description":"ETOPOSIDE ORAL 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EUGLOBULIN LYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85360","description":"EUGLOBULIN LYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVACUATION SUBUNGUAL HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11740","description":"EVACUATION SUBUNGUAL HEMATOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVACUATION SUBUNGUAL HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11740","description":"EVACUATION SUBUNGUAL HEMATOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92626","description":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92626","description":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92627","description":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92627","description":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL C/V AMNIOTIC FLUID PROTEIN QUAL EA SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84112","description":"EVAL C/V AMNIOTIC FLUID PROTEIN QUAL EA SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92620","description":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92620","description":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92621","description":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92621","description":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL ORAL AND PHARYNGEAL SWLNG FUNCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92610","description":"EVAL ORAL AND PHARYNGEAL SWLNG FUNCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL ORAL AND PHARYNGEAL SWLNG FUNCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92610","description":"EVAL ORAL AND PHARYNGEAL SWLNG FUNCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL and /FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92597","description":"EVAL and /FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL and /FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92597","description":"EVAL and /FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVALUAT WHEELCHAIR REQ FACE-FACE VISIT PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9156","description":"EVALUAT WHEELCHAIR REQ FACE-FACE VISIT PHYSICIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUAT WHEELCHAIR REQ FACE-FACE VISIT PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9156","description":"EVALUAT WHEELCHAIR REQ FACE-FACE VISIT PHYSICIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34808","description":"EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34808","description":"EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DTA COVERAGE ART ORIGIN 1ST ENDOPROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33880","description":"EVASC RPR DTA COVERAGE ART ORIGIN 1ST ENDOPROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DTA EXP COVERAGE W/O ART ORIGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33881","description":"EVASC RPR DTA EXP COVERAGE W/O ART ORIGIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33881","description":"EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33881","description":"EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT AORT-ARTC TUBE NDGFT COV LSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33880","description":"EVASC RPR TA DPLMNT AORT-ARTC TUBE NDGFT COV LSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT AORT-ARTC TUBE NDGFT COV LSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33880","description":"EVASC RPR TA DPLMNT AORT-ARTC TUBE NDGFT COV LSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61623","description":"EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61623","description":"EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVISCERATION OCULAR CONTENTS W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65093","description":"EVISCERATION OCULAR CONTENTS W/IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVISCERATION OCULAR CONTENTS W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65093","description":"EVISCERATION OCULAR CONTENTS W/IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVISCERATION OCULAR CONTENTS W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65091","description":"EVISCERATION OCULAR CONTENTS W/O IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EVISCERATION OCULAR CONTENTS W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65091","description":"EVISCERATION OCULAR CONTENTS W/O IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EWHFO INCL 1/MORE NONTORSION JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3766","description":"EWHFO INCL 1/MORE NONTORSION JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EWHFO RIGID W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3765","description":"EWHFO RIGID W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EWHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3764","description":"EWHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EWHO RIGID W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3763","description":"EWHO RIGID W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26113","description":"EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26113","description":"EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26111","description":"EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26111","description":"EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXAM AND SELECT ARCHIVE TISSUE MOLECULAR ANALYSI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88363","description":"EXAM AND SELECT ARCHIVE TISSUE MOLECULAR ANALYSI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC 1 OR GT SM/LG LESIONS INTESTNE MULT ENTEROTOMIE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44111","description":"EXC 1 OR GT SM/LG LESIONS INTESTNE MULT ENTEROTOMIE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC 1 OR GT SM/LG LESIONS INTESTNE MULT ENTEROTOMIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44111","description":"EXC 1 OR GT SM/LG LESIONS INTESTNE MULT ENTEROTOMIE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC 1 OR GT SMALL/LARGE LESIONS INTESTINE ENTEROTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44110","description":"EXC 1 OR GT SMALL/LARGE LESIONS INTESTINE ENTEROTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC 1 OR GT SMALL/LARGE LESIONS INTESTINE ENTEROTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44110","description":"EXC 1 OR GT SMALL/LARGE LESIONS INTESTINE ENTEROTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27067","description":"EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27067","description":"EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11441","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11441","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11442","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11442","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11443","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11443","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11444","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11444","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M GT 4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11446","description":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M GT 4.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M GT 4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11446","description":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M GT 4.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11440","description":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11440","description":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G GT 4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11426","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G GT 4.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G GT 4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11426","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G GT 4.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11420","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11420","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11421","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11421","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11422","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11422","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11423","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11423","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11424","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11424","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11406","description":"EXC B9 LESION MRGN XCP SK TG T/A/L GT 4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11406","description":"EXC B9 LESION MRGN XCP SK TG T/A/L GT 4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11400","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11400","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11401","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11401","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11402","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11402","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11403","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11403","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11404","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11404","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT and PRTL MAXLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21049","description":"EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT and PRTL MAXLC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT and PRTL MAXLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21049","description":"EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT and PRTL MAXLC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT and PRTL MNDB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21047","description":"EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT and PRTL MNDB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT and PRTL MNDB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21047","description":"EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT and PRTL MNDB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BARTHOLINS GLAND/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56740","description":"EXC BARTHOLINS GLAND/CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61563","description":"EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61563","description":"EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61564","description":"EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61564","description":"EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21048","description":"EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21048","description":"EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL and CURTG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21030","description":"EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL and CURTG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL and CURTG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21030","description":"EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL and CURTG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21046","description":"EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21046","description":"EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47712","description":"EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47712","description":"EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47711","description":"EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47711","description":"EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS and /PHRYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42815","description":"EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS and /PHRYNX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS and /PHRYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42815","description":"EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS and /PHRYNX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRANCHIAL CLEFT CYST CONFINED SKN AND SUBQ TIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42810","description":"EXC BRANCHIAL CLEFT CYST CONFINED SKN AND SUBQ TIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRANCHIAL CLEFT CYST CONFINED SKN AND SUBQ TIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42810","description":"EXC BRANCHIAL CLEFT CYST CONFINED SKN AND SUBQ TIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19125","description":"EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19125","description":"EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19126","description":"EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19126","description":"EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60605","description":"EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60605","description":"EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60600","description":"EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60600","description":"EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57545","description":"EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57545","description":"EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67808","description":"EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67808","description":"EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC COA W/WO PDA RPR L SUBCLA ART/PROSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33851","description":"EXC COA W/WO PDA RPR L SUBCLA ART/PROSTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC COA W/WO PDA RPR L SUBCLA ART/PROSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33851","description":"EXC COA W/WO PDA RPR L SUBCLA ART/PROSTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC COARCJ AORTA W/L SUBCLAV ART/PROSTC GUSSET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33851","description":"EXC COARCJ AORTA W/L SUBCLAV ART/PROSTC GUSSET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC COARCJ AORTA W/WO PDA W/DIRECT ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33840","description":"EXC COARCJ AORTA W/WO PDA W/DIRECT ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15922","description":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15922","description":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15920","description":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15920","description":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26596","description":"EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26596","description":"EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CRV STUMP VAG APPR W/ANT and /POST REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57555","description":"EXC CRV STUMP VAG APPR W/ANT and /POST REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CRV STUMP VAG APPR W/ANT and /POST REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57555","description":"EXC CRV STUMP VAG APPR W/ANT and /POST REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CRV STUMP VAG APPR W/RPR NTRCL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57556","description":"EXC CRV STUMP VAG APPR W/RPR NTRCL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CRV STUMP VAG APPR W/RPR NTRCL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57556","description":"EXC CRV STUMP VAG APPR W/RPR NTRCL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38555","description":"EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38555","description":"EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38550","description":"EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38550","description":"EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CYST/ABERRANT BREAST TISSUE OPEN 1 OR GT LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19120","description":"EXC CYST/ABERRANT BREAST TISSUE OPEN 1 OR GT LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CYST/ABERRANT BREAST TISSUE OPEN 1 OR GT LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19120","description":"EXC CYST/ABERRANT BREAST TISSUE OPEN 1 OR GT LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60200","description":"EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60200","description":"EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30125","description":"EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30125","description":"EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC EXCESSIVE SKIN and SUBQ TISSUE FOREARM/HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15837","description":"EXC EXCESSIVE SKIN and SUBQ TISSUE FOREARM/HAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC EXCESSIVE SKIN and SUBQ TISSUE FOREARM/HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15837","description":"EXC EXCESSIVE SKIN and SUBQ TISSUE FOREARM/HAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC EXCSV SKIN AND SUBQ TISSUE SUBMENTAL FAT PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15838","description":"EXC EXCSV SKIN AND SUBQ TISSUE SUBMENTAL FAT PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC EXCSV SKIN AND SUBQ TISSUE SUBMENTAL FAT PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15838","description":"EXC EXCSV SKIN AND SUBQ TISSUE SUBMENTAL FAT PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15830","description":"EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15830","description":"EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41822","description":"EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41822","description":"EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26390","description":"EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26390","description":"EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC FRENUM LABIAL/BUCCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40819","description":"EXC FRENUM LABIAL/BUCCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC FRENUM LABIAL/BUCCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40819","description":"EXC FRENUM LABIAL/BUCCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41828","description":"EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41828","description":"EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ILEOANAL RSVR W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45136","description":"EXC ILEOANAL RSVR W/ILEOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ILEOANAL RSVR W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45136","description":"EXC ILEOANAL RSVR W/ILEOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33120","description":"EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33120","description":"EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15941","description":"EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15941","description":"EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15945","description":"EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15945","description":"EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15946","description":"EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15946","description":"EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15940","description":"EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15940","description":"EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15944","description":"EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15944","description":"EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68540","description":"EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68540","description":"EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68550","description":"EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68550","description":"EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LES MUCOSA and SBMCSL VESTIBULE MOUTH W/O RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40810","description":"EXC LES MUCOSA and SBMCSL VESTIBULE MOUTH W/O RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LES MUCOSA and SBMCSL VESTIBULE MOUTH W/O RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40810","description":"EXC LES MUCOSA and SBMCSL VESTIBULE MOUTH W/O RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43101","description":"EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43101","description":"EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43100","description":"EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43100","description":"EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67840","description":"EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67840","description":"EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA AND SBMCSL VESTIBULE CPLX RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40814","description":"EXC LESION MUCOSA AND SBMCSL VESTIBULE CPLX RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA AND SBMCSL VESTIBULE CPLX RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40814","description":"EXC LESION MUCOSA AND SBMCSL VESTIBULE CPLX RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA AND SBMCSL VESTIBULE SMPL RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40812","description":"EXC LESION MUCOSA AND SBMCSL VESTIBULE SMPL RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA AND SBMCSL VESTIBULE SMPL RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40812","description":"EXC LESION MUCOSA AND SBMCSL VESTIBULE SMPL RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA AND SBMCSL VESTIBULE CPLX EXC MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40816","description":"EXC LESION MUCOSA AND SBMCSL VESTIBULE CPLX EXC MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA AND SBMCSL VESTIBULE CPLX EXC MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40816","description":"EXC LESION MUCOSA AND SBMCSL VESTIBULE CPLX EXC MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42107","description":"EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42107","description":"EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42104","description":"EXC LESION PALATE UVULA W/O CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42104","description":"EXC LESION PALATE UVULA W/O CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42106","description":"EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42106","description":"EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TDN SHTH/JT CAPSL HAND/FNGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26160","description":"EXC LESION TDN SHTH/JT CAPSL HAND/FNGR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TDN SHTH/JT CAPSL HAND/FNGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26160","description":"EXC LESION TDN SHTH/JT CAPSL HAND/FNGR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28090","description":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28090","description":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28092","description":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28092","description":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41112","description":"EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41112","description":"EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41113","description":"EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41113","description":"EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41114","description":"EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41114","description":"EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41827","description":"EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41827","description":"EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41825","description":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41825","description":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41826","description":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41826","description":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40527","description":"EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40527","description":"EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40525","description":"EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40525","description":"EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40510","description":"EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40510","description":"EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP V-EXC W/PRIM DIR LINR CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40520","description":"EXC LIP V-EXC W/PRIM DIR LINR CLSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP V-EXC W/PRIM DIR LINR CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40520","description":"EXC LIP V-EXC W/PRIM DIR LINR CLSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LOCAL MALIGNANT TUMOR STOMACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43611","description":"EXC LOCAL MALIGNANT TUMOR STOMACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LOCAL MALIGNANT TUMOR STOMACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43611","description":"EXC LOCAL MALIGNANT TUMOR STOMACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LOCAL ULCER/BENIGN TUMOR STOMACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43610","description":"EXC LOCAL ULCER/BENIGN TUMOR STOMACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LOCAL ULCER/BENIGN TUMOR STOMACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43610","description":"EXC LOCAL ULCER/BENIGN TUMOR STOMACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44800","description":"EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44800","description":"EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC MUCOSA VESTIBULE MOUTH AS DON GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40818","description":"EXC MUCOSA VESTIBULE MOUTH AS DON GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC MUCOSA VESTIBULE MOUTH AS DON GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40818","description":"EXC MUCOSA VESTIBULE MOUTH AS DON GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64788","description":"EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64788","description":"EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64792","description":"EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64792","description":"EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64790","description":"EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64790","description":"EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64774","description":"EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64774","description":"EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64776","description":"EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64776","description":"EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64783","description":"EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64783","description":"EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64782","description":"EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64782","description":"EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64784","description":"EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64784","description":"EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41823","description":"EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41823","description":"EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRESAC/SACROCOCCYGEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49215","description":"EXC PRESAC/SACROCOCCYGEAL TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRESAC/SACROCOCCYGEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49215","description":"EXC PRESAC/SACROCOCCYGEAL TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND LAT DSJ and PRSRV FACIAL NR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42415","description":"EXC PRTD TUM/PRTD GLND LAT DSJ and PRSRV FACIAL NR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND LAT DSJ and PRSRV FACIAL NR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42415","description":"EXC PRTD TUM/PRTD GLND LAT DSJ and PRSRV FACIAL NR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42410","description":"EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42410","description":"EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND TOT DSJ and PRSRV FACIAL NR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42420","description":"EXC PRTD TUM/PRTD GLND TOT DSJ and PRSRV FACIAL NR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND TOT DSJ and PRSRV FACIAL NR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42420","description":"EXC PRTD TUM/PRTD GLND TOT DSJ and PRSRV FACIAL NR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42426","description":"EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42426","description":"EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT PROCIDENTIA W/ANAST ABDL and PRNL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45135","description":"EXC RCT PROCIDENTIA W/ANAST ABDL and PRNL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT PROCIDENTIA W/ANAST ABDL and PRNL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45135","description":"EXC RCT PROCIDENTIA W/ANAST ABDL and PRNL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45130","description":"EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45130","description":"EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM INCL MUSCULARIS PROPRIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45172","description":"EXC RCT TUM INCL MUSCULARIS PROPRIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM INCL MUSCULARIS PROPRIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45172","description":"EXC RCT TUM INCL MUSCULARIS PROPRIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM NOT INCL MUSCULARIS PROPRIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45171","description":"EXC RCT TUM NOT INCL MUSCULARIS PROPRIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM NOT INCL MUSCULARIS PROPRIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45171","description":"EXC RCT TUM NOT INCL MUSCULARIS PROPRIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45160","description":"EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45160","description":"EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15936","description":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15936","description":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15937","description":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15937","description":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15935","description":"EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15935","description":"EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15933","description":"EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15933","description":"EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SUBLINGUAL SALIVARY CYST RANULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42408","description":"EXC SUBLINGUAL SALIVARY CYST RANULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SUBLINGUAL SALIVARY CYST RANULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42408","description":"EXC SUBLINGUAL SALIVARY CYST RANULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC THROMBOSED HEMORRHOID XTRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46320","description":"EXC THROMBOSED HEMORRHOID XTRNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC THROMBOSED HEMORRHOID XTRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46320","description":"EXC THROMBOSED HEMORRHOID XTRNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRACHEAL STENOSIS AND ANAST CERVICOTHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31781","description":"EXC TRACHEAL STENOSIS AND ANAST CERVICOTHORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRACHEAL STENOSIS AND ANAST CERVICOTHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31781","description":"EXC TRACHEAL STENOSIS AND ANAST CERVICOTHORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15958","description":"EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15958","description":"EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15953","description":"EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15953","description":"EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15951","description":"EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15951","description":"EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15956","description":"EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15956","description":"EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15952","description":"EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15952","description":"EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15950","description":"EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15950","description":"EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26116","description":"EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC LT 1.5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26116","description":"EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC LT 1.5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26115","description":"EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ LT 1.5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26115","description":"EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ LT 1.5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SFT TISS FOREARM and /WRIST SUBFASC 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25073","description":"EXC TUMOR SFT TISS FOREARM and /WRIST SUBFASC 3CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SFT TISS FOREARM and /WRIST SUBFASC 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25073","description":"EXC TUMOR SFT TISS FOREARM and /WRIST SUBFASC 3CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21552","description":"EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21552","description":"EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21932","description":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21932","description":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21933","description":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21933","description":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL LT 2CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21013","description":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL LT 2CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL LT 2CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21013","description":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL LT 2CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21014","description":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL 2 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21014","description":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL 2 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25071","description":"EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25071","description":"EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FOREARM and /WRIST SUBFASC LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25076","description":"EXC TUMOR SOFT TISS FOREARM and /WRIST SUBFASC LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FOREARM and /WRIST SUBFASC LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25076","description":"EXC TUMOR SOFT TISS FOREARM and /WRIST SUBFASC LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21556","description":"EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21556","description":"EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS SHOULDER SUBFASC LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23076","description":"EXC TUMOR SOFT TISS SHOULDER SUBFASC LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS SHOULDER SUBFASC LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23076","description":"EXC TUMOR SOFT TISS SHOULDER SUBFASC LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24075","description":"EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24075","description":"EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24073","description":"EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24073","description":"EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24076","description":"EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24076","description":"EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22900","description":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22900","description":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22901","description":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22901","description":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22902","description":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22902","description":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22903","description":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22903","description":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28045","description":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC LT 1.5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28045","description":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC LT 1.5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28041","description":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28041","description":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOREARM and /WRIST SUBQ LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25075","description":"EXC TUMOR SOFT TISSUE FOREARM and /WRIST SUBQ LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOREARM and /WRIST SUBQ LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25075","description":"EXC TUMOR SOFT TISSUE FOREARM and /WRIST SUBQ LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27634","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27634","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27619","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27619","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27618","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27618","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21555","description":"EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21555","description":"EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21554","description":"EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21554","description":"EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS and HIP SUBFASC LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27048","description":"EXC TUMOR SOFT TISSUE PELVIS and HIP SUBFASC LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS and HIP SUBFASC LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27048","description":"EXC TUMOR SOFT TISSUE PELVIS and HIP SUBFASC LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS and HIP SUBFASC 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27045","description":"EXC TUMOR SOFT TISSUE PELVIS and HIP SUBFASC 5CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS and HIP SUBFASC 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27045","description":"EXC TUMOR SOFT TISSUE PELVIS and HIP SUBFASC 5CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS and HIP SUBQ LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27047","description":"EXC TUMOR SOFT TISSUE PELVIS and HIP SUBQ LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS and HIP SUBQ LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27047","description":"EXC TUMOR SOFT TISSUE PELVIS and HIP SUBQ LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23073","description":"EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23073","description":"EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27328","description":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27328","description":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27339","description":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27339","description":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24071","description":"EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24071","description":"EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51500","description":"EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51500","description":"EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC URETHRAL DIVERTICULUM SPX FEMALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53230","description":"EXC URETHRAL DIVERTICULUM SPX FEMALE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC URETHRAL DIVERTICULUM SPX FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53230","description":"EXC URETHRAL DIVERTICULUM SPX FEMALE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC URETHRAL DIVERTICULUM SPX MALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53235","description":"EXC URETHRAL DIVERTICULUM SPX MALE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC URETHRAL DIVERTICULUM SPX MALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53235","description":"EXC URETHRAL DIVERTICULUM SPX MALE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26415","description":"EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26415","description":"EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26205","description":"EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26205","description":"EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26215","description":"EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26215","description":"EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28103","description":"EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28103","description":"EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27637","description":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27637","description":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27638","description":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27638","description":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23145","description":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23145","description":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23146","description":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23146","description":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24125","description":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24125","description":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24126","description":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24126","description":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28104","description":"EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28104","description":"EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24116","description":"EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24116","description":"EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23155","description":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23155","description":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23156","description":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23156","description":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23140","description":"EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23140","description":"EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24120","description":"EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24120","description":"EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24115","description":"EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24115","description":"EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23150","description":"EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23150","description":"EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM PHALANGES FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28108","description":"EXC/CURTG CST/B9 TUM PHALANGES FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM PHALANGES FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28108","description":"EXC/CURTG CST/B9 TUM PHALANGES FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28102","description":"EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28102","description":"EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28107","description":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28107","description":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28106","description":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28106","description":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25136","description":"EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25136","description":"EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25135","description":"EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25135","description":"EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25126","description":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25126","description":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25125","description":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25125","description":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42870","description":"EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42870","description":"EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION CARCINOMA URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53220","description":"EXC/FULGURATION CARCINOMA URETHRA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION CARCINOMA URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53220","description":"EXC/FULGURATION CARCINOMA URETHRA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION URETHRAL CARUNCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53265","description":"EXC/FULGURATION URETHRAL CARUNCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION URETHRAL CARUNCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53265","description":"EXC/FULGURATION URETHRAL CARUNCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION URETHRAL POLYP DSTL URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53260","description":"EXC/FULGURATION URETHRAL POLYP DSTL URETHRA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION URETHRAL POLYP DSTL URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53260","description":"EXC/FULGURATION URETHRAL POLYP DSTL URETHRA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66986","description":"EXCHANGE INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66986","description":"EXCHANGE INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50435","description":"EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50435","description":"EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHNG ABSC/CST DRG CATH RAD GID SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49423","description":"EXCHNG ABSC/CST DRG CATH RAD GID SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHNG ABSC/CST DRG CATH RAD GID SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49423","description":"EXCHNG ABSC/CST DRG CATH RAD GID SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHNG TRANSFUSION BLOOD NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36450","description":"EXCHNG TRANSFUSION BLOOD NEWBORN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHNG TRANSFUSION BLOOD OTHER/THAN NEW BORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36455","description":"EXCHNG TRANSFUSION BLOOD OTHER/THAN NEW BORN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS GT 500 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96922","description":"EXCIMER LASER TX PSORIASIS GT 500 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS GT 500 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96922","description":"EXCIMER LASER TX PSORIASIS GT 500 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS 250-500 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96921","description":"EXCIMER LASER TX PSORIASIS 250-500 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS 250-500 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96921","description":"EXCIMER LASER TX PSORIASIS 250-500 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS TOT AREA LT 250 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96920","description":"EXCIMER LASER TX PSORIASIS TOT AREA LT 250 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS TOT AREA LT 250 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96920","description":"EXCIMER LASER TX PSORIASIS TOT AREA LT 250 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AND REPAIR EYELID ONE-FOURTH LID MARGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67966","description":"EXCISION AND REPAIR EYELID ONE-FOURTH LID MARGIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AND REPAIR EYELID ONE-FOURTH LID MARGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67966","description":"EXCISION AND REPAIR EYELID ONE-FOURTH LID MARGIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION and REPAIR EYELID LT ONE-FOURTH LID MARGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67961","description":"EXCISION and REPAIR EYELID LT ONE-FOURTH LID MARGIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION and REPAIR EYELID LT ONE-FOURTH LID MARGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67961","description":"EXCISION and REPAIR EYELID LT ONE-FOURTH LID MARGIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION 1ST and /CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21615","description":"EXCISION 1ST and /CERVICAL RIB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION 1ST and /CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21615","description":"EXCISION 1ST and /CERVICAL RIB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION 1ST and /CERVICAL RIB W/SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21616","description":"EXCISION 1ST and /CERVICAL RIB W/SYMPATHECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION 1ST and /CERVICAL RIB W/SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21616","description":"EXCISION 1ST and /CERVICAL RIB W/SYMPATHECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AMPULLA VATER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48148","description":"EXCISION AMPULLA VATER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AMPULLA VATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48148","description":"EXCISION AMPULLA VATER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR EXTENDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69554","description":"EXCISION AURAL GLOMUS TUMOR EXTENDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR EXTENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69554","description":"EXCISION AURAL GLOMUS TUMOR EXTENDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69550","description":"EXCISION AURAL GLOMUS TUMOR TRANSCANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69550","description":"EXCISION AURAL GLOMUS TUMOR TRANSCANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR TRANSMASTOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69552","description":"EXCISION AURAL GLOMUS TUMOR TRANSMASTOID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR TRANSMASTOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69552","description":"EXCISION AURAL GLOMUS TUMOR TRANSMASTOID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL POLYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69540","description":"EXCISION AURAL POLYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL POLYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69540","description":"EXCISION AURAL POLYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BARTHOLINS GLAND OR CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56740","description":"EXCISION BARTHOLINS GLAND OR CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BARTHOLINS GLAND OR CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56740","description":"EXCISION BARTHOLINS GLAND OR CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL and CURT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21040","description":"EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL and CURT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL and CURT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21040","description":"EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL and CURT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE CYST/BENIGN TUMOR DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27066","description":"EXCISION BONE CYST/BENIGN TUMOR DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE CYST/BENIGN TUMOR DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27066","description":"EXCISION BONE CYST/BENIGN TUMOR DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27065","description":"EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27065","description":"EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE MANDIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21025","description":"EXCISION BONE MANDIBLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE MANDIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21025","description":"EXCISION BONE MANDIBLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CERVICAL STUMP ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57540","description":"EXCISION CERVICAL STUMP ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CERVICAL STUMP ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57540","description":"EXCISION CERVICAL STUMP ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CERVICAL STUMP VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57550","description":"EXCISION CERVICAL STUMP VAGINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CERVICAL STUMP VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57550","description":"EXCISION CERVICAL STUMP VAGINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION MULTIPLE DIFFERENT LIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67805","description":"EXCISION CHALAZION MULTIPLE DIFFERENT LIDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION MULTIPLE DIFFERENT LIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67805","description":"EXCISION CHALAZION MULTIPLE DIFFERENT LIDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION MULTIPLE SAME LID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67801","description":"EXCISION CHALAZION MULTIPLE SAME LID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION MULTIPLE SAME LID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67801","description":"EXCISION CHALAZION MULTIPLE SAME LID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67800","description":"EXCISION CHALAZION SINGLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67800","description":"EXCISION CHALAZION SINGLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHOLEDOCHAL CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47715","description":"EXCISION CHOLEDOCHAL CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHOLEDOCHAL CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47715","description":"EXCISION CHOLEDOCHAL CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION COA W/WO PDA W/DIRECT ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33840","description":"EXCISION COA W/WO PDA W/DIRECT ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION COA W/WO PDA W/DIRECT ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33840","description":"EXCISION COA W/WO PDA W/DIRECT ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION COARCTATION AORTA W/WO PDA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33845","description":"EXCISION COARCTATION AORTA W/WO PDA W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION COARCTATION AORTA W/WO PDA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33845","description":"EXCISION COARCTATION AORTA W/WO PDA W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30124","description":"EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30124","description":"EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION DISTAL ULNA PARTIAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25240","description":"EXCISION DISTAL ULNA PARTIAL/COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION DISTAL ULNA PARTIAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25240","description":"EXCISION DISTAL ULNA PARTIAL/COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EPIPHYSEAL BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20150","description":"EXCISION EPIPHYSEAL BAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EPIPHYSEAL BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20150","description":"EXCISION EPIPHYSEAL BAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15847","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE ABDOMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15847","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE ABDOMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15836","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE ARM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15836","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE ARM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE BUTTOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15835","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE BUTTOCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE BUTTOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15835","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE BUTTOCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE HIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15834","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE HIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE HIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15834","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE HIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15833","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15833","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE OTHER AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15839","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE OTHER AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE OTHER AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15839","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE OTHER AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15832","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE THIGH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15832","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE THIGH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69140","description":"EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69140","description":"EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXTERNAL EAR COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69120","description":"EXCISION EXTERNAL EAR COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXTERNAL EAR COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69120","description":"EXCISION EXTERNAL EAR COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69110","description":"EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69110","description":"EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION FACIAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21026","description":"EXCISION FACIAL BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION FACIAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21026","description":"EXCISION FACIAL BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25111","description":"EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25111","description":"EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25112","description":"EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25112","description":"EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION H/P/P/U COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11471","description":"EXCISION H/P/P/U COMPLEX REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION H/P/P/U COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11471","description":"EXCISION H/P/P/U COMPLEX REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11470","description":"EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11470","description":"EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11451","description":"EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11451","description":"EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11450","description":"EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11450","description":"EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11463","description":"EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11463","description":"EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11462","description":"EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11462","description":"EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35907","description":"EXCISION INFECTED GRAFT ABDOMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35907","description":"EXCISION INFECTED GRAFT ABDOMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35903","description":"EXCISION INFECTED GRAFT EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35903","description":"EXCISION INFECTED GRAFT EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35905","description":"EXCISION INFECTED GRAFT THORAX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35905","description":"EXCISION INFECTED GRAFT THORAX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED NECK GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35901","description":"EXCISION INFECTED NECK GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED NECK GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35901","description":"EXCISION INFECTED NECK GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30130","description":"EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30130","description":"EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28080","description":"EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28080","description":"EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION ISCHIAL BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27060","description":"EXCISION ISCHIAL BURSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION ISCHIAL BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27060","description":"EXCISION ISCHIAL BURSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL GLAND XCPT TUMOR PRTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68505","description":"EXCISION LACRIMAL GLAND XCPT TUMOR PRTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL GLAND XCPT TUMOR PRTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68505","description":"EXCISION LACRIMAL GLAND XCPT TUMOR PRTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68500","description":"EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68500","description":"EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68520","description":"EXCISION LACRIMAL SAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68520","description":"EXCISION LACRIMAL SAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACTIFEROUS DUCT FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19112","description":"EXCISION LACTIFEROUS DUCT FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACTIFEROUS DUCT FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19112","description":"EXCISION LACTIFEROUS DUCT FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA GT 1 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68115","description":"EXCISION LESION CONJUNCTIVA GT 1 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA GT 1 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68115","description":"EXCISION LESION CONJUNCTIVA GT 1 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA LT 1 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68110","description":"EXCISION LESION CONJUNCTIVA LT 1 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA LT 1 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68110","description":"EXCISION LESION CONJUNCTIVA LT 1 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA ADJACENT SCLERA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68130","description":"EXCISION LESION CONJUNCTIVA ADJACENT SCLERA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA ADJACENT SCLERA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68130","description":"EXCISION LESION CONJUNCTIVA ADJACENT SCLERA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CORNEA XCP PTERYGIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65400","description":"EXCISION LESION CORNEA XCP PTERYGIUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CORNEA XCP PTERYGIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65400","description":"EXCISION LESION CORNEA XCP PTERYGIUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION FLOOR MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41116","description":"EXCISION LESION FLOOR MOUTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION FLOOR MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41116","description":"EXCISION LESION FLOOR MOUTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION MENISCUS/CAPSULE KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27347","description":"EXCISION LESION MENISCUS/CAPSULE KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION MENISCUS/CAPSULE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27347","description":"EXCISION LESION MENISCUS/CAPSULE KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION MESENTERY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44820","description":"EXCISION LESION MESENTERY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION MESENTERY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44820","description":"EXCISION LESION MESENTERY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION PANCREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48120","description":"EXCISION LESION PANCREAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION PANCREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48120","description":"EXCISION LESION PANCREAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION SCLERA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66130","description":"EXCISION LESION SCLERA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION SCLERA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66130","description":"EXCISION LESION SCLERA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TENDON SHEATH FOREARM and /WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25110","description":"EXCISION LESION TENDON SHEATH FOREARM and /WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TENDON SHEATH FOREARM and /WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25110","description":"EXCISION LESION TENDON SHEATH FOREARM and /WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TENDON SHEATH/CAPSULE LEG and /ANK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27630","description":"EXCISION LESION TENDON SHEATH/CAPSULE LEG and /ANK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TENDON SHEATH/CAPSULE LEG and /ANK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27630","description":"EXCISION LESION TENDON SHEATH/CAPSULE LEG and /ANK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TONGUE W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41110","description":"EXCISION LESION TONGUE W/O CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TONGUE W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41110","description":"EXCISION LESION TONGUE W/O CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LINGUAL FRENUM FRENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41115","description":"EXCISION LINGUAL FRENUM FRENECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LINGUAL FRENUM FRENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41115","description":"EXCISION LINGUAL FRENUM FRENECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11600","description":"EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11600","description":"EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11601","description":"EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11601","description":"EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11602","description":"EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11602","description":"EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11603","description":"EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11603","description":"EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11604","description":"EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11604","description":"EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11646","description":"EXCISION MALIGNANT LESION F/E/E/N/L GT 4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11646","description":"EXCISION MALIGNANT LESION F/E/E/N/L GT 4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11640","description":"EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11640","description":"EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11641","description":"EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11641","description":"EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11642","description":"EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11642","description":"EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11643","description":"EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11643","description":"EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11644","description":"EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11644","description":"EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11626","description":"EXCISION MALIGNANT LESION S/N/H/F/G GT 4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11626","description":"EXCISION MALIGNANT LESION S/N/H/F/G GT 4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11620","description":"EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11620","description":"EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11621","description":"EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11621","description":"EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11622","description":"EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11622","description":"EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11623","description":"EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11623","description":"EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11624","description":"EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11624","description":"EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION TRUNK/ARM/LEG GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11606","description":"EXCISION MALIGNANT LESION TRUNK/ARM/LEG GT 4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION TRUNK/ARM/LEG GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11606","description":"EXCISION MALIGNANT LESION TRUNK/ARM/LEG GT 4.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MANDIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21044","description":"EXCISION MALIGNANT TUMOR MANDIBLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MANDIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21044","description":"EXCISION MALIGNANT TUMOR MANDIBLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MANDIBLE RADICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21045","description":"EXCISION MALIGNANT TUMOR MANDIBLE RADICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MANDIBLE RADICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21045","description":"EXCISION MALIGNANT TUMOR MANDIBLE RADICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21034","description":"EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21034","description":"EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAXILLARY TORUS PALATINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21032","description":"EXCISION MAXILLARY TORUS PALATINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAXILLARY TORUS PALATINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21032","description":"EXCISION MAXILLARY TORUS PALATINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46230","description":"EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46230","description":"EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NAIL MATRIX PERMANENT REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11750","description":"EXCISION NAIL MATRIX PERMANENT REMOVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NAIL and NAIL MATRIX PRTL/COMPL PERM RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11750","description":"EXCISION NAIL and NAIL MATRIX PRTL/COMPL PERM RMVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NAIL and NAIL MATRIX PRTL/COMPL PERM RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11750","description":"EXCISION NAIL and NAIL MATRIX PRTL/COMPL PERM RMVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NASAL POLYP EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30115","description":"EXCISION NASAL POLYP EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NASAL POLYP EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30115","description":"EXCISION NASAL POLYP EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NASAL POLYP SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30110","description":"EXCISION NASAL POLYP SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NASAL POLYP SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30110","description":"EXCISION NASAL POLYP SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64778","description":"EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64778","description":"EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NEUROMA SCIATIC NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64786","description":"EXCISION NEUROMA SCIATIC NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NEUROMA SCIATIC NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64786","description":"EXCISION NEUROMA SCIATIC NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF BULBOURETHRAL GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53250","description":"EXCISION OF BULBOURETHRAL GLAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF BULBOURETHRAL GLAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53250","description":"EXCISION OF BULBOURETHRAL GLAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OLECRANON BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24105","description":"EXCISION OLECRANON BURSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OLECRANON BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24105","description":"EXCISION OLECRANON BURSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OR FULGURATION SKENES GLANDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53270","description":"EXCISION OR FULGURATION SKENES GLANDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OR FULGURATION SKENES GLANDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53270","description":"EXCISION OR FULGURATION SKENES GLANDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42425","description":"EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42425","description":"EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PERINEPHRIC CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50290","description":"EXCISION PERINEPHRIC CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PERINEPHRIC CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50290","description":"EXCISION PERINEPHRIC CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11772","description":"EXCISION PILONIDAL CYST/SINUS COMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11772","description":"EXCISION PILONIDAL CYST/SINUS COMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11771","description":"EXCISION PILONIDAL CYST/SINUS EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11771","description":"EXCISION PILONIDAL CYST/SINUS EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11770","description":"EXCISION PILONIDAL CYST/SINUS SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11770","description":"EXCISION PILONIDAL CYST/SINUS SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PREPATELLAR BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27340","description":"EXCISION PREPATELLAR BURSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PREPATELLAR BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27340","description":"EXCISION PREPATELLAR BURSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24130","description":"EXCISION RADIAL HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24130","description":"EXCISION RADIAL HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION RIB PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21600","description":"EXCISION RIB PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION RIB PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21600","description":"EXCISION RIB PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15931","description":"EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15931","description":"EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15934","description":"EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15934","description":"EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46220","description":"EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46220","description":"EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SKIN ABD INFRAUMBILICAL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15830","description":"EXCISION SKIN ABD INFRAUMBILICAL PANNICULECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69145","description":"EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69145","description":"EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42440","description":"EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42440","description":"EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SYNOVIAL CYST POPLITEAL SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27345","description":"EXCISION SYNOVIAL CYST POPLITEAL SPACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SYNOVIAL CYST POPLITEAL SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27345","description":"EXCISION SYNOVIAL CYST POPLITEAL SPACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26180","description":"EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26180","description":"EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26170","description":"EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26170","description":"EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION THYROGLOSSAL DUCT CYST/SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60280","description":"EXCISION THYROGLOSSAL DUCT CYST/SINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION THYROGLOSSAL DUCT CYST/SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60280","description":"EXCISION THYROGLOSSAL DUCT CYST/SINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60281","description":"EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60281","description":"EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TONSIL TAGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42860","description":"EXCISION TONSIL TAGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TONSIL TAGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42860","description":"EXCISION TONSIL TAGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TORUS MANDIBULARIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21031","description":"EXCISION TORUS MANDIBULARIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TORUS MANDIBULARIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21031","description":"EXCISION TORUS MANDIBULARIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS CERVICA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31780","description":"EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS CERVICA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS CERVICA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31780","description":"EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS CERVICA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31785","description":"EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31785","description":"EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31786","description":"EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31786","description":"EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TROCHANTERIC BURSA/CALCIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27062","description":"EXCISION TROCHANTERIC BURSA/CALCIFICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TROCHANTERIC BURSA/CALCIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27062","description":"EXCISION TROCHANTERIC BURSA/CALCIFICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21931","description":"EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21931","description":"EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28039","description":"EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28039","description":"EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ LT 2CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21011","description":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ LT 2CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ LT 2CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21011","description":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ LT 2CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21012","description":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21012","description":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21930","description":"EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21930","description":"EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28043","description":"EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ LT 1.5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28043","description":"EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ LT 1.5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27632","description":"EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27632","description":"EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE PELVIS and HIP SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27043","description":"EXCISION TUMOR SOFT TISSUE PELVIS and HIP SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE PELVIS and HIP SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27043","description":"EXCISION TUMOR SOFT TISSUE PELVIS and HIP SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23075","description":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23075","description":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23071","description":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23071","description":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27327","description":"EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27327","description":"EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION VAGINAL CYST/TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57135","description":"EXCISION VAGINAL CYST/TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION VAGINAL CYST/TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57135","description":"EXCISION VAGINAL CYST/TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION VAGINAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57130","description":"EXCISION VAGINAL SEPTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION VAGINAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57130","description":"EXCISION VAGINAL SEPTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27635","description":"EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27635","description":"EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25130","description":"EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25130","description":"EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27355","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27355","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27358","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27358","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27356","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27356","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27357","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27357","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR METACARPAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26200","description":"EXCISION/CURETTAGE CYST/TUMOR METACARPAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR METACARPAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26200","description":"EXCISION/CURETTAGE CYST/TUMOR METACARPAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26210","description":"EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26210","description":"EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25120","description":"EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25120","description":"EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28100","description":"EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28100","description":"EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24110","description":"EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24110","description":"EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION INTRANASAL LESION INT APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30117","description":"EXCISION/DESTRUCTION INTRANASAL LESION INT APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION INTRANASAL LESION INT APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30117","description":"EXCISION/DESTRUCTION INTRANASAL LESION INT APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION INTRANASAL LESION XTRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30118","description":"EXCISION/DESTRUCTION INTRANASAL LESION XTRNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION INTRANASAL LESION XTRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30118","description":"EXCISION/DESTRUCTION INTRANASAL LESION XTRNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42808","description":"EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42808","description":"EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/FULGURATION URETHRAL PROLAPSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53275","description":"EXCISION/FULGURATION URETHRAL PROLAPSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/FULGURATION URETHRAL PROLAPSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53275","description":"EXCISION/FULGURATION URETHRAL PROLAPSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30120","description":"EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30120","description":"EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65426","description":"EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65426","description":"EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65420","description":"EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65420","description":"EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/UNROOFING CYST KIDNEY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50280","description":"EXCISION/UNROOFING CYST KIDNEY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/UNROOFING CYST KIDNEY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50280","description":"EXCISION/UNROOFING CYST KIDNEY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27337","description":"EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27337","description":"EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44700","description":"EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44700","description":"EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65110","description":"EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65110","description":"EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXENTERATION ORBIT RMVL ORBIT CONTENTS AND BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65112","description":"EXENTERATION ORBIT RMVL ORBIT CONTENTS AND BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXENTERATION ORBIT RMVL ORBIT CONTENTS AND BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65112","description":"EXENTERATION ORBIT RMVL ORBIT CONTENTS AND BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXHALATION PORT W/WO SWIVEL REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7045","description":"EXHALATION PORT W/WO SWIVEL REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXHALATION PORT W/WO SWIVEL REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7045","description":"EXHALATION PORT W/WO SWIVEL REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXISION OF SUBLINGUAL GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42450","description":"EXISION OF SUBLINGUAL GLAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXISION OF SUBLINGUAL GLAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42450","description":"EXISION OF SUBLINGUAL GLAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65114","description":"EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65114","description":"EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL CONGENITAL ATRESIA BILE DUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47700","description":"EXPL CONGENITAL ATRESIA BILE DUCTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL CONGENITAL ATRESIA BILE DUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47700","description":"EXPL CONGENITAL ATRESIA BILE DUCTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61333","description":"EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61333","description":"EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20102","description":"EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20102","description":"EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35840","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35840","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ CH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35820","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ CH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ CH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35820","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ CH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35800","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35800","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35860","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35860","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RETROPERITONEUM W/WO BX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49010","description":"EXPL RETROPERITONEUM W/WO BX SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RETROPERITONEUM W/WO BX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49010","description":"EXPL RETROPERITONEUM W/WO BX SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RPR AND PRESACRAL DRG RECTAL INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45562","description":"EXPL RPR AND PRESACRAL DRG RECTAL INJURY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RPR AND PRESACRAL DRG RECTAL INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45562","description":"EXPL RPR AND PRESACRAL DRG RECTAL INJURY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RPR and PRESACRAL DRG RECTAL INJ W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45563","description":"EXPL RPR and PRESACRAL DRG RECTAL INJ W/COLOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RPR and PRESACRAL DRG RECTAL INJ W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45563","description":"EXPL RPR and PRESACRAL DRG RECTAL INJ W/COLOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25248","description":"EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25248","description":"EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG NECK ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35701","description":"EXPLORATION N/FLWD SURG NECK ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG NECK ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35701","description":"EXPLORATION N/FLWD SURG NECK ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX CHEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20101","description":"EXPLORATION PENETRATING WOUND SPX CHEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX CHEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20101","description":"EXPLORATION PENETRATING WOUND SPX CHEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20103","description":"EXPLORATION PENETRATING WOUND SPX EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20103","description":"EXPLORATION PENETRATING WOUND SPX EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20100","description":"EXPLORATION PENETRATING WOUND SPX NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20100","description":"EXPLORATION PENETRATING WOUND SPX NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION SPINAL FUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22830","description":"EXPLORATION SPINAL FUSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION SPINAL FUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22830","description":"EXPLORATION SPINAL FUSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49000","description":"EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49000","description":"EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPRESSION CONJUNCTIVAL FOLLICLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68040","description":"EXPRESSION CONJUNCTIVAL FOLLICLES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPRESSION CONJUNCTIVAL FOLLICLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68040","description":"EXPRESSION CONJUNCTIVAL FOLLICLES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXT BRST PROS GARMNT W/MASTECT FORM POST-MASTECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8015","description":"EXT BRST PROS GARMNT W/MASTECT FORM POST-MASTECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXT DRN TUBING W/CNCTOR/ADAPTR FOR LEG BAG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4331","description":"EXT DRN TUBING W/CNCTOR/ADAPTR FOR LEG BAG EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXT DRN TUBING W/CNCTOR/ADAPTR FOR LEG BAG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4331","description":"EXT DRN TUBING W/CNCTOR/ADAPTR FOR LEG BAG EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXT RECHARG SYS BAT EXT W/IMPL NEUROSTIM REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8695","description":"EXT RECHARG SYS BAT EXT W/IMPL NEUROSTIM REPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXT RECHARG SYS BAT INT IMPL NEUROSTIM REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8689","description":"EXT RECHARG SYS BAT INT IMPL NEUROSTIM REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTENDED VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92083","description":"EXTENDED VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTENDED VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92083","description":"EXTENDED VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTENSIVE RETINOPATHY 1 OR GT SESS PRETERM INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67229","description":"EXTENSIVE RETINOPATHY 1 OR GT SESS PRETERM INFANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTENSIVE RETINOPATHY 1 OR GT SESS PRETERM INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67229","description":"EXTENSIVE RETINOPATHY 1 OR GT SESS PRETERM INFANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL AMBULATORY INFUSION PUMP INSULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0784","description":"EXTERNAL AMBULATORY INFUSION PUMP INSULIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL AMBULATORY INFUSION PUMP INSULIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0784","description":"EXTERNAL AMBULATORY INFUSION PUMP INSULIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59412","description":"EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59412","description":"EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL COUNTERPULSATION PER TREATMENT SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0166","description":"EXTERNAL COUNTERPULSATION PER TREATMENT SESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL COUNTERPULSATION PER TREATMENT SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0166","description":"EXTERNAL COUNTERPULSATION PER TREATMENT SESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL DEFIB W/INTEGRATED ECG ANALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0617","description":"EXTERNAL DEFIB W/INTEGRATED ECG ANALY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL DEFIB W/INTEGRATED ECG ANALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0617","description":"EXTERNAL DEFIB W/INTEGRATED ECG ANALY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48510","description":"EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48510","description":"EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG SCANNING ANALYSIS REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93226","description":"EXTERNAL ECG SCANNING ANALYSIS REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL URETHRAL CLAMP/COMPRESSION DEVICE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4356","description":"EXTERNAL URETHRAL CLAMP/COMPRESSION DEVICE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL URETHRAL CLAMP/COMPRESSION DEVICE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4356","description":"EXTERNAL URETHRAL CLAMP/COMPRESSION DEVICE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTRA HEAVY-DUTY WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0007","description":"EXTRA HEAVY-DUTY WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTRA HEAVY-DUTY WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0007","description":"EXTRA HEAVY-DUTY WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86235","description":"EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10040","description":"EXTRACTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10040","description":"EXTRACTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32540","description":"EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32540","description":"EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTREMITY BELT/HARNESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0945","description":"EXTREMITY BELT/HARNESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTRNL BM RADIOTHXPY TO PROST W/WO NODAL IRRAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4200F","description":"EXTRNL BM RADIOTHXPY TO PROST W/WO NODAL IRRAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRNL BM RADIOTHXPY TO PROST W/WO NODAL IRRAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4200F","description":"EXTRNL BM RADIOTHXPY TO PROST W/WO NODAL IRRAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRNL BM RADIOTHXPY W/WO NODAL IRRAD AS ADJV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4201F","description":"EXTRNL BM RADIOTHXPY W/WO NODAL IRRAD AS ADJV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRNL BM RADIOTHXPY W/WO NODAL IRRAD AS ADJV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4201F","description":"EXTRNL BM RADIOTHXPY W/WO NODAL IRRAD AS ADJV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE IMG VALID MATCH DX 7 STND FLD W/EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2026F","description":"EYE IMG VALID MATCH DX 7 STND FLD W/EVC RTNOPTHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE IMG VALID MATCH DX 7 STND FLD W/EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2026F","description":"EYE IMG VALID MATCH DX 7 STND FLD W/EVC RTNOPTHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE PAD NON-STERILE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6411","description":"EYE PAD NON-STERILE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EYE PAD NON-STERILE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6411","description":"EYE PAD NON-STERILE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EYE PAD STERILE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6410","description":"EYE PAD STERILE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"EYE PAD STERILE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6410","description":"EYE PAD STERILE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Electric heat pad moist","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0215","description":"Electric heat pad moist","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Electric heat pad standard","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0210","description":"Electric heat pad standard","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Electrocochleography","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92584","description":"Electrocochleography","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Electrocochleography","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92584","description":"Electrocochleography","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Electrolyte panel","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80051","description":"Electrolyte panel","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Etoposide oral 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8560","description":"Etoposide oral 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Etoposide oral 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8560","description":"Etoposide oral 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Euglobulin lysis","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85360","description":"Euglobulin lysis","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"F RPT CT CT MRI/MRA CH/N/U/S N F/U IMAG NOT RCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9556","description":"F RPT CT CT MRI/MRA CH/N/U/S N F/U IMAG NOT RCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93304","description":"F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93304","description":"F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT CMPLX PHYS 35 MIN OR GT PT VIA TELEHLTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0408","description":"F/U IP CNSLT CMPLX PHYS 35 MIN OR GT PT VIA TELEHLTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT CMPLX PHYS 35 MIN OR GT PT VIA TELEHLTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0408","description":"F/U IP CNSLT CMPLX PHYS 35 MIN OR GT PT VIA TELEHLTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT INTRMED PHYS 25 MIN PT VIA TELEHLTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0407","description":"F/U IP CNSLT INTRMED PHYS 25 MIN PT VIA TELEHLTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT INTRMED PHYS 25 MIN PT VIA TELEHLTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0407","description":"F/U IP CNSLT INTRMED PHYS 25 MIN PT VIA TELEHLTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT LTD PHYS 15 MIN W/PT VIA TELEHEALTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0406","description":"F/U IP CNSLT LTD PHYS 15 MIN W/PT VIA TELEHEALTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT LTD PHYS 15 MIN W/PT VIA TELEHEALTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0406","description":"F/U IP CNSLT LTD PHYS 15 MIN W/PT VIA TELEHEALTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"F/U REC DOC INCIDENTALLY DETECTED PULM NODULES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9345","description":"F/U REC DOC INCIDENTALLY DETECTED PULM NODULES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U REC DOC INCIDENTALLY DETECTED PULM NODULES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9345","description":"F/U REC DOC INCIDENTALLY DETECTED PULM NODULES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U REC NOT DOC ACC REC GLS PNS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9347","description":"F/U REC NOT DOC ACC REC GLS PNS RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U REC NOT DOC ACC REC GLS PNS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9347","description":"F/U REC NOT DOC ACC REC GLS PNS RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE MASK INTERFACE REPLCMT FULL FACE MASK EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7031","description":"FACE MASK INTERFACE REPLCMT FULL FACE MASK EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACE MASK INTERFACE REPLCMT FULL FACE MASK EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7031","description":"FACE MASK INTERFACE REPLCMT FULL FACE MASK EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACE TENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4619","description":"FACE TENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACE TO FACE EDU SRVC OF CKD; GRP PER SESS 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0421","description":"FACE TO FACE EDU SRVC OF CKD; GRP PER SESS 1 HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACE TO FACE EDU SRVC OF CKD; GRP PER SESS 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0421","description":"FACE TO FACE EDU SRVC OF CKD; GRP PER SESS 1 HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACE TO FACE EDU SRVC OF CKD; IND PER SESS 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0420","description":"FACE TO FACE EDU SRVC OF CKD; IND PER SESS 1 HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACE TO FACE EDU SRVC OF CKD; IND PER SESS 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0420","description":"FACE TO FACE EDU SRVC OF CKD; IND PER SESS 1 HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACE--FACE BEHAVIORAL COUNSELING OBESITY 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0447","description":"FACE--FACE BEHAVIORAL COUNSELING OBESITY 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACE--FACE BEHAVIORAL COUNSELING OBESITY 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0447","description":"FACE--FACE BEHAVIORAL COUNSELING OBESITY 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACIAL NERVE FUNCTION STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92516","description":"FACIAL NERVE FUNCTION STUDIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACIAL NERVE FUNCTION STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92516","description":"FACIAL NERVE FUNCTION STUDIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR INHIBITOR TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85335","description":"FACTOR INHIBITOR TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7193","description":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7193","description":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR IX COMPLEX PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7194","description":"FACTOR IX COMPLEX PER IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR IX COMPLEX PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7194","description":"FACTOR IX COMPLEX PER IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIIA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7189","description":"FACTOR VIIA 1 MICROGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7189","description":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7189","description":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7190","description":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7190","description":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII ANTIHEMOPHILIC FACTOR PORCINE PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7191","description":"FACTOR VIII ANTIHEMOPHILIC FACTOR PORCINE PER IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII ANTIHEMOPHILIC FACTOR PORCINE PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7191","description":"FACTOR VIII ANTIHEMOPHILIC FACTOR PORCINE PER IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7192","description":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7192","description":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FALLS PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0518F","description":"FALLS PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FALLS PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0518F","description":"FALLS PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FALLS RISK ASSESSMENT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3288F","description":"FALLS RISK ASSESSMENT DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FALLS RISK ASSESSMENT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3288F","description":"FALLS RISK ASSESSMENT DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90846","description":"FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90846","description":"FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90847","description":"FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90847","description":"FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIA LATA GRAFT BY STRIPPER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20920","description":"FASCIA LATA GRAFT BY STRIPPER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIA LATA GRAFT BY STRIPPER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20920","description":"FASCIA LATA GRAFT BY STRIPPER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIA LATA GRAFT INCISION AND AREA EXPOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20922","description":"FASCIA LATA GRAFT INCISION AND AREA EXPOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIA LATA GRAFT INCISION AND AREA EXPOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20922","description":"FASCIA LATA GRAFT INCISION AND AREA EXPOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIECTOMY PLANTAR FASCIA PARTIAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28060","description":"FASCIECTOMY PLANTAR FASCIA PARTIAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIECTOMY PLANTAR FASCIA PARTIAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28060","description":"FASCIECTOMY PLANTAR FASCIA PARTIAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIECTOMY PLANTAR FASCIA RADICAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28062","description":"FASCIECTOMY PLANTAR FASCIA RADICAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIECTOMY PLANTAR FASCIA RADICAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28062","description":"FASCIECTOMY PLANTAR FASCIA RADICAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY FOOT and /TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28008","description":"FASCIOTOMY FOOT and /TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY FOOT and /TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28008","description":"FASCIOTOMY FOOT and /TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY HIP/THIGH ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27025","description":"FASCIOTOMY HIP/THIGH ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY HIP/THIGH ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27025","description":"FASCIOTOMY HIP/THIGH ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY ILIOTIBIAL OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27305","description":"FASCIOTOMY ILIOTIBIAL OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY ILIOTIBIAL OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27305","description":"FASCIOTOMY ILIOTIBIAL OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY PALMAR OPEN PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26045","description":"FASCIOTOMY PALMAR OPEN PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY PALMAR OPEN PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26045","description":"FASCIOTOMY PALMAR OPEN PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY PLANTAR FASCIA RADICAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28062","description":"FASCIOTOMY PLANTAR FASCIA RADICAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26121","description":"FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26121","description":"FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26123","description":"FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26123","description":"FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26125","description":"FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26125","description":"FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FAT DIFFIAL FECES QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82715","description":"FAT DIFFIAL FECES QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FAT STAIN FECES URINE/RESPIR SECRETIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89125","description":"FAT STAIN FECES URINE/RESPIR SECRETIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FAT/LIPIDS FECES QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82705","description":"FAT/LIPIDS FECES QUALITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FAT/LIPIDS FECES QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82710","description":"FAT/LIPIDS FECES QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FATTY ACIDS NONESTERIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82725","description":"FATTY ACIDS NONESTERIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FBRNLYC FACTORS AND INHIBITORS ALPHA-2 ANTIPLASMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85410","description":"FBRNLYC FACTORS AND INHIBITORS ALPHA-2 ANTIPLASMIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FBRNLYC FACTORS AND INHIBITORS PLSMNG ACTIVATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85415","description":"FBRNLYC FACTORS AND INHIBITORS PLSMNG ACTIVATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FBRNLYC FACTORS AND INHIBITORS PLSMNG AGIC ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85421","description":"FBRNLYC FACTORS AND INHIBITORS PLSMNG AGIC ASSAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FBRNLYC FACTORS AND INHIBITRS PLSMNG XCPT AGIC ASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85420","description":"FBRNLYC FACTORS AND INHIBITRS PLSMNG XCPT AGIC ASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FCN OUTCOME ASMT DOC; NO DEFICT ID PLAN NOT RQR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8542","description":"FCN OUTCOME ASMT DOC; NO DEFICT ID PLAN NOT RQR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FCN OUTCOME ASMT DOC; NO DEFICT ID PLAN NOT RQR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8542","description":"FCN OUTCOME ASMT DOC; NO DEFICT ID PLAN NOT RQR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FCN OUTCOME ASMT STD TOOL NOT DOC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8541","description":"FCN OUTCOME ASMT STD TOOL NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FCN OUTCOME ASMT STD TOOL NOT DOC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8541","description":"FCN OUTCOME ASMT STD TOOL NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FDA APPROVED ORAL ANTICOAGULANT IS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8967","description":"FDA APPROVED ORAL ANTICOAGULANT IS PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FDA APPROVED ORAL ANTICOAGULANT IS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8967","description":"FDA APPROVED ORAL ANTICOAGULANT IS PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FDA APVD ANTICOAGULANT NOT PRESCR REASON NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9928","description":"FDA APVD ANTICOAGULANT NOT PRESCR REASON NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FDA APVD ANTICOAGULANT NOT PRESCR REASON NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9928","description":"FDA APVD ANTICOAGULANT NOT PRESCR REASON NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FDA-APRVD NERVE STIM FOR TX NAUSEA and VOMITING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0765","description":"FDA-APRVD NERVE STIM FOR TX NAUSEA and VOMITING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FE EXTERNAL URIN COLLECTION DEVICE; METAL CUP EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4327","description":"FE EXTERNAL URIN COLLECTION DEVICE; METAL CUP EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FE EXTERNAL URIN COLLECTION DEVICE; METAL CUP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4327","description":"FE EXTERNAL URIN COLLECTION DEVICE; METAL CUP EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FE EXTERNAL URINARY COLLECTION DEVICE; POUCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4328","description":"FE EXTERNAL URINARY COLLECTION DEVICE; POUCH EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FE EXTERNAL URINARY COLLECTION DEVICE; POUCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4328","description":"FE EXTERNAL URINARY COLLECTION DEVICE; POUCH EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FEMALE PATIENTS UNABLE TO BEAR CHILDREN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1016","description":"FEMALE PATIENTS UNABLE TO BEAR CHILDREN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FEMALE PATIENTS UNABLE TO BEAR CHILDREN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1016","description":"FEMALE PATIENTS UNABLE TO BEAR CHILDREN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76818","description":"FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76818","description":"FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76819","description":"FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76819","description":"FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL CONTRACTION STRESS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59020","description":"FETAL CONTRACTION STRESS TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL CONTRACTION STRESS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59020","description":"FETAL CONTRACTION STRESS TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59074","description":"FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59074","description":"FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL LUNG MATURITY FLUORESCENCE POLARIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83663","description":"FETAL LUNG MATURITY FLUORESCENCE POLARIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL LUNG MATURITY FOAM STABILITY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83662","description":"FETAL LUNG MATURITY FOAM STABILITY TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL LUNG MATURITY LAMELLAR BODY DENSITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83664","description":"FETAL LUNG MATURITY LAMELLAR BODY DENSITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL LUNG MATURITY LECITHIN SPHINGOMYELIN RATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83661","description":"FETAL LUNG MATURITY LECITHIN SPHINGOMYELIN RATIO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MONITORING LABOR PHYS WRITTEN REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59050","description":"FETAL MONITORING LABOR PHYS WRITTEN REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MONITORING LABOR PHYS WRITTEN REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59050","description":"FETAL MONITORING LABOR PHYS WRITTEN REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59051","description":"FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59051","description":"FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL NONSTRESS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59025","description":"FETAL NONSTRESS TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL NONSTRESS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59025","description":"FETAL NONSTRESS TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL SCALP BLOOD SAMPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59030","description":"FETAL SCALP BLOOD SAMPLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL SCALP BLOOD SAMPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59030","description":"FETAL SCALP BLOOD SAMPLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59076","description":"FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59076","description":"FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59072","description":"FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59072","description":"FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ PRODUCTS D-DIMER QUAL/SEMIQUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85378","description":"FIBRIN DGRADJ PRODUCTS D-DIMER QUAL/SEMIQUAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85379","description":"FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ PRODUCTS D-DIMER ULTRASENSITIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85380","description":"FIBRIN DGRADJ PRODUCTS D-DIMER ULTRASENSITIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85370","description":"FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ SPLT PRODUXS AGGLUJ SLIDE SEMIQUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85362","description":"FIBRIN DGRADJ SPLT PRODUXS AGGLUJ SLIDE SEMIQUAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ SPLT PRODUXS PARACOAGJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85366","description":"FIBRIN DGRADJ SPLT PRODUXS PARACOAGJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FIBRINOGEN ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85384","description":"FIBRINOGEN ACTIVITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FIBRINOGEN ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85385","description":"FIBRINOGEN ANTIGEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FIBRINOLYTIC FACTORS AND INHIBITORS PLASMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85400","description":"FIBRINOLYTIC FACTORS AND INHIBITORS PLASMIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14350","description":"FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14350","description":"FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FILTER DISPBL USED W/POS ARWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7038","description":"FILTER DISPBL USED W/POS ARWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FILTER DISPBL USED W/POS ARWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7038","description":"FILTER DISPBL USED W/POS ARWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FILTER DISPOSABL W/AREOSOL COMPRESS/US GENERATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7013","description":"FILTER DISPOSABL W/AREOSOL COMPRESS/US GENERATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FILTER DISPOSABL W/AREOSOL COMPRESS/US GENERATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7013","description":"FILTER DISPOSABL W/AREOSOL COMPRESS/US GENERATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FILTER NON DISPBL USED W/POS ARWAY PRESS DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7039","description":"FILTER NON DISPBL USED W/POS ARWAY PRESS DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FILTER NON DISPBL USED W/POS ARWAY PRESS DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7039","description":"FILTER NON DISPBL USED W/POS ARWAY PRESS DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FILTER NON-DISPBL USED W/AROSL COMPRS/US GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7014","description":"FILTER NON-DISPBL USED W/AROSL COMPRS/US GEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FILTER NON-DISPBL USED W/AROSL COMPRS/US GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7014","description":"FILTER NON-DISPBL USED W/AROSL COMPRS/US GEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9541","description":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9541","description":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTERED SPEECH TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92571","description":"FILTERED SPEECH TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FILTERED SPEECH TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92571","description":"FILTERED SPEECH TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FILTERS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0500","description":"FILTERS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FILTERS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0500","description":"FILTERS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FIMBRIOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58760","description":"FIMBRIOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FIMBRIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58760","description":"FIMBRIOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORT W/DOC 1/MORE DOSE REDUCTION TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9637","description":"FINAL REPORT W/DOC 1/MORE DOSE REDUCTION TECH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORT W/DOC 1/MORE DOSE REDUCTION TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9637","description":"FINAL REPORT W/DOC 1/MORE DOSE REDUCTION TECH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS IMAG STDY STAT NO F/U IMAG RECOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9548","description":"FINAL REPORTS IMAG STDY STAT NO F/U IMAG RECOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS IMAG STDY STAT NO F/U IMAG RECOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9548","description":"FINAL REPORTS IMAG STDY STAT NO F/U IMAG RECOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS IMAG STS W/F/U IMAG REC/FINAL RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9550","description":"FINAL REPORTS IMAG STS W/F/U IMAG REC/FINAL RPT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS IMAG STS W/F/U IMAG REC/FINAL RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9550","description":"FINAL REPORTS IMAG STS W/F/U IMAG REC/FINAL RPT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS IMAG STUDIES F/U IMAGING RECOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9550","description":"FINAL REPORTS IMAG STUDIES F/U IMAGING RECOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS W/O DOC 1/MORE DOSE REDUCTION TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9638","description":"FINAL REPORTS W/O DOC 1/MORE DOSE REDUCTION TECH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS W/O DOC 1/MORE DOSE REDUCTION TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9638","description":"FINAL REPORTS W/O DOC 1/MORE DOSE REDUCTION TECH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT CTA MRI/MRA CH/N/U/S N F/U IMAG REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9554","description":"FINAL RPT CT CTA MRI/MRA CH/N/U/S N F/U IMAG REC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG RECOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9554","description":"FINAL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG RECOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG RECOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9554","description":"FINAL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG RECOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT/CTA MRI CHS/NCK WO THYRD NOD LT 1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9557","description":"FINAL RPT CT/CTA MRI CHS/NCK WO THYRD NOD LT 1.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT/CTA MRI CHS/NCK WO THYRD NOD LT 1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9557","description":"FINAL RPT CT/CTA MRI CHS/NCK WO THYRD NOD LT 1.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT/MRI CHEST/NCK/U/S NO THR NOD LT 1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9557","description":"FINAL RPT CT/MRI CHEST/NCK/U/S NO THR NOD LT 1.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT IMAG STDY W/O INCIDENTAL FND LES NOTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9551","description":"FINAL RPT IMAG STDY W/O INCIDENTAL FND LES NOTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT IMAG STDY W/O INCIDENTAL FND LES NOTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9551","description":"FINAL RPT IMAG STDY W/O INCIDENTAL FND LES NOTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINDNGS DIAG MAM TO MNGNG PRACT 3 DAYS INTERP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5060F","description":"FINDNGS DIAG MAM TO MNGNG PRACT 3 DAYS INTERP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINDNGS DIAG MAM TO MNGNG PRACT 3 DAYS INTERP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5060F","description":"FINDNGS DIAG MAM TO MNGNG PRACT 3 DAYS INTERP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10021","description":"FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10021","description":"FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION ORBITAL CONTENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67415","description":"FINE NEEDLE ASPIRATION ORBITAL CONTENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION ORBITAL CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67415","description":"FINE NEEDLE ASPIRATION ORBITAL CONTENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS NONTORSION JOINT CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3935","description":"FINGER ORTHOSIS NONTORSION JOINT CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS PIP/DIP NONTORSION JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3925","description":"FINGER ORTHOSIS PIP/DIP NONTORSION JOINT PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS PIP/DIP W/O JOINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3927","description":"FINGER ORTHOSIS PIP/DIP W/O JOINT PREFABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3933","description":"FINGER ORTHOSIS W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FINGER SPLINT STATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4049","description":"FINGER SPLINT STATIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FINGER SPLINT STATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4049","description":"FINGER SPLINT STATIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46200","description":"FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46200","description":"FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FIT CONTACT LENS TX OCULAR SURFACE DISEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92071","description":"FIT CONTACT LENS TX OCULAR SURFACE DISEASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FIT CONTACT LENS TX OCULAR SURFACE DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92071","description":"FIT CONTACT LENS TX OCULAR SURFACE DISEASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FIT and INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57160","description":"FIT and INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FIT and INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57160","description":"FIT and INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FITTING CONTACT LENS FOR MGMT OF KERATOCONUS 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92072","description":"FITTING CONTACT LENS FOR MGMT OF KERATOCONUS 1ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FITTING CONTACT LENS FOR MGMT OF KERATOCONUS 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92072","description":"FITTING CONTACT LENS FOR MGMT OF KERATOCONUS 1ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FITTING CONTACT LENS FOR MNGT OF KERATOCONUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92072","description":"FITTING CONTACT LENS FOR MNGT OF KERATOCONUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA BIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92341","description":"FITTING SPECTACLES XCPT APHAKIA BIFOCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92341","description":"FITTING SPECTACLES XCPT APHAKIA BIFOCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA MONOFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92340","description":"FITTING SPECTACLES XCPT APHAKIA MONOFOCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA MONOFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92340","description":"FITTING SPECTACLES XCPT APHAKIA MONOFOCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA MULTIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92342","description":"FITTING SPECTACLES XCPT APHAKIA MULTIFOCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA MULTIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92342","description":"FITTING SPECTACLES XCPT APHAKIA MULTIFOCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FIXED ADJUSTABLE HEIGHT ARMREST PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0020","description":"FIXED ADJUSTABLE HEIGHT ARMREST PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15740","description":"FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15740","description":"FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLAP NEUROVASCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15750","description":"FLAP NEUROVASCULAR PEDICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLAP NEUROVASCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15750","description":"FLAP NEUROVASCULAR PEDICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENS C/V REC I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92615","description":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENS C/V REC I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENS C/V REC I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92615","description":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENS C/V REC I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92614","description":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92614","description":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92612","description":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92612","description":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92613","description":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92613","description":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92617","description":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92617","description":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92616","description":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V REC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92616","description":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V REC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR ORIGIN SLIDE F/ARM and /WRST TENDON TRANSFE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25316","description":"FLEXOR ORIGIN SLIDE F/ARM and /WRST TENDON TRANSFE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR ORIGIN SLIDE F/ARM and /WRST TENDON TRANSFE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25316","description":"FLEXOR ORIGIN SLIDE F/ARM and /WRST TENDON TRANSFE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR ORIGIN SLIDE FOREARM and /WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25315","description":"FLEXOR ORIGIN SLIDE FOREARM and /WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR ORIGIN SLIDE FOREARM and /WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25315","description":"FLEXOR ORIGIN SLIDE FOREARM and /WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR-PLASTY ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24330","description":"FLEXOR-PLASTY ELBOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR-PLASTY ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24330","description":"FLEXOR-PLASTY ELBOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24331","description":"FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24331","description":"FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY CELL CYCLE/DNA ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88182","description":"FLOW CYTOMETRY CELL CYCLE/DNA ANALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88184","description":"FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88185","description":"FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY INTERPJ 2-8 MARKERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88187","description":"FLOW CYTOMETRY INTERPJ 2-8 MARKERS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY INTERPJ 9-15 MARKERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88188","description":"FLOW CYTOMETRY INTERPJ 9-15 MARKERS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY INTERPRETATION 16 OR GT MARKERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88189","description":"FLOW CYTOMETRY INTERPRETATION 16 OR GT MARKERS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HLDR AND INTGR FLTR HOUS AND ADHES TRACHEOSTOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7509","description":"FLTR HLDR AND INTGR FLTR HOUS AND ADHES TRACHEOSTOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HLDR AND INTGR FLTR HOUS AND ADHES TRACHEOSTOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7509","description":"FLTR HLDR AND INTGR FLTR HOUS AND ADHES TRACHEOSTOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HLDR and INTGR FLTR W/O ADHES TRACHEOSTMA EXCHG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7507","description":"FLTR HLDR and INTGR FLTR W/O ADHES TRACHEOSTMA EXCHG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HLDR and INTGR FLTR W/O ADHES TRACHEOSTMA EXCHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7507","description":"FLTR HLDR and INTGR FLTR W/O ADHES TRACHEOSTMA EXCHG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HOLDER/CAP REUSBL TRACHEOSTOMA EXCHG SYS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7503","description":"FLTR HOLDER/CAP REUSBL TRACHEOSTOMA EXCHG SYS EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HOLDER/CAP REUSBL TRACHEOSTOMA EXCHG SYS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7503","description":"FLTR HOLDER/CAP REUSBL TRACHEOSTOMA EXCHG SYS EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLTR USE TRACHEOSTOMA HEAT AND MOISTR EXCHG SYS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7504","description":"FLTR USE TRACHEOSTOMA HEAT AND MOISTR EXCHG SYS EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLTR USE TRACHEOSTOMA HEAT AND MOISTR EXCHG SYS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7504","description":"FLTR USE TRACHEOSTOMA HEAT AND MOISTR EXCHG SYS EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLU IMMUNO ADMIND/PREVIOUSLY RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4274F","description":"FLU IMMUNO ADMIND/PREVIOUSLY RCVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLU IMMUNO ADMIND/PREVIOUSLY RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4274F","description":"FLU IMMUNO ADMIND/PREVIOUSLY RCVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77003","description":"FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77003","description":"FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ANGIOSCOPY INTERPRETATION AND REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92230","description":"FLUORESCEIN ANGIOSCOPY INTERPRETATION AND REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ANGIOSCOPY INTERPRETATION AND REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92230","description":"FLUORESCEIN ANGIOSCOPY INTERPRETATION AND REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ANGRPH W/MULTIFRAME I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92235","description":"FLUORESCEIN ANGRPH W/MULTIFRAME I and R UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ANGRPH W/MULTIFRAME IMG I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92235","description":"FLUORESCEIN ANGRPH W/MULTIFRAME IMG I and R UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ANGRPH W/MULTIFRAME IMG I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92235","description":"FLUORESCEIN ANGRPH W/MULTIFRAME IMG I and R UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77001","description":"FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77001","description":"FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9552","description":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9552","description":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77002","description":"FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77002","description":"FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76000","description":"FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76000","description":"FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FNC OUTCM ASMT TOOL DOC PREV 30 DA AND CARE PLN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8942","description":"FNC OUTCM ASMT TOOL DOC PREV 30 DA AND CARE PLN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FNC OUTCOME ASSESSMENT DOC POS CARE PLAN IS DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8539","description":"FNC OUTCOME ASSESSMENT DOC POS CARE PLAN IS DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FNL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG NOT RCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9556","description":"FNL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG NOT RCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FNL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG NOT RCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9556","description":"FNL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG NOT RCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FO ASMT DOC POS CP BSD ON ID DEF DOC W/N 2D ASMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8539","description":"FO ASMT DOC POS CP BSD ON ID DEF DOC W/N 2D ASMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FO ASMT DOC POS CP BSD ON ID DEF DOC W/N 2D ASMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8539","description":"FO ASMT DOC POS CP BSD ON ID DEF DOC W/N 2D ASMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS GT 16 BUT LT or equal to 48 SQ W/O ADHES BO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6210","description":"FOAM DRESS GT 16 BUT LT or equal to 48 SQ W/O ADHES BO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS GT 16 BUT LT or equal to 48 SQ W/O ADHES BO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6210","description":"FOAM DRESS GT 16 BUT LT or equal to 48 SQ W/O ADHES BO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD GT 48 SQ NO ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6211","description":"FOAM DRESS STERL PAD GT 48 SQ NO ADHES BORDR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD GT 48 SQ NO ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6211","description":"FOAM DRESS STERL PAD GT 48 SQ NO ADHES BORDR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD 16 SQ OR LT NO ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6209","description":"FOAM DRESS STERL PAD 16 SQ OR LT NO ADHES BORDR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD 16 SQ OR LT NO ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6209","description":"FOAM DRESS STERL PAD 16 SQ OR LT NO ADHES BORDR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD SZ GT 48 SQ W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6214","description":"FOAM DRESS STERL PAD SZ GT 48 SQ W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD SZ GT 48 SQ W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6214","description":"FOAM DRESS STERL PAD SZ GT 48 SQ W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD SZ 16 SQ OR GT W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6212","description":"FOAM DRESS STERL PAD SZ 16 SQ OR GT W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD SZ 16 SQ OR GT W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6212","description":"FOAM DRESS STERL PAD SZ 16 SQ OR GT W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOLLOWUP EVAL DIABETIC PT NEUROPATHY W/LOPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0246","description":"FOLLOWUP EVAL DIABETIC PT NEUROPATHY W/LOPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOLLOWUP EVAL DIABETIC PT NEUROPATHY W/LOPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0246","description":"FOLLOWUP EVAL DIABETIC PT NEUROPATHY W/LOPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ABDUCTION ROTATION BAR INCLUDING SHOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3140","description":"FOOT ABDUCTION ROTATION BAR INCLUDING SHOES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ABDUCTION ROTATION BAR WITHOUT SHOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3150","description":"FOOT ABDUCTION ROTATION BAR WITHOUT SHOES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ARCH SUPP NONREMV ATTCH SHOE LNGTUDNL/MT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3090","description":"FOOT ARCH SUPP NONREMV ATTCH SHOE LNGTUDNL/MT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ARCH SUPPORT NONREMOVABLE ATTCH SHOE MT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3080","description":"FOOT ARCH SUPPORT NONREMOVABLE ATTCH SHOE MT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ARCH SUPPORT NONREMV ATTCH SHOE LNGTUDNL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3070","description":"FOOT ARCH SUPPORT NONREMV ATTCH SHOE LNGTUDNL EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ARCH SUPPORT REMOVABLE PREMOLDED MT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3050","description":"FOOT ARCH SUPPORT REMOVABLE PREMOLDED MT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ARCH SUPPORT REMV PREMOLDED LONGTUDNL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3040","description":"FOOT ARCH SUPPORT REMV PREMOLDED LONGTUDNL EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ARCH SUPPORT REMV PREMOLDED LONGTUDNL/MT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3060","description":"FOOT ARCH SUPPORT REMV PREMOLDED LONGTUDNL/MT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOT DROP SPLINT RECUMBENT POSITIONING PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4398","description":"FOOT DROP SPLINT RECUMBENT POSITIONING PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAM WAS NOT PERFORMED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9225","description":"FOOT EXAM WAS NOT PERFORMED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAM WAS NOT PERFORMED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9225","description":"FOOT EXAM WAS NOT PERFORMED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAMINATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2028F","description":"FOOT EXAMINATION PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAMINATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9226","description":"FOOT EXAMINATION PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAMINATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2028F","description":"FOOT EXAMINATION PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAMINATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9226","description":"FOOT EXAMINATION PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSERT REMOVABLE FORMED PATIENT FOOT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3030","description":"FOOT INSERT REMOVABLE FORMED PATIENT FOOT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSERT REMOVABLE MOLDED PT MODEL SPENCO EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3001","description":"FOOT INSERT REMOVABLE MOLDED PT MODEL SPENCO EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSERT REMV MOLDED PT MODEL SILICONE GEL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3003","description":"FOOT INSERT REMV MOLDED PT MODEL SILICONE GEL EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSRT REMV MOLD PT MDL LNGTUDNL/MT SUPP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3020","description":"FOOT INSRT REMV MOLD PT MDL LNGTUDNL/MT SUPP EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSRT REMV MOLDED PT MDL PLASTAZOTE/EQUL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3002","description":"FOOT INSRT REMV MOLDED PT MDL PLASTAZOTE/EQUL EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSRT/PLAT REMV ADD LW EXT ORTHOS HI STRGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3031","description":"FOOT INSRT/PLAT REMV ADD LW EXT ORTHOS HI STRGTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOT PLASTIC SILCONE HEEL STABILIZER PREFAB EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3170","description":"FOOT PLASTIC SILCONE HEEL STABILIZER PREFAB EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOT REST FOR USE WITH COMMODE CHAIR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0175","description":"FOOT REST FOR USE WITH COMMODE CHAIR EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOTREST COMPLETE ASSEMBLY REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0045","description":"FOOTREST COMPLETE ASSEMBLY REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOTREST LOWER EXTENSION TUBE REPLACEMNT ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0043","description":"FOOTREST LOWER EXTENSION TUBE REPLACEMNT ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOTREST UPPER HANGER BRACKET REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0044","description":"FOOTREST UPPER HANGER BRACKET REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOOTWEAR EVALUATION PERFORMED AND DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8410","description":"FOOTWEAR EVALUATION PERFORMED AND DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTWEAR EVALUATION PERFORMED AND DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8410","description":"FOOTWEAR EVALUATION PERFORMED AND DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTWEAR EVALUATION WAS NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8415","description":"FOOTWEAR EVALUATION WAS NOT PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTWEAR EVALUATION WAS NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8415","description":"FOOTWEAR EVALUATION WAS NOT PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5512","description":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5512","description":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FORCEPS ESOPHAGEAL BIOPSY PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3150F","description":"FORCEPS ESOPHAGEAL BIOPSY PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORCEPS ESOPHAGEAL BIOPSY PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3150F","description":"FORCEPS ESOPHAGEAL BIOPSY PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15731","description":"FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15731","description":"FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FORM-FITTING CONDUCTIVE GARMENT DELIV TENS/NMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0731","description":"FORM-FITTING CONDUCTIVE GARMENT DELIV TENS/NMES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FORMOTEROL FUMARATE INHAL SOL U DOSE FORM 20 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7606","description":"FORMOTEROL FUMARATE INHAL SOL U DOSE FORM 20 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FORMOTEROL FUMARATE INHAL SOL U DOSE FORM 20 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7606","description":"FORMOTEROL FUMARATE INHAL SOL U DOSE FORM 20 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20973","description":"FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20973","description":"FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0920","description":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0920","description":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTCH COMPLEX CERVICAL TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0948","description":"FRACTURE FRAME ATTCH COMPLEX CERVICAL TRACTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTCH COMPLEX PELVIC TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0947","description":"FRACTURE FRAME ATTCH COMPLEX PELVIC TRACTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME DUAL W/CROSS BARS ATTACHED TO BED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0946","description":"FRACTURE FRAME DUAL W/CROSS BARS ATTACHED TO BED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME DUAL W/CROSS BARS ATTACHED TO BED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0946","description":"FRACTURE FRAME DUAL W/CROSS BARS ATTACHED TO BED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0930","description":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0930","description":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30930","description":"FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30930","description":"FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15758","description":"FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15758","description":"FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43496","description":"FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43496","description":"FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15756","description":"FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15756","description":"FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FREE OMENTAL FLAP W/MICROVASCULAR ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49906","description":"FREE OMENTAL FLAP W/MICROVASCULAR ANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FREE OMENTAL FLAP W/MICROVASCULAR ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49906","description":"FREE OMENTAL FLAP W/MICROVASCULAR ANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20969","description":"FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20969","description":"FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20970","description":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20970","description":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20972","description":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20972","description":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15757","description":"FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15757","description":"FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41520","description":"FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41520","description":"FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRESH FROZEN PLASMA THAWING EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86927","description":"FRESH FROZEN PLASMA THAWING EACH UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15574","description":"FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15574","description":"FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15572","description":"FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15572","description":"FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15570","description":"FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15570","description":"FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15576","description":"FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15576","description":"FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRONT C ASSEMBLY COMPL SEMIPNEU TIRE REPL ONLY E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0072","description":"FRONT C ASSEMBLY COMPL SEMIPNEU TIRE REPL ONLY E","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRONT CASTER ASSEM COMPLETE PN TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0071","description":"FRONT CASTER ASSEM COMPLETE PN TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRONT CASTER ASSEMBLY COMPL SLD TIRE REPL ONLY E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0077","description":"FRONT CASTER ASSEMBLY COMPL SLD TIRE REPL ONLY E","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FRONTIER EXTENDED STAY CLIN DEM0; CMS DEMO PROJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9140","description":"FRONTIER EXTENDED STAY CLIN DEM0; CMS DEMO PROJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONTIER EXTENDED STAY CLIN DEMO CMS DEMO PROJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9140","description":"FRONTIER EXTENDED STAY CLIN DEMO CMS DEMO PROJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONTIER EXTENDED STAY CLIN DEMO CMS DEMO PROJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9140","description":"FRONTIER EXTENDED STAY CLIN DEMO CMS DEMO PROJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66155","description":"FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66155","description":"FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66170","description":"FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66170","description":"FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66150","description":"FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66150","description":"FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66172","description":"FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66172","description":"FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66160","description":"FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66160","description":"FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FT INSRT MOLD PT MDL UCB TYPE BERKLY SHELL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3000","description":"FT INSRT MOLD PT MDL UCB TYPE BERKLY SHELL EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FT INSRT REMV MOLD PT MDL LNGTUDNL ARCH SUPP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3010","description":"FT INSRT REMV MOLD PT MDL LNGTUDNL ARCH SUPP EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15240","description":"FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15240","description":"FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15240","description":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15241","description":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15241","description":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15221","description":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15221","description":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15221","description":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR TRNK EA ADDL 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15201","description":"FTH/GFT FR W/DIR CLSR TRNK EA ADDL 20 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR TRUNK EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15201","description":"FTH/GFT FR W/DIR CLSR TRUNK EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR TRUNK EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15201","description":"FTH/GFT FR W/DIR CLSR TRUNK EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15261","description":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15261","description":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15261","description":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15260","description":"FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15260","description":"FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15220","description":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15220","description":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15220","description":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15200","description":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15200","description":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15200","description":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA20CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15241","description":"FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA20CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FTL FIBRONECTIN CERVICOVAG SECRETIONS SEMI-QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82731","description":"FTL FIBRONECTIN CERVICOVAG SECRETIONS SEMI-QUAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FULL FACE MASK USED W/POS ARWAY PRESS DEVICE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7030","description":"FULL FACE MASK USED W/POS ARWAY PRESS DEVICE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FULL FACE MASK USED W/POS ARWAY PRESS DEVICE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7030","description":"FULL FACE MASK USED W/POS ARWAY PRESS DEVICE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1060","description":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1060","description":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FULL RECLIN WHLCHAIR; FIX FULL-LEN ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1050","description":"FULL RECLIN WHLCHAIR; FIX FULL-LEN ARMS LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FULL RECLIN WHLCHAIR; FIX FULL-LEN ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1050","description":"FULL RECLIN WHLCHAIR; FIX FULL-LEN ARMS LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FULL SOLE AND HEEL WEDGE BETWEEN SOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3420","description":"FULL SOLE AND HEEL WEDGE BETWEEN SOLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FULLY RECLIN WHLCHAIR; DTACHBLE ARMS FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1070","description":"FULLY RECLIN WHLCHAIR; DTACHBLE ARMS FOOTRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FULLY RECLIN WHLCHAIR; DTACHBLE ARMS FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1070","description":"FULLY RECLIN WHLCHAIR; DTACHBLE ARMS FOOTRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FUNC NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0764","description":"FUNC NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FUNC NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0764","description":"FUNC NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O ASMT STDZ TL DOC PREV 30 DAYS and CP 2 DYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8942","description":"FUNC O ASMT STDZ TL DOC PREV 30 DAYS and CP 2 DYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O ASMT STDZ TL DOC PREV 30 DAYS and CP 2 DYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8942","description":"FUNC O ASMT STDZ TL DOC PREV 30 DAYS and CP 2 DYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O/C ASMT CARE PLN NOT DOC PT NOT ELG AT ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9227","description":"FUNC O/C ASMT CARE PLN NOT DOC PT NOT ELG AT ENC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O/C ASMT CARE PLN NOT DOC PT NOT ELG AT ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9227","description":"FUNC O/C ASMT CARE PLN NOT DOC PT NOT ELG AT ENC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O/C ASMT NOT DOC PRF DOC PT NOT ELIG TM ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8540","description":"FUNC O/C ASMT NOT DOC PRF DOC PT NOT ELIG TM ENC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O/C ASMT NOT DOC PRF DOC PT NOT ELIG TM ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8540","description":"FUNC O/C ASMT NOT DOC PRF DOC PT NOT ELIG TM ENC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC STATUS NOT MEASURED ODI AT 3 MONTHS POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1049","description":"FUNC STATUS NOT MEASURED ODI AT 3 MONTHS POSTOP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC STATUS NOT MEASURED ODI AT 3 MONTHS POSTOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1049","description":"FUNC STATUS NOT MEASURED ODI AT 3 MONTHS POSTOP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC STATUS PERFORMED ONCE IN THE LAST 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9916","description":"FUNC STATUS PERFORMED ONCE IN THE LAST 12 MONTHS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC STATUS PERFORMED ONCE IN THE LAST 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9916","description":"FUNC STATUS PERFORMED ONCE IN THE LAST 12 MONTHS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND ADDL HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95962","description":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND ADDL HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND ADDL HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95962","description":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND ADDL HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND INIT HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95961","description":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND INIT HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND INIT HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95961","description":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND INIT HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL EXPIRATORY VOLUME LT 40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3040F","description":"FUNCTIONAL EXPIRATORY VOLUME LT 40 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL EXPIRATORY VOLUME LT 40 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3040F","description":"FUNCTIONAL EXPIRATORY VOLUME LT 40 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1170F","description":"FUNCTIONAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1170F","description":"FUNCTIONAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS DEMENTIA ASSESS RESULTS RVWD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1175F","description":"FUNCTIONAL STATUS DEMENTIA ASSESS RESULTS RVWD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS DEMENTIA ASSESS RESULTS RVWD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1175F","description":"FUNCTIONAL STATUS DEMENTIA ASSESS RESULTS RVWD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS MEASR OKS AT 1 YEAR POSTOP LT 37","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1046","description":"FUNCTIONAL STATUS MEASR OKS AT 1 YEAR POSTOP LT 37","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS MEASR OKS AT 1 YEAR POSTOP LT 37","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1046","description":"FUNCTIONAL STATUS MEASR OKS AT 1 YEAR POSTOP LT 37","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS MSR OKS AT 1 YEAR POSTOP LT 37","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1046","description":"FUNCTIONAL STATUS MSR OKS AT 1 YEAR POSTOP LT 37","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS NOT MSR ODI AT 1 YEAR POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1043","description":"FUNCTIONAL STATUS NOT MSR ODI AT 1 YEAR POSTOP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS NOT MSR ODI AT 1 YEAR POSTOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1043","description":"FUNCTIONAL STATUS NOT MSR ODI AT 1 YEAR POSTOP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS NOT PERFORMED REASON NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9918","description":"FUNCTIONAL STATUS NOT PERFORMED REASON NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS NOT PERFORMED REASON NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9918","description":"FUNCTIONAL STATUS NOT PERFORMED REASON NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONL STATUS MSR OKS AT 1 YEAR POSTOP GT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1045","description":"FUNCTIONL STATUS MSR OKS AT 1 YEAR POSTOP GT or equal to","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONL STATUS MSR OKS AT 1 YEAR POSTOP GT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1045","description":"FUNCTIONL STATUS MSR OKS AT 1 YEAR POSTOP GT or equal to","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTJL EXPIR VOLUME GT EQUAL 40 PCT PREDICTED VALUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3042F","description":"FUNCTJL EXPIR VOLUME GT EQUAL 40 PCT PREDICTED VALUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTJL EXPIR VOLUME GT or equal to 40 PCT PREDICTED VA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3042F","description":"FUNCTJL EXPIR VOLUME GT or equal to 40 PCT PREDICTED VA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTJL EXPIR VOLUME GT or equal to 40 PCT PREDICTED VA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3042F","description":"FUNCTJL EXPIR VOLUME GT or equal to 40 PCT PREDICTED VA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNDUS PHOTOGRAPHY W/INTERPRETATION and REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92250","description":"FUNDUS PHOTOGRAPHY W/INTERPRETATION and REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FUNDUS PHOTOGRAPHY W/INTERPRETATION and REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92250","description":"FUNDUS PHOTOGRAPHY W/INTERPRETATION and REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26820","description":"FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26820","description":"FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"FX RISK REF PHYS/QHP COMMJ 24 HRS IMAGING STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5100F","description":"FX RISK REF PHYS/QHP COMMJ 24 HRS IMAGING STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FX RISK REF PHYS/QHP COMMJ 24 HRS IMAGING STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5100F","description":"FX RISK REF PHYS/QHP COMMJ 24 HRS IMAGING STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Face tent","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4619","description":"Face tent","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Face tent","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4619","description":"Face tent","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Factor inhibitor test","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85335","description":"Factor inhibitor test","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82775","description":"GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE QUAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82776","description":"GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE SCREEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAMMAGLOBULIN IMMUNOGLOBULIN SUBCLASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82787","description":"GAMMAGLOBULIN IMMUNOGLOBULIN SUBCLASSES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAS DIL/WSHOT DETER LNG VOL DSTRBJ VNTJ and CLSG VOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94727","description":"GAS DIL/WSHOT DETER LNG VOL DSTRBJ VNTJ and CLSG VOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAS DIL/WSHOT DETER LNG VOL DSTRBJ VNTJ and CLSG VOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94727","description":"GAS DIL/WSHOT DETER LNG VOL DSTRBJ VNTJ and CLSG VOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT and V","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94727","description":"GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT and V","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASES BLOOD O2 SATURATION ONLY DIRECT MEAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82810","description":"GASES BLOOD O2 SATURATION ONLY DIRECT MEAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASES BLOOD PH DIRECT MEAS XCPT PULSE OXIMITRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82805","description":"GASES BLOOD PH DIRECT MEAS XCPT PULSE OXIMITRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASES BLOOD PH ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82800","description":"GASES BLOOD PH ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTR SUCTION PUMP HOM MODEL PRTBLE/STATION ELEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2000","description":"GASTR SUCTION PUMP HOM MODEL PRTBLE/STATION ELEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTR SUCTION PUMP HOM MODEL PRTBLE/STATION ELEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2000","description":"GASTR SUCTION PUMP HOM MODEL PRTBLE/STATION ELEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC ACID ANALYIS W/PH EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82930","description":"GASTRIC ACID ANALYIS W/PH EACH SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYING IMAGING STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78264","description":"GASTRIC EMPTYING IMAGING STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYING IMAGING STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78264","description":"GASTRIC EMPTYING IMAGING STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43754","description":"GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43754","description":"GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBATION DX AND ASPIRATJ MULTIPLE SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43755","description":"GASTRIC INTUBATION DX AND ASPIRATJ MULTIPLE SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBATION DX AND ASPIRATJ MULTIPLE SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43755","description":"GASTRIC INTUBATION DX AND ASPIRATJ MULTIPLE SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBATJ and ASPIRAJ W/PHYS SKILL/LAVAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43753","description":"GASTRIC INTUBATJ and ASPIRAJ W/PHYS SKILL/LAVAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBATJ and ASPIRAJ W/PHYS SKILL/LAVAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43753","description":"GASTRIC INTUBATJ and ASPIRAJ W/PHYS SKILL/LAVAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC MOTILITY MANOMETRIC STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91020","description":"GASTRIC MOTILITY MANOMETRIC STUDIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC MOTILITY MANOMETRIC STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91020","description":"GASTRIC MOTILITY MANOMETRIC STUDIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC MUCOSA IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78261","description":"GASTRIC MUCOSA IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43846","description":"GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43847","description":"GASTRIC RSTCV W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43845","description":"GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43845","description":"GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIN AFTER SECRETIN STIMULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82938","description":"GASTRIN AFTER SECRETIN STIMULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROCNEMIUS RECESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27687","description":"GASTROCNEMIUS RECESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROCNEMIUS RECESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27687","description":"GASTROCNEMIUS RECESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRODUODENOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43810","description":"GASTRODUODENOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRODUODENOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43810","description":"GASTRODUODENOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91034","description":"GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91034","description":"GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91037","description":"GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91037","description":"GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91035","description":"GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91035","description":"GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAGEAL REFLUX STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78262","description":"GASTROESOPHAGEAL REFLUX STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAGEAL REFLUX STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78262","description":"GASTROESOPHAGEAL REFLUX STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROINTESTINAL PROTEIN LOSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78282","description":"GASTROINTESTINAL PROTEIN LOSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROINTESTINAL PROTEIN LOSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78282","description":"GASTROINTESTINAL PROTEIN LOSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROINTESTINAL TRACT IMAGING ESOPHAGUS W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91111","description":"GASTROINTESTINAL TRACT IMAGING ESOPHAGUS W/I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROJEJUNOSTOMY W/O VAGOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43820","description":"GASTROJEJUNOSTOMY W/O VAGOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROJEJUNOSTOMY W/O VAGOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43820","description":"GASTROJEJUNOSTOMY W/O VAGOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43825","description":"GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43825","description":"GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43840","description":"GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43840","description":"GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN NEONATAL FOR FEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43831","description":"GASTROSTOMY OPEN NEONATAL FOR FEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN NEONATAL FOR FEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43831","description":"GASTROSTOMY OPEN NEONATAL FOR FEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN W/CONSTJ GASTRIC TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43832","description":"GASTROSTOMY OPEN W/CONSTJ GASTRIC TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN W/CONSTJ GASTRIC TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43832","description":"GASTROSTOMY OPEN W/CONSTJ GASTRIC TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN W/O CONSTJ GASTRIC TUBE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43830","description":"GASTROSTOMY OPEN W/O CONSTJ GASTRIC TUBE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN W/O CONSTJ GASTRIC TUBE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43830","description":"GASTROSTOMY OPEN W/O CONSTJ GASTRIC TUBE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPN NEONATAL FEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43831","description":"GASTROSTOMY OPN NEONATAL FEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPN W/CONSTJ GSTR TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43832","description":"GASTROSTOMY OPN W/CONSTJ GSTR TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPN W/O CONSTJ GSTR TUBE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43830","description":"GASTROSTOMY OPN W/O CONSTJ GSTR TUBE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43500","description":"GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43500","description":"GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43502","description":"GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43502","description":"GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43501","description":"GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43501","description":"GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG H2O/NL SALINE STERL GT 16 BUT LT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6229","description":"GAUZE IMPREG H2O/NL SALINE STERL GT 16 BUT LT or equal to","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG H2O/NL SALINE STERL GT 16 BUT LT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6229","description":"GAUZE IMPREG H2O/NL SALINE STERL GT 16 BUT LT or equal to","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG HYDROGEL DIR WND CNTC GT 16 LT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6232","description":"GAUZE IMPREG HYDROGEL DIR WND CNTC GT 16 LT or equal to","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG HYDROGEL DIR WND CNTC GT 16 LT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6232","description":"GAUZE IMPREG HYDROGEL DIR WND CNTC GT 16 LT or equal to","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL 16 SQ OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6231","description":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL 16 SQ OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL 16 SQ OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6231","description":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL 16 SQ OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL GT 48 SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6233","description":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL GT 48 SQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL GT 48 SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6233","description":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL GT 48 SQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL GT 48 SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6224","description":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL GT 48 SQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL GT 48 SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6224","description":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL GT 48 SQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL 16 SQ OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6222","description":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL 16 SQ OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL 16 SQ OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6222","description":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL 16 SQ OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O SALINE/HYDRGEL GT 16 LT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6223","description":"GAUZE IMPREG NOT H2O SALINE/HYDRGEL GT 16 LT or equal to","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O SALINE/HYDRGEL GT 16 LT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6223","description":"GAUZE IMPREG NOT H2O SALINE/HYDRGEL GT 16 LT or equal to","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O SALINE/ZINC PASTE LINR YD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6266","description":"GAUZE IMPREG NOT H2O SALINE/ZINC PASTE LINR YD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O SALINE/ZINC PASTE LINR YD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6266","description":"GAUZE IMPREG NOT H2O SALINE/ZINC PASTE LINR YD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG GT 16 LT or equal to 48 SQ W/ADHES BOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6220","description":"GAUZE NON-IMPREG GT 16 LT or equal to 48 SQ W/ADHES BOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG GT 16 LT or equal to 48 SQ W/ADHES BOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6220","description":"GAUZE NON-IMPREG GT 16 LT or equal to 48 SQ W/ADHES BOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL GT 16 LT or equal to 48 SQ W/O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6217","description":"GAUZE NON-IMPREG NONSTERL GT 16 LT or equal to 48 SQ W/O","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL GT 16 LT or equal to 48 SQ W/O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6217","description":"GAUZE NON-IMPREG NONSTERL GT 16 LT or equal to 48 SQ W/O","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL 16 SQ OR LT W/O ADHES EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6216","description":"GAUZE NON-IMPREG NONSTERL 16 SQ OR LT W/O ADHES EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL 16 SQ OR LT W/O ADHES EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6216","description":"GAUZE NON-IMPREG NONSTERL 16 SQ OR LT W/O ADHES EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL GT 16 LT or equal to 48 SQ W/O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6403","description":"GAUZE NON-IMPREG STERL GT 16 LT or equal to 48 SQ W/O","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL GT 16 LT or equal to 48 SQ W/O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6403","description":"GAUZE NON-IMPREG STERL GT 16 LT or equal to 48 SQ W/O","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL 16 SQ OR LT W/O ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6402","description":"GAUZE NON-IMPREG STERL 16 SQ OR LT W/O ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL 16 SQ OR LT W/O ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6402","description":"GAUZE NON-IMPREG STERL 16 SQ OR LT W/O ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL 16 SQ/LESS W/ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6219","description":"GAUZE NON-IMPREG STERL 16 SQ/LESS W/ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL 16 SQ/LESS W/ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6219","description":"GAUZE NON-IMPREG STERL 16 SQ/LESS W/ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GBS SCRNING DOCD DONE DURING WK 35-37 GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3294F","description":"GBS SCRNING DOCD DONE DURING WK 35-37 GESTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GBS SCRNING DOCD DONE DURING WK 35-37 GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3294F","description":"GBS SCRNING DOCD DONE DURING WK 35-37 GESTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEL PRESSURE MATTRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0196","description":"GEL PRESSURE MATTRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GEL/GEL-LIKE PRSS PAD MATTRSS STD LEN and WDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0185","description":"GEL/GEL-LIKE PRSS PAD MATTRSS STD LEN and WDTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GELATIN CAP APPLIC DEVC TRACHOESOPH VOICE PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8515","description":"GELATIN CAP APPLIC DEVC TRACHOESOPH VOICE PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GELATIN CAPS/EQUVALNT W/TRACHEOESOPH VOICE PROS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8512","description":"GELATIN CAPS/EQUVALNT W/TRACHEOESOPH VOICE PROS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GEN WC BACK CUSHN WDTH LT 22 IN HT MOUNT HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2611","description":"GEN WC BACK CUSHN WDTH LT 22 IN HT MOUNT HARDWARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GEN WC BACK CUSHN WDTH 22 IN/GT HT MOUNT HARDWRE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2612","description":"GEN WC BACK CUSHN WDTH 22 IN/GT HT MOUNT HARDWRE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL WHLCHAIR SEAT CUSHN WIDTH LT 22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2601","description":"GENERAL WHLCHAIR SEAT CUSHN WIDTH LT 22 IN DEPTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL WHLCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2602","description":"GENERAL WHLCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GENIOP SLIDING AGMNTJ W/INTERPOSAL BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21123","description":"GENIOP SLIDING AGMNTJ W/INTERPOSAL BONE GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GENIOP SLIDING AGMNTJ W/NTRPSTJ BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21123","description":"GENIOP SLIDING AGMNTJ W/NTRPSTJ BONE GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GENIOP SLIDING AGMNTJ W/NTRPSTJ BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21123","description":"GENIOP SLIDING AGMNTJ W/NTRPSTJ BONE GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY 2 OR GT SLIDING OSTEOTOMIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21122","description":"GENIOPLASTY 2 OR GT SLIDING OSTEOTOMIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY AUGMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21120","description":"GENIOPLASTY AUGMENTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY AUGMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21120","description":"GENIOPLASTY AUGMENTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY SLIDING OSTEOTOMIES 2 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21122","description":"GENIOPLASTY SLIDING OSTEOTOMIES 2 OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY SLIDING OSTEOTOMIES 2 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21122","description":"GENIOPLASTY SLIDING OSTEOTOMIES 2 OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21121","description":"GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21121","description":"GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GERD SYMPTOMS ASSESSED AFTER 12 MONTHS THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1118F","description":"GERD SYMPTOMS ASSESSED AFTER 12 MONTHS THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GERD SYMPTOMS ASSESSED AFTER 12 MONTHS THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1118F","description":"GERD SYMPTOMS ASSESSED AFTER 12 MONTHS THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI ENDOSCOPIC US S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76975","description":"GI ENDOSCOPIC US S AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GI ENDOSCOPIC US S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76975","description":"GI ENDOSCOPIC US S AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GI IMAG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91110","description":"GI IMAG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GI PROPHYLAXIS NSAID USE PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4017F","description":"GI PROPHYLAXIS NSAID USE PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI PROPHYLAXIS NSAID USE PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4017F","description":"GI PROPHYLAXIS NSAID USE PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43361","description":"GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43361","description":"GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43360","description":"GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43360","description":"GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GI TRACT IMAGING INTRALUMINAL ESOPHAGUS WI and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91111","description":"GI TRACT IMAGING INTRALUMINAL ESOPHAGUS WI and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GI TRACT IMAGING INTRALUMINAL ESOPHAGUS WI and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91111","description":"GI TRACT IMAGING INTRALUMINAL ESOPHAGUS WI and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91110","description":"GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91110","description":"GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GI and RENAL PRESCRIBED/OTC NSAID RISK FACTORS ASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1008F","description":"GI and RENAL PRESCRIBED/OTC NSAID RISK FACTORS ASSES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI and RENAL PRESCRIBED/OTC NSAID RISK FACTORS ASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1008F","description":"GI and RENAL PRESCRIBED/OTC NSAID RISK FACTORS ASSES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVECTOMY EXC GINGIVA EACH QUADRANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41820","description":"GINGIVECTOMY EXC GINGIVA EACH QUADRANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVECTOMY EXC GINGIVA EACH QUADRANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41820","description":"GINGIVECTOMY EXC GINGIVA EACH QUADRANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVOPLASTY EACH QUADRANT SPECIFY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41872","description":"GINGIVOPLASTY EACH QUADRANT SPECIFY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVOPLASTY EACH QUADRANT SPECIFY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41872","description":"GINGIVOPLASTY EACH QUADRANT SPECIFY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLAUC SCR HI RISK BY OPTOMETRST/OPHTHALMOLOGIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0117","description":"GLAUC SCR HI RISK BY OPTOMETRST/OPHTHALMOLOGIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLAUC SCR HI RISK BY OPTOMETRST/OPHTHALMOLOGIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0117","description":"GLAUC SCR HI RISK BY OPTOMETRST/OPHTHALMOLOGIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLAUC SCR HI RSK UND DIR SUP OPTMTRST/OPHTHLGIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0118","description":"GLAUC SCR HI RSK UND DIR SUP OPTMTRST/OPHTHLGIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLAUC SCR HI RSK UND DIR SUP OPTMTRST/OPHTHLGIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0118","description":"GLAUC SCR HI RSK UND DIR SUP OPTMTRST/OPHTHLGIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLAUCOMA PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0517F","description":"GLAUCOMA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLAUCOMA PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0517F","description":"GLAUCOMA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY LT ONE-HALF TONGUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41120","description":"GLOSSECTOMY LT ONE-HALF TONGUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY LT ONE-HALF TONGUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41120","description":"GLOSSECTOMY LT ONE-HALF TONGUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY HEMIGLOSSECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41130","description":"GLOSSECTOMY HEMIGLOSSECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY HEMIGLOSSECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41130","description":"GLOSSECTOMY HEMIGLOSSECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41135","description":"GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41135","description":"GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41145","description":"GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41145","description":"GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41140","description":"GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41140","description":"GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41153","description":"GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41153","description":"GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ AND RAD NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41155","description":"GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ AND RAD NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ AND RAD NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41155","description":"GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ AND RAD NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT W/RESCJ FLOOR and MANDIBULAR RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41150","description":"GLSSC COMPOSIT W/RESCJ FLOOR and MANDIBULAR RESCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT W/RESCJ FLOOR and MANDIBULAR RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41150","description":"GLSSC COMPOSIT W/RESCJ FLOOR and MANDIBULAR RESCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82962","description":"GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82955","description":"GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLUC-6-PHOSPHATE DEHYDROGENASE SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82960","description":"GLUC-6-PHOSPHATE DEHYDROGENASE SCREEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOCORTICOID MANAGEMENT PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0540F","description":"GLUCOCORTICOID MANAGEMENT PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOCORTICOID MANAGEMENT PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0540F","description":"GLUCOCORTICOID MANAGEMENT PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCORTICOID MANAGEMENT PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0540F","description":"GLUCORTICOID MANAGEMENT PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE BLOOD REAGENT STRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82948","description":"GLUCOSE BLOOD REAGENT STRIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE BODY FLUID OTHER THAN BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82945","description":"GLUCOSE BODY FLUID OTHER THAN BLOOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE POST GLUCOSE DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82950","description":"GLUCOSE POST GLUCOSE DOSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82947","description":"GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE EA ADDL BEYOND 3 SPECIMENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82952","description":"GLUCOSE TOLERANCE EA ADDL BEYOND 3 SPECIMENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE PANEL INSULINOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80422","description":"GLUCOSE TOLERANCE PANEL INSULINOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE PANEL PHEOCHROMOCYTOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80424","description":"GLUCOSE TOLERANCE PANEL PHEOCHROMOCYTOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82946","description":"GLUCOSE TOLERANCE TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82951","description":"GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN CHORIONIC HCG FREE BETA CHAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84704","description":"GONADOTROPIN CHORIONIC HCG FREE BETA CHAIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN CHORIONIC QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84703","description":"GONADOTROPIN CHORIONIC QUALITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN CHORIONIC QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84702","description":"GONADOTROPIN CHORIONIC QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN FOLLICLE STIMULATING HORMONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83001","description":"GONADOTROPIN FOLLICLE STIMULATING HORMONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN LUTEINIZING HORMONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83002","description":"GONADOTROPIN LUTEINIZING HORMONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN RELEASING HORMONE STIMJ PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80426","description":"GONADOTROPIN RELEASING HORMONE STIMJ PANEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GONIOSCOPY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92020","description":"GONIOSCOPY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GONIOSCOPY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92020","description":"GONIOSCOPY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GONIOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65820","description":"GONIOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GONIOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65820","description":"GONIOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GOSERELIN ACETATE IMPLANT PER 3.6 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9202","description":"GOSERELIN ACETATE IMPLANT PER 3.6 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GOSERELIN ACETATE IMPLANT PER 3.6 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9202","description":"GOSERELIN ACETATE IMPLANT PER 3.6 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPRS WRP NONELAS BK 30-50MM HG SRG DRS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6545","description":"GRAD COMPRS WRP NONELAS BK 30-50MM HG SRG DRS EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPRS WRP NONELAS BK 30-50MM HG SRG DRS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6545","description":"GRAD COMPRS WRP NONELAS BK 30-50MM HG SRG DRS EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP STK BLW KNEE 30-40MM HG SRG DSG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6531","description":"GRADIENT COMP STK BLW KNEE 30-40MM HG SRG DSG EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP STK BLW KNEE 30-40MM HG SRG DSG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6531","description":"GRADIENT COMP STK BLW KNEE 30-40MM HG SRG DSG EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP STK BLW KNEE 40-50MM HG SRG DSG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6532","description":"GRADIENT COMP STK BLW KNEE 40-50MM HG SRG DSG EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP STK BLW KNEE 40-50MM HG SRG DSG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6532","description":"GRADIENT COMP STK BLW KNEE 40-50MM HG SRG DSG EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK BELW KNEE 30-40 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6531","description":"GRADIENT COMPRESSION STK BELW KNEE 30-40 MMHG EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK BELW KNEE 40-50 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6532","description":"GRADIENT COMPRESSION STK BELW KNEE 40-50 MMHG EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRS WRAP NONELAST BK 30-50 MM HG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6545","description":"GRADIENT COMPRS WRAP NONELAST BK 30-50 MM HG EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT BONE MANDIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21215","description":"GRAFT BONE MANDIBLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT BONE MANDIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21215","description":"GRAFT BONE MANDIBLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT BONE NASAL/MAXILLARY/MALAR AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21210","description":"GRAFT BONE NASAL/MAXILLARY/MALAR AREAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT BONE NASAL/MAXILLARY/MALAR AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21210","description":"GRAFT BONE NASAL/MAXILLARY/MALAR AREAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15760","description":"GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15760","description":"GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT DERMA-FAT-FASCIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15770","description":"GRAFT DERMA-FAT-FASCIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT DERMA-FAT-FASCIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15770","description":"GRAFT DERMA-FAT-FASCIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21235","description":"GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21235","description":"GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15840","description":"GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15840","description":"GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15841","description":"GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15841","description":"GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21230","description":"GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21230","description":"GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT THIERSCH RCT INCONTINENCE and /PROLAPSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46753","description":"GRAFT THIERSCH RCT INCONTINENCE and /PROLAPSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT THIERSCH RCT INCONTINENCE and /PROLAPSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46753","description":"GRAFT THIERSCH RCT INCONTINENCE and /PROLAPSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0941","description":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0941","description":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15845","description":"GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15845","description":"GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15842","description":"GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15842","description":"GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GROUP A STREP TEST PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3210F","description":"GROUP A STREP TEST PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP A STREP TEST PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3210F","description":"GROUP A STREP TEST PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90853","description":"GROUP PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GROUP PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90853","description":"GROUP PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GROWTH HORMONE HUMAN ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86277","description":"GROWTH HORMONE HUMAN ANTIBODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GROWTH HORMONE STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80428","description":"GROWTH HORMONE STIMULATION PANEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GROWTH HORMONE SUPRJ PANEL GLUCOSE ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80430","description":"GROWTH HORMONE SUPRJ PANEL GLUCOSE ADMN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRP PSYCHOTX NOT MX FAM GP PART HSP/OP 45-50 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0410","description":"GRP PSYCHOTX NOT MX FAM GP PART HSP/OP 45-50 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRP PSYCHOTX NOT MX FAM GP PART HSP/OP 45-50 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0410","description":"GRP PSYCHOTX NOT MX FAM GP PART HSP/OP 45-50 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GRP PSYCHOTX NOT MX FAM GRP PART HOS 45-50 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0410","description":"GRP PSYCHOTX NOT MX FAM GRP PART HOS 45-50 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR EMPTYING IMG STD SM BWL and COLON TRNST MLT DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78266","description":"GSTR EMPTYING IMG STD SM BWL and COLON TRNST MLT DAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR EMPTYING IMG STD SM BWL and COLON TRNST MLT DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78266","description":"GSTR EMPTYING IMG STD SM BWL and COLON TRNST MLT DAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV OPN RMVL AND RPLCMT SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43888","description":"GSTR RSTCV OPN RMVL AND RPLCMT SUBQ PORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPEN RMVL and RPLCMT SUBQ PORT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43888","description":"GSTR RSTCV PX OPEN RMVL and RPLCMT SUBQ PORT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPEN RMVL and RPLCMT SUBQ PORT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43888","description":"GSTR RSTCV PX OPEN RMVL and RPLCMT SUBQ PORT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43886","description":"GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43886","description":"GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43887","description":"GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43887","description":"GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/BYP SHORT LIMB 150 CM OR LT ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43846","description":"GSTR RSTCV PX W/BYP SHORT LIMB 150 CM OR LT ROUX-EN-Y","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/BYP SHORT LIMB 150 CM OR LT ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43846","description":"GSTR RSTCV PX W/BYP SHORT LIMB 150 CM OR LT ROUX-EN-Y","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43847","description":"GSTR RSTCV PX W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43847","description":"GSTR RSTCV PX W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/O BYP OTH/THN VER-BANDED GSTP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43843","description":"GSTR RSTCV PX W/O BYP OTH/THN VER-BANDED GSTP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/O BYP OTH/THN VER-BANDED GSTP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43843","description":"GSTR RSTCV PX W/O BYP OTH/THN VER-BANDED GSTP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV W/O BYP OTH/THN VER-BANDED GSTP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43843","description":"GSTR RSTCV W/O BYP OTH/THN VER-BANDED GSTP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRC EMPTNG IMAG STD W/SM BWL COL TRNST MLT DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78266","description":"GSTRC EMPTNG IMAG STD W/SM BWL COL TRNST MLT DAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43634","description":"GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43634","description":"GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43631","description":"GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43631","description":"GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43632","description":"GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43632","description":"GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43633","description":"GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43633","description":"GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/ESOPHAGOENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43620","description":"GSTRCT TOT W/ESOPHAGOENTEROSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/ESOPHAGOENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43620","description":"GSTRCT TOT W/ESOPHAGOENTEROSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43622","description":"GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43622","description":"GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/ROUX-EN-Y RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43621","description":"GSTRCT TOT W/ROUX-EN-Y RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/ROUX-EN-Y RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43621","description":"GSTRCT TOT W/ROUX-EN-Y RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRT W/ESOPHGL DILAT and INSJ PRM INTRAL TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43510","description":"GSTRT W/ESOPHGL DILAT and INSJ PRM INTRAL TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRT W/ESOPHGL DILAT and INSJ PRM INTRAL TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43510","description":"GSTRT W/ESOPHGL DILAT and INSJ PRM INTRAL TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"GT or equal to 50 PCT OF TOT NUMBER OF A PT O/P RA ENC A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1007","description":"GT or equal to 50 PCT OF TOT NUMBER OF A PT O/P RA ENC A","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GT or equal to 50 PCT OF TOT NUMBER OF A PT O/P RA ENC A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1007","description":"GT or equal to 50 PCT OF TOT NUMBER OF A PT O/P RA ENC A","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Gastric mucosa imaging","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78261","description":"Gastric mucosa imaging","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Gastric mucosa imaging","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78261","description":"Gastric mucosa imaging","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Gel pressure mattress","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0196","description":"Gel pressure mattress","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Gel pressure mattress","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0196","description":"Gel pressure mattress","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"H2O DIST USE W/LG VOL NEB 1000 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7018","description":"H2O DIST USE W/LG VOL NEB 1000 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"H2O DIST USE W/LG VOL NEB 1000 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7018","description":"H2O DIST USE W/LG VOL NEB 1000 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28289","description":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28289","description":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HALLUX-VALGUS NIGHT DYNAMIC SPLINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3100","description":"HALLUX-VALGUS NIGHT DYNAMIC SPLINT PREFABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HALO PROC CERV HALO INC IN MLWAKEE TYPE ORTHOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0830","description":"HALO PROC CERV HALO INC IN MLWAKEE TYPE ORTHOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HALO PROC CERV HALO INC IN PLASTR BDY JACKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0820","description":"HALO PROC CERV HALO INC IN PLASTR BDY JACKET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HALO PROC CERV HALO INCORPORATED IN JACKET VEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0810","description":"HALO PROC CERV HALO INCORPORATED IN JACKET VEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HAND FINGER ORTHOSIS FLEX GLOV FINGR CNTRL PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3912","description":"HAND FINGER ORTHOSIS FLEX GLOV FINGR CNTRL PRFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HAND FINGER ORTHOTIC W/O JOINTS CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3913","description":"HAND FINGER ORTHOTIC W/O JOINTS CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HAND ORTHOSIS METACARPAL FX ORTHOSIS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3918","description":"HAND ORTHOSIS METACARPAL FX ORTHOSIS PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HAND ORTHOSIS METACARPAL FX PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3917","description":"HAND ORTHOSIS METACARPAL FX PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HAND ORTHOSIS W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3919","description":"HAND ORTHOSIS W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HAND REST PART HAND W/GLOVE MX FNGR REMAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6905","description":"HAND REST PART HAND W/GLOVE MX FNGR REMAIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HAND REST PART HAND W/GLOVE NO FNGR REMAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6910","description":"HAND REST PART HAND W/GLOVE NO FNGR REMAIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HAND REST PART HAND W/GLOVE THUMB/1 FNGR REMAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6900","description":"HAND REST PART HAND W/GLOVE THUMB/1 FNGR REMAIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HAND RESTORATION REPLACEMENT GLOVE FOR ABOVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6915","description":"HAND RESTORATION REPLACEMENT GLOVE FOR ABOVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS 1 OR GT NONTORSION JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3930","description":"HAND-FINGER ORTHOSIS 1 OR GT NONTORSION JOINT PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS 1 OR GT NONTORSION JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3930","description":"HAND-FINGER ORTHOSIS 1 OR GT NONTORSION JOINT PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS 1 OR GT NONTORSN JNT PRFAB CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3929","description":"HAND-FINGER ORTHOSIS 1 OR GT NONTORSN JNT PRFAB CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS W/O JOINT PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3923","description":"HAND-FINGER ORTHOSIS W/O JOINT PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS WITHOUT JOINTS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3924","description":"HAND-FINGER ORTHOSIS WITHOUT JOINTS PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35572","description":"HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35572","description":"HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15040","description":"HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15040","description":"HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST UPPER EXTREMITY ARTERY 1 SEGMENT CABG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35600","description":"HARVEST UPPER EXTREMITY ARTERY 1 SEGMENT CABG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35500","description":"HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35500","description":"HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68371","description":"HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68371","description":"HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HBV STATUS ASSESSED W/ RESULTS IN 1 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3517F","description":"HBV STATUS ASSESSED W/ RESULTS IN 1 YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STATUS ASSESSED W/ RESULTS IN 1 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3517F","description":"HBV STATUS ASSESSED W/ RESULTS IN 1 YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STS ASSESS AND RSLT INTERP PRIOR ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9912","description":"HBV STS ASSESS AND RSLT INTERP PRIOR ANTI-TNF TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STS ASSESS AND RSLT INTERP PRIOR ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9912","description":"HBV STS ASSESS AND RSLT INTERP PRIOR ANTI-TNF TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9913","description":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT SPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9913","description":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT SPC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT SPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9913","description":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT SPC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX GT 12 CHANNELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77772","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX GT 12 CHANNELS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX GT 12 CHANNELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77772","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX GT 12 CHANNELS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77770","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77770","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77771","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77771","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL SK SRF BRCHYTX LES GT 2CM and 2CHAN/MLT LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77768","description":"HDR RDNCL SK SRF BRCHYTX LES GT 2CM and 2CHAN/MLT LES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL SK SRF BRCHYTX LES GT 2CM and 2CHAN/MLT LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77768","description":"HDR RDNCL SK SRF BRCHYTX LES GT 2CM and 2CHAN/MLT LES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEAD-BED ELEV 30-45 DEG 1ST VENT DAY ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4167F","description":"HEAD-BED ELEV 30-45 DEG 1ST VENT DAY ORDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAD-BED ELEV 30-45 DEG 1ST VENT DAY ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4167F","description":"HEAD-BED ELEV 30-45 DEG 1ST VENT DAY ORDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEADGEAR USED W/POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7035","description":"HEADGEAR USED W/POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEADGEAR USED W/POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7035","description":"HEADGEAR USED W/POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEADSET/HEADPIECE COCHLEAR IMPLANT DEVICE REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8615","description":"HEADSET/HEADPIECE COCHLEAR IMPLANT DEVICE REPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEARING TEST 6 MOS PRIOR TO EAR TUBE INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3230F","description":"HEARING TEST 6 MOS PRIOR TO EAR TUBE INSERTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING TEST 6 MOS PRIOR TO EAR TUBE INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3230F","description":"HEARING TEST 6 MOS PRIOR TO EAR TUBE INSERTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33945","description":"HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33945","description":"HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33935","description":"HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33935","description":"HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEAT LAMP W/O STAND INCL BULB/INFRARED ELEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0200","description":"HEAT LAMP W/O STAND INCL BULB/INFRARED ELEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEAT LAMP W/STAND INCLUDES BULB/INFRARED ELEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0205","description":"HEAT LAMP W/STAND INCLUDES BULB/INFRARED ELEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY METAL QUALITATIVE ANY ANALYTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83015","description":"HEAVY METAL QUALITATIVE ANY ANALYTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY METAL QUALITATIVE ANY NUMBER OF ANALYTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83015","description":"HEAVY METAL QUALITATIVE ANY NUMBER OF ANALYTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY METAL QUANTIATIVE EACH NES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83018","description":"HEAVY METAL QUANTIATIVE EACH NES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY METAL QUANTITATIVE EACH NES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83018","description":"HEAVY METAL QUANTITATIVE EACH NES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY-DUTY WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0006","description":"HEAVY-DUTY WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY-DUTY WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0006","description":"HEAVY-DUTY WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEEL COUNTER LEATHER REINFORCED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3440","description":"HEEL COUNTER LEATHER REINFORCED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEEL COUNTER PLASTIC REINFORCED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3430","description":"HEEL COUNTER PLASTIC REINFORCED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEEL LOOP/HOLDER TYPE W/WO ANKLE STRAP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0951","description":"HEEL LOOP/HOLDER TYPE W/WO ANKLE STRAP EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEEL NEW LEATHER STANDARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3455","description":"HEEL NEW LEATHER STANDARD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEEL NEW RUBBER STANDARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3460","description":"HEEL NEW RUBBER STANDARD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEEL OR ELBOW PROTECTOR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0191","description":"HEEL OR ELBOW PROTECTOR EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEEL PAD AND DEPRESSION FOR SPUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3480","description":"HEEL PAD AND DEPRESSION FOR SPUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEEL SACH CUSHION TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3450","description":"HEEL SACH CUSHION TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEEL THOMAS EXTENDED TO BALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3470","description":"HEEL THOMAS EXTENDED TO BALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEEL THOMAS WITH WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3465","description":"HEEL THOMAS WITH WEDGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEEL WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3350","description":"HEEL WEDGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEEL WEDGE SACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3340","description":"HEEL WEDGE SACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEINZ BODIES DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85441","description":"HEINZ BODIES DIRECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEINZ BODIES INDUCED ACETYL PHENYLHYDRAZINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85445","description":"HEINZ BODIES INDUCED ACETYL PHENYLHYDRAZINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTIVE HARD CUSTOM FAB COMP ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A8003","description":"HELMET PROTECTIVE HARD CUSTOM FAB COMP ACCSSRIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTIVE HARD CUSTOM FAB COMP ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8003","description":"HELMET PROTECTIVE HARD CUSTOM FAB COMP ACCSSRIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTIVE SOFT CUSTOM FAB COMP ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A8002","description":"HELMET PROTECTIVE SOFT CUSTOM FAB COMP ACCSSRIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTIVE SOFT CUSTOM FAB COMP ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8002","description":"HELMET PROTECTIVE SOFT CUSTOM FAB COMP ACCSSRIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTVE HARD PREFAB COMPONENT ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A8001","description":"HELMET PROTECTVE HARD PREFAB COMPONENT ACCSSRIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTVE HARD PREFAB COMPONENT ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8001","description":"HELMET PROTECTVE HARD PREFAB COMPONENT ACCSSRIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTVE SOFT PREFAB COMPONENT ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A8000","description":"HELMET PROTECTVE SOFT PREFAB COMPONENT ACCSSRIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTVE SOFT PREFAB COMPONENT ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8000","description":"HELMET PROTECTVE SOFT PREFAB COMPONENT ACCSSRIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMAGGLUTINATION INHIBITION TEST HAI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86280","description":"HEMAGGLUTINATION INHIBITION TEST HAI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-FACIAL PROSTHESIS PROVIDED A NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8044","description":"HEMI-FACIAL PROSTHESIS PROVIDED A NON-PHYSICIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-W/C; FIXED FULL-LEN ARMS DETACHBLE LEGREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1083","description":"HEMI-W/C; FIXED FULL-LEN ARMS DETACHBLE LEGREST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-W/C; FIXED FULL-LEN ARMS DETACHBLE LEGREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1083","description":"HEMI-W/C; FIXED FULL-LEN ARMS DETACHBLE LEGREST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1084","description":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1084","description":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMIARTHROPLASTY HIP PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27125","description":"HEMIARTHROPLASTY HIP PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMIARTHROPLASTY HIP PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27125","description":"HEMIARTHROPLASTY HIP PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMIEPIPHYSEAL ARREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24470","description":"HEMIEPIPHYSEAL ARREST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMIEPIPHYSEAL ARREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24470","description":"HEMIEPIPHYSEAL ARREST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMIPELVECT CANADIAN TYPE; MOLD SOCKT HIP JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5280","description":"HEMIPELVECT CANADIAN TYPE; MOLD SOCKT HIP JNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28160","description":"HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28160","description":"HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIAL VIA FUNCTIONG AV FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4052F","description":"HEMODIAL VIA FUNCTIONG AV FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIAL VIA FUNCTIONG AV FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4052F","description":"HEMODIAL VIA FUNCTIONG AV FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS ACCESS FLOW STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90940","description":"HEMODIALYSIS ACCESS FLOW STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS ACCESS FLOW STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90940","description":"HEMODIALYSIS ACCESS FLOW STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0505F","description":"HEMODIALYSIS PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0505F","description":"HEMODIALYSIS PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90935","description":"HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90935","description":"HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90937","description":"HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90937","description":"HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS VIA CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4054F","description":"HEMODIALYSIS VIA CATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS VIA CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4054F","description":"HEMODIALYSIS VIA CATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS VIA FUNCTIONING AVGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4053F","description":"HEMODIALYSIS VIA FUNCTIONING AVGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS VIA FUNCTIONING AVGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4053F","description":"HEMODIALYSIS VIA FUNCTIONING AVGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN COPPER SULFATE METHOD NON-AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83026","description":"HEMOGLOBIN COPPER SULFATE METHOD NON-AUTOMATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN F FETAL CHEMICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83030","description":"HEMOGLOBIN F FETAL CHEMICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN F FETAL QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83033","description":"HEMOGLOBIN F FETAL QUALITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN FRACTJ/QUANTJ CHROMOTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83021","description":"HEMOGLOBIN FRACTJ/QUANTJ CHROMOTOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83020","description":"HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN GLYCOSYLATED A1C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83036","description":"HEMOGLOBIN GLYCOSYLATED A1C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL LT 11 G/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3281F","description":"HEMOGLOBIN LEVEL LT 11 G/DL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL LT 11 G/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3281F","description":"HEMOGLOBIN LEVEL LT 11 G/DL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL 11 G/DL-12.9 G/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3280F","description":"HEMOGLOBIN LEVEL 11 G/DL-12.9 G/DL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL 11 G/DL-12.9 G/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3280F","description":"HEMOGLOBIN LEVEL 11 G/DL-12.9 G/DL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL GT EQUAL 13 G/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3279F","description":"HEMOGLOBIN LEVEL GT EQUAL 13 G/DL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL GT or equal to 13 G/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3279F","description":"HEMOGLOBIN LEVEL GT or equal to 13 G/DL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL GT or equal to 13 G/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3279F","description":"HEMOGLOBIN LEVEL GT or equal to 13 G/DL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN METHEMOGLOBIN QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83045","description":"HEMOGLOBIN METHEMOGLOBIN QUALITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN METHEMOGLOBIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83050","description":"HEMOGLOBIN METHEMOGLOBIN QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN PLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83051","description":"HEMOGLOBIN PLASMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN QUAN TC PER DAY CARBOXYHEMOGLOBIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88740","description":"HEMOGLOBIN QUAN TC PER DAY CARBOXYHEMOGLOBIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN QUANTITATIVE TC PER DAY METHEMOGLOBIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88741","description":"HEMOGLOBIN QUANTITATIVE TC PER DAY METHEMOGLOBIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN SULFHEMOGLOBIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83060","description":"HEMOGLOBIN SULFHEMOGLOBIN QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN THERMOLABILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83065","description":"HEMOGLOBIN THERMOLABILE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN UNSTABLE SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83068","description":"HEMOGLOBIN UNSTABLE SCREEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83069","description":"HEMOGLOBIN URINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOLYSIN ACID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85475","description":"HEMOLYSIN ACID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOLYSINS AND AGGLUTININS AUTO SCREEN EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86940","description":"HEMOLYSINS AND AGGLUTININS AUTO SCREEN EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOLYSINS AND AGGLUTININS INCUBATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86941","description":"HEMOLYSINS AND AGGLUTININS INCUBATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOPERFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90997","description":"HEMOPERFUSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOPHILIA CLOTTING FACTOR NOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7199","description":"HEMOPHILIA CLOTTING FACTOR NOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOPHILIA CLOTTING FACTOR NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7199","description":"HEMOPHILIA CLOTTING FACTOR NOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOID NTRNL and XTRNL 1 COLUMN W/FISSURECTO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46257","description":"HEMORRHOID NTRNL and XTRNL 1 COLUMN W/FISSURECTO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOID NTRNL and XTRNL 1 COLUMN W/FISSURECTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46257","description":"HEMORRHOID NTRNL and XTRNL 1 COLUMN W/FISSURECTO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY INT and XTRNL 2 OR GT COLUMN/GRO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46260","description":"HEMORRHOIDECTOMY INT and XTRNL 2 OR GT COLUMN/GRO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY INT and XTRNL 2 OR GT COLUMN/GRO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46260","description":"HEMORRHOIDECTOMY INT and XTRNL 2 OR GT COLUMN/GRO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46221","description":"HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46221","description":"HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY NTRNL and XTRNL 1 COLUMN/GROUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46255","description":"HEMORRHOIDECTOMY NTRNL and XTRNL 1 COLUMN/GROUP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY NTRNL and XTRNL 1 COLUMN/GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46255","description":"HEMORRHOIDECTOMY NTRNL and XTRNL 1 COLUMN/GROUP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY XTRNL 2 OR GT COLUMN/GROUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46250","description":"HEMORRHOIDECTOMY XTRNL 2 OR GT COLUMN/GROUP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY XTRNL 2 OR GT COLUMN/GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46250","description":"HEMORRHOIDECTOMY XTRNL 2 OR GT COLUMN/GROUP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDOPEXY STAPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46947","description":"HEMORRHOIDOPEXY STAPLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDOPEXY STAPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46947","description":"HEMORRHOIDOPEXY STAPLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEP C QUANT RNA TEST 12 WKS AFTER ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3220F","description":"HEP C QUANT RNA TEST 12 WKS AFTER ANTIVIRAL TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP C QUANT RNA TEST 12 WKS AFTER ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3220F","description":"HEP C QUANT RNA TEST 12 WKS AFTER ANTIVIRAL TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP C RNA TEST 6 MOS BEFORE ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3218F","description":"HEP C RNA TEST 6 MOS BEFORE ANTIVIRAL TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP C RNA TEST 6 MOS BEFORE ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3218F","description":"HEP C RNA TEST 6 MOS BEFORE ANTIVIRAL TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90633","description":"HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90633","description":"HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE 3 DOSE SCHEDULE PED/ADOLESC IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90634","description":"HEPA VACCINE 3 DOSE SCHEDULE PED/ADOLESC IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE 3 DOSE SCHEDULE PED/ADOLESC IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90634","description":"HEPA VACCINE 3 DOSE SCHEDULE PED/ADOLESC IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPARIN ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85520","description":"HEPARIN ASSAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPARIN NEUTRALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85525","description":"HEPARIN NEUTRALIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPARIN-PROTAMINE TOLERANCE TST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85530","description":"HEPARIN-PROTAMINE TOLERANCE TST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATC VNGRPH WDG/FR HEMODYN EVAL RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75889","description":"HEPATC VNGRPH WDG/FR HEMODYN EVAL RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATC VNGRPH WDG/FR HEMODYN EVAL RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75889","description":"HEPATC VNGRPH WDG/FR HEMODYN EVAL RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75891","description":"HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75891","description":"HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47400","description":"HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47400","description":"HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ PARTIAL LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47120","description":"HEPATECTOMY RESCJ PARTIAL LOBECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ PARTIAL LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47120","description":"HEPATECTOMY RESCJ PARTIAL LOBECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47125","description":"HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47125","description":"HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47130","description":"HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47130","description":"HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TRISEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47122","description":"HEPATECTOMY RESCJ TRISEGMENTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TRISEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47122","description":"HEPATECTOMY RESCJ TRISEGMENTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A AND B VACCINE HEPA-HEPB ADULT IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90636","description":"HEPATITIS A AND B VACCINE HEPA-HEPB ADULT IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A AND B VACCINE HEPA-HEPB ADULT IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90636","description":"HEPATITIS A AND B VACCINE HEPA-HEPB ADULT IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A ANTIBODY HAAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86708","description":"HEPATITIS A ANTIBODY HAAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A VACCINE ADMIN OR PREVIOSLY RECVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4148F","description":"HEPATITIS A VACCINE ADMIN OR PREVIOSLY RECVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A VACCINE ADMIN OR PREVIOSLY RECVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4148F","description":"HEPATITIS A VACCINE ADMIN OR PREVIOSLY RECVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A VACCINE SERIES PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4155F","description":"HEPATITIS A VACCINE SERIES PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A VACCINE SERIES PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4155F","description":"HEPATITIS A VACCINE SERIES PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS ANTIBODY HAAB IGM ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86709","description":"HEPATITIS ANTIBODY HAAB IGM ANTIBODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B CORE ANTIBODY HBCAB IGM ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86705","description":"HEPATITIS B CORE ANTIBODY HBCAB IGM ANTIBODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B CORE ANTIBODY HBCAB TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86704","description":"HEPATITIS B CORE ANTIBODY HBCAB TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90371","description":"HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90371","description":"HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B SCREENING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3513F","description":"HEPATITIS B SCREENING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B SCREENING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3513F","description":"HEPATITIS B SCREENING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B SURF ANTIBODY HBSAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86706","description":"HEPATITIS B SURF ANTIBODY HBSAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B VACCCINE ADMIN OR PREVIOSLY RECVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4149F","description":"HEPATITIS B VACCCINE ADMIN OR PREVIOSLY RECVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B VACCCINE ADMIN OR PREVIOSLY RECVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4149F","description":"HEPATITIS B VACCCINE ADMIN OR PREVIOSLY RECVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B VACCINE SERIES PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4157F","description":"HEPATITIS B VACCINE SERIES PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B VACCINE SERIES PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4157F","description":"HEPATITIS B VACCINE SERIES PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS BE ANTIBODY HBEAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86707","description":"HEPATITIS BE ANTIBODY HBEAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86803","description":"HEPATITIS C ANTIBODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C ANTIBODY CONFIRMATORY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86804","description":"HEPATITIS C ANTIBODY CONFIRMATORY TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C GENOTYPE PRIOR ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3266F","description":"HEPATITIS C GENOTYPE PRIOR ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C GENOTYPE PRIOR ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3266F","description":"HEPATITIS C GENOTYPE PRIOR ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C SCREENING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3514F","description":"HEPATITIS C SCREENING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C SCREENING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3514F","description":"HEPATITIS C SCREENING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78227","description":"HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78227","description":"HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78226","description":"HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78226","description":"HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47010","description":"HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47010","description":"HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90743","description":"HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90743","description":"HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90746","description":"HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90746","description":"HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90740","description":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90740","description":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90747","description":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90747","description":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90744","description":"HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90744","description":"HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HER2/NEU POSITIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9830","description":"HER2/NEU POSITIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HER2/NEU POSITIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9830","description":"HER2/NEU POSITIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HETEROPHILE ANTIBODIES SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86308","description":"HETEROPHILE ANTIBODIES SCREEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HETEROPHILE ANTIBODIES TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86309","description":"HETEROPHILE ANTIBODIES TITER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HETEROPHILE ANTIBODIES TITER AFTER ABSORPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86310","description":"HETEROPHILE ANTIBODIES TITER AFTER ABSORPTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEVY DUTY SHOCK ABSORBR HEVY/XTRA HEVY MNL WC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1017","description":"HEVY DUTY SHOCK ABSORBR HEVY/XTRA HEVY MNL WC EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEVY DUTY SHOCK ABSORBR HEVY/XTRA HEVY PWR WC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1018","description":"HEVY DUTY SHOCK ABSORBR HEVY/XTRA HEVY PWR WC EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEVY DUTY WHLCHAIR; FIX FULL ARMS DTACHBL LEGRST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1195","description":"HEVY DUTY WHLCHAIR; FIX FULL ARMS DTACHBL LEGRST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEVY DUTY WHLCHAIR; FIX FULL ARMS DTACHBL LEGRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1195","description":"HEVY DUTY WHLCHAIR; FIX FULL ARMS DTACHBL LEGRST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEVY-DUTY WHLCHAIR; DTACHBLE ARMS ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1280","description":"HEVY-DUTY WHLCHAIR; DTACHBLE ARMS ELEV LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEVY-DUTY WHLCHAIR; DTACHBLE ARMS ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1280","description":"HEVY-DUTY WHLCHAIR; DTACHBLE ARMS ELEV LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEVY-DUTY WHLCHAIR; FIX FULL ARMS ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1295","description":"HEVY-DUTY WHLCHAIR; FIX FULL ARMS ELEV LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HEVY-DUTY WHLCHAIR; FIX FULL ARMS ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1295","description":"HEVY-DUTY WHLCHAIR; FIX FULL ARMS ELEV LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0483","description":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0483","description":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HF DISEASE SPECIFIC ASSESSMENT TOOL COMPLETED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3117F","description":"HF DISEASE SPECIFIC ASSESSMENT TOOL COMPLETED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HF DISEASE SPECIFIC ASSESSMENT TOOL COMPLETED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3117F","description":"HF DISEASE SPECIFIC ASSESSMENT TOOL COMPLETED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HFO INCL 1/MORE NONTORSION JOINTS CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3921","description":"HFO INCL 1/MORE NONTORSION JOINTS CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HGB GLYCOSYLATED A1C DEVICE CLEARED FDA HOME USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83037","description":"HGB GLYCOSYLATED A1C DEVICE CLEARED FDA HOME USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HGB GLYCOSYLATED DEVICE CLEARED FDA HOME USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83037","description":"HGB GLYCOSYLATED DEVICE CLEARED FDA HOME USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HGB QUANTITATIVE TRANSCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88738","description":"HGB QUANTITATIVE TRANSCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HGB-O2 AFFINITY PO2 50 PCT SATURATION OXYGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82820","description":"HGB-O2 AFFINITY PO2 50 PCT SATURATION OXYGEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HGB/RBCS FETAL FETOMATERNAL HEMRRG DIFRNTL LYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85460","description":"HGB/RBCS FETAL FETOMATERNAL HEMRRG DIFRNTL LYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HGB/RBCS FETAL FETOMATERNAL HEMRRG ROSETTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85461","description":"HGB/RBCS FETAL FETOMATERNAL HEMRRG ROSETTE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HI COMPRS BANDGE LOAD RESIST WDTH GT or equal to 3 and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6452","description":"HI COMPRS BANDGE LOAD RESIST WDTH GT or equal to 3 and","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HI COMPRS BANDGE LOAD RESIST WDTH GT or equal to 3 and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6452","description":"HI COMPRS BANDGE LOAD RESIST WDTH GT or equal to 3 and","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HI FREQ CHST WALL OSCILLAT SYS HOSE REPL PT OWND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7026","description":"HI FREQ CHST WALL OSCILLAT SYS HOSE REPL PT OWND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HI FREQ CHST WALL OSCILLAT SYS HOSE REPL PT OWND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7026","description":"HI FREQ CHST WALL OSCILLAT SYS HOSE REPL PT OWND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7025","description":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7025","description":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1088","description":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1088","description":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARMS DTACH LEGRST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1087","description":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARMS DTACH LEGRST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARMS DTACH LEGRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1087","description":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARMS DTACH LEGRST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90647","description":"HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90647","description":"HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90648","description":"HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90648","description":"HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIB-HEPB VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90748","description":"HIB-HEPB VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIB-HEPB VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90748","description":"HIB-HEPB VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ALTITUDE SIMULATJ TEST W/I and R PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94452","description":"HIGH ALTITUDE SIMULATJ TEST W/I and R PHYS/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ALTITUDE SIMULATJ TEST W/I and R PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94452","description":"HIGH ALTITUDE SIMULATJ TEST W/I and R PHYS/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ALTITUDE SIMULATJ TEST W/PHYS INTERP and REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94452","description":"HIGH ALTITUDE SIMULATJ TEST W/PHYS INTERP and REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ALTITUDE SIMULATJ TST I and R SUPPL O2 TITRJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94453","description":"HIGH ALTITUDE SIMULATJ TST I and R SUPPL O2 TITRJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ALTITUDE SIMULATJ TST I and R SUPPL O2 TITRJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94453","description":"HIGH ALTITUDE SIMULATJ TST I and R SUPPL O2 TITRJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ALTITUDE SIMULATJ W/PHYS I and R W/O2 TITRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94453","description":"HIGH ALTITUDE SIMULATJ W/PHYS I and R W/O2 TITRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ENERGY NEUTRON RADJ TX DLVR 1 OR GT ISOCENTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77423","description":"HIGH ENERGY NEUTRON RADJ TX DLVR 1 OR GT ISOCENTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ENERGY NEUTRON RADJ TX DLVR 1 OR GT ISOCENTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77423","description":"HIGH ENERGY NEUTRON RADJ TX DLVR 1 OR GT ISOCENTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIGH FREQUENCY CHEST WALL OSCILLATION SYSTEM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0483","description":"HIGH FREQUENCY CHEST WALL OSCILLATION SYSTEM EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIGH INTENS BHV CNSL PREV STI IND ED SEX BHV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0445","description":"HIGH INTENS BHV CNSL PREV STI IND ED SEX BHV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIGH INTENS BHV CNSL PREV STI IND ED SEX BHV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0445","description":"HIGH INTENS BHV CNSL PREV STI IND ED SEX BHV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIGH INTENS BHV CNSL PREV STI; IND ED SEX BHV;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0445","description":"HIGH INTENS BHV CNSL PREV STI; IND ED SEX BHV;","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIGH MOUNT FLIP-UP FOOTREST EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0037","description":"HIGH MOUNT FLIP-UP FOOTREST EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIGH RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3552F","description":"HIGH RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3552F","description":"HIGH RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3273F","description":"HIGH RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3273F","description":"HIGH RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0004","description":"HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0004","description":"HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIGH/VERY HIGH RISK RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8465","description":"HIGH/VERY HIGH RISK RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH/VERY HIGH RISK RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8465","description":"HIGH/VERY HIGH RISK RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP DISARTIC CANADIAN TYPE; MOLD SOCKT HIP JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5250","description":"HIP DISARTIC CANADIAN TYPE; MOLD SOCKT HIP JNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIP DISRTC TILT TABLE; MOLD SCKT LOCK HIP JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5270","description":"HIP DISRTC TILT TABLE; MOLD SCKT LOCK HIP JNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOS ABDCT CNTRL POSTOP HIP ABDCT CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1685","description":"HIP ORTHOS ABDCT CNTRL POSTOP HIP ABDCT CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOS ABDUCT CNTRL POSTOP HIP PRFAB-FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1686","description":"HIP ORTHOS ABDUCT CNTRL POSTOP HIP PRFAB-FIT AND ADJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOS ABDUCT CNTRL STAT PLSTC PRFAB-FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1660","description":"HIP ORTHOS ABDUCT CNTRL STAT PLSTC PRFAB-FIT AND ADJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOS DYN PELV CONTROL THIGH CUFF CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1680","description":"HIP ORTHOS DYN PELV CONTROL THIGH CUFF CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCT CNTRL STAT ADJ PRFAB-FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1650","description":"HIP ORTHOSIS ABDUCT CNTRL STAT ADJ PRFAB-FIT AND ADJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION CONTRL FLEX FREJKA PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1600","description":"HIP ORTHOSIS ABDUCTION CONTRL FLEX FREJKA PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION CONTRL FLEXIBLE PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1610","description":"HIP ORTHOSIS ABDUCTION CONTRL FLEXIBLE PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION FLEX PAVLIK HARN PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1620","description":"HIP ORTHOSIS ABDUCTION FLEX PAVLIK HARN PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS-PELV BAND/SPRDR BAR THI CUFFS FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1640","description":"HIP ORTHOSIS-PELV BAND/SPRDR BAR THI CUFFS FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY NEW OR CHANGING MOLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1050F","description":"HISTORY NEW OR CHANGING MOLES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY NEW OR CHANGING MOLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1050F","description":"HISTORY NEW OR CHANGING MOLES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF AIDS-DEFINING CONDITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3490F","description":"HISTORY OF AIDS-DEFINING CONDITION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF AIDS-DEFINING CONDITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3490F","description":"HISTORY OF AIDS-DEFINING CONDITION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF NADIR CD4 Plus CELL COUNT LT 350 CELLS/MM3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3492F","description":"HISTORY OF NADIR CD4 Plus CELL COUNT LT 350 CELLS/MM3","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF NADIR CD4 Plus CELL COUNT LT 350 CELLS/MM3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3492F","description":"HISTORY OF NADIR CD4 Plus CELL COUNT LT 350 CELLS/MM3","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF/ACTV DX FAM/PURE HYPERCHOLESTEROLEMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9782","description":"HISTORY OF/ACTV DX FAM/PURE HYPERCHOLESTEROLEMIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF/ACTV DX FAMILIAL HYPERCHOLESTEROLEMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9782","description":"HISTORY OF/ACTV DX FAMILIAL HYPERCHOLESTEROLEMIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF/ACTV DX FAMILIAL HYPERCHOLESTEROLEMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9782","description":"HISTORY OF/ACTV DX FAMILIAL HYPERCHOLESTEROLEMIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9226","description":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9226","description":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HISTRELIN IMPLANT VANTAS 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9225","description":"HISTRELIN IMPLANT VANTAS 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HISTRELIN IMPLANT VANTAS 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9225","description":"HISTRELIN IMPLANT VANTAS 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HIV INDETERMINATE INFANTS BORN OF HIV MOTHERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3491F","description":"HIV INDETERMINATE INFANTS BORN OF HIV MOTHERS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV INDETERMINATE INFANTS BORN OF HIV MOTHERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3491F","description":"HIV INDETERMINATE INFANTS BORN OF HIV MOTHERS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA CONTROL PLAN OF CARE DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0575F","description":"HIV RNA CONTROL PLAN OF CARE DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA CONTROL PLAN OF CARE DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0575F","description":"HIV RNA CONTROL PLAN OF CARE DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA VIRAL LOAD LT LIMITS OF QUANTIF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3502F","description":"HIV RNA VIRAL LOAD LT LIMITS OF QUANTIF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA VIRAL LOAD LT LIMITS OF QUANTIF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3502F","description":"HIV RNA VIRAL LOAD LT LIMITS OF QUANTIF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA VIRAL LOAD NOT LT LIMITS OF QUANTIF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3503F","description":"HIV RNA VIRAL LOAD NOT LT LIMITS OF QUANTIF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA VIRAL LOAD NOT LT LIMITS OF QUANTIF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3503F","description":"HIV RNA VIRAL LOAD NOT LT LIMITS OF QUANTIF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV TSTNG ASK/DOCD/RVWD AT 1ST/2ND PRENATAL VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3292F","description":"HIV TSTNG ASK/DOCD/RVWD AT 1ST/2ND PRENATAL VST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV TSTNG ASK/DOCD/RVWD AT 1ST/2ND PRENATAL VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3292F","description":"HIV TSTNG ASK/DOCD/RVWD AT 1ST/2ND PRENATAL VST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO TORSION CNTRL BIL ROTAT STRAPS CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2040","description":"HKAFO TORSION CNTRL BIL ROTAT STRAPS CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO TORSION CNTRL BIL TORSION BALL BEAR CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2060","description":"HKAFO TORSION CNTRL BIL TORSION BALL BEAR CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO TORSION CNTRL BIL TORSION CABLES CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2050","description":"HKAFO TORSION CNTRL BIL TORSION CABLES CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO TORSION CNTRL UNI ROTAT STRAPS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2070","description":"HKAFO TORSION CNTRL UNI ROTAT STRAPS CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO TORSION CNTRL UNI TORSION CABLE CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2080","description":"HKAFO TORSION CNTRL UNI TORSION CABLE CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO UNI TORSION CABLE BALL BEAR CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2090","description":"HKAFO UNI TORSION CABLE BALL BEAR CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HLA CROSSMATCH NONCYTOTOXIC 1ST SERUM/DILUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86825","description":"HLA CROSSMATCH NONCYTOTOXIC 1ST SERUM/DILUTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HLA CROSSMATCH NONCYTOTOXIC ADDL SERUM/DILUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86826","description":"HLA CROSSMATCH NONCYTOTOXIC ADDL SERUM/DILUTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING A/B/C MULTIPLE ANTIGENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86813","description":"HLA TYPING A/B/C MULTIPLE ANTIGENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING A/B/C SINGLE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86812","description":"HLA TYPING A/B/C SINGLE ANTIGEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING DR/DQ MULTIPLE ANTIGENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86817","description":"HLA TYPING DR/DQ MULTIPLE ANTIGENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING DR/DQ SINGLE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86816","description":"HLA TYPING DR/DQ SINGLE ANTIGEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING LYMPHOCYTE CULTURE MIXED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86821","description":"HLA TYPING LYMPHOCYTE CULTURE MIXED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HO ABDUCT CONTROL OF HIP JNT SEMI-FLEX CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1630","description":"HO ABDUCT CONTROL OF HIP JNT SEMI-FLEX CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HO BIL TH CUFFS ADULT PREFAB CM FIT SPECIFIC PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1652","description":"HO BIL TH CUFFS ADULT PREFAB CM FIT SPECIFIC PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOLSTER FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0498","description":"HOLSTER FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOLSTER FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0498","description":"HOLSTER FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME BLOOD GLUCOSE MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0607","description":"HOME BLOOD GLUCOSE MONITOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME NFS/SPECIALTY DRUG ADMN PER VISIT LT 2 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99601","description":"HOME NFS/SPECIALTY DRUG ADMN PER VISIT LT 2 HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME NFS/SPECIALTY DRUG ADMN PER VISIT LT 2 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99601","description":"HOME NFS/SPECIALTY DRUG ADMN PER VISIT LT 2 HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME NFS/SPECIALTY DRUG ADMN PR VST LT 2 HR EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99602","description":"HOME NFS/SPECIALTY DRUG ADMN PR VST LT 2 HR EA ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME NFS/SPECIALTY DRUG ADMN PR VST LT 2 HR EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99602","description":"HOME NFS/SPECIALTY DRUG ADMN PR VST LT 2 HR EA ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME NFS/SPECTY DRUG ADMN PR VST LT 2 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99601","description":"HOME NFS/SPECTY DRUG ADMN PR VST LT 2 HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME NFS/SPECTY DRUG ADMN PR VST LT 2 HR EA HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99602","description":"HOME NFS/SPECTY DRUG ADMN PR VST LT 2 HR EA HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT EST PT LOW-MOD SEVERITY 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99348","description":"HOME VISIT EST PT LOW-MOD SEVERITY 25 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT EST PT MOD-HI SEVERITY 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99349","description":"HOME VISIT EST PT MOD-HI SEVERITY 40 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT EST PT SELF LIMITED/MINOR 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99347","description":"HOME VISIT EST PT SELF LIMITED/MINOR 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEW PATIENT HI SEVERITY 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99344","description":"HOME VISIT NEW PATIENT HI SEVERITY 60 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEW PATIENT LOW SEVERITY 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99341","description":"HOME VISIT NEW PATIENT LOW SEVERITY 20 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEW PATIENT MOD SEVERITY 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99342","description":"HOME VISIT NEW PATIENT MOD SEVERITY 30 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEW PT UNSTABL/SIGNIF NEW PROB 75 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99345","description":"HOME VISIT NEW PT UNSTABL/SIGNIF NEW PROB 75 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME VST EST PT UNSTABLE/SIGNIF NEW PROB 60 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99350","description":"HOME VST EST PT UNSTABLE/SIGNIF NEW PROB 60 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99350","description":"HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99350","description":"HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99348","description":"HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99348","description":"HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99349","description":"HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99349","description":"HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99347","description":"HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99347","description":"HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99345","description":"HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99345","description":"HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99342","description":"HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99342","description":"HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99344","description":"HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99344","description":"HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99341","description":"HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99341","description":"HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOMOGENIZATION TISSUE CULTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87176","description":"HOMOGENIZATION TISSUE CULTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED EXTRA HEAVY DUTY WT CAP GT 600 PDS MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0304","description":"HOS BED EXTRA HEAVY DUTY WT CAP GT 600 PDS MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED EXTRA HEAVY DUTY WT CAP GT 600 PDS MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0304","description":"HOS BED EXTRA HEAVY DUTY WT CAP GT 600 PDS MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED HEVY DUTY W/WT CAP GT 350 PDS LT or equal to TO 6","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0303","description":"HOS BED HEVY DUTY W/WT CAP GT 350 PDS LT or equal to TO 6","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED HEVY DUTY W/WT CAP GT 350 PDS LT or equal to TO 6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0303","description":"HOS BED HEVY DUTY W/WT CAP GT 350 PDS LT or equal to TO 6","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED HEVY DUTY XTRA WIDE W/WT CAPACTY GT 350 PDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0301","description":"HOS BED HEVY DUTY XTRA WIDE W/WT CAPACTY GT 350 PDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED HEVY DUTY XTRA WIDE W/WT CAPACTY GT 350 PDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0301","description":"HOS BED HEVY DUTY XTRA WIDE W/WT CAPACTY GT 350 PDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED SEMI-ELEC ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0261","description":"HOS BED SEMI-ELEC ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED SEMI-ELEC ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0261","description":"HOS BED SEMI-ELEC ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED SEMI-ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0260","description":"HOS BED SEMI-ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED SEMI-ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0260","description":"HOS BED SEMI-ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED TOT ELEC ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0266","description":"HOS BED TOT ELEC ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED TOT ELEC ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0266","description":"HOS BED TOT ELEC ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED VARIBL HT ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0256","description":"HOS BED VARIBL HT ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED VARIBL HT ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0256","description":"HOS BED VARIBL HT ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED VARIBL HT HI-LO W/O SIDE RAIL NO MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0293","description":"HOS BED VARIBL HT HI-LO W/O SIDE RAIL NO MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED VARIBL HT HI-LO W/O SIDE RAIL NO MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0293","description":"HOS BED VARIBL HT HI-LO W/O SIDE RAIL NO MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED VARIBL HT W/ANY TYPE SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0255","description":"HOS BED VARIBL HT W/ANY TYPE SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED VARIBL HT W/ANY TYPE SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0255","description":"HOS BED VARIBL HT W/ANY TYPE SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED XTRA HEVY DUTY WT CAP GT 600 PDS W/O MTTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0302","description":"HOS BED XTRA HEVY DUTY WT CAP GT 600 PDS W/O MTTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED XTRA HEVY DUTY WT CAP GT 600 PDS W/O MTTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0302","description":"HOS BED XTRA HEVY DUTY WT CAP GT 600 PDS W/O MTTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED FIX HT W/ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0251","description":"HOSP BED FIX HT W/ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED FIX HT W/ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0251","description":"HOSP BED FIX HT W/ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED FIX HT W/ANY TYPE SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0250","description":"HOSP BED FIX HT W/ANY TYPE SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED FIX HT W/ANY TYPE SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0250","description":"HOSP BED FIX HT W/ANY TYPE SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED SEMI-ELEC W/O SIDE RAILS W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0295","description":"HOSP BED SEMI-ELEC W/O SIDE RAILS W/O MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED SEMI-ELEC W/O SIDE RAILS W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0295","description":"HOSP BED SEMI-ELEC W/O SIDE RAILS W/O MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED TOT ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0265","description":"HOSP BED TOT ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED TOT ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0265","description":"HOSP BED TOT ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED TOTAL ELEC W/O SIDE RAILS W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0297","description":"HOSP BED TOTAL ELEC W/O SIDE RAILS W/O MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED TOTAL ELEC W/O SIDE RAILS W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0297","description":"HOSP BED TOTAL ELEC W/O SIDE RAILS W/O MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED VARIBL HT HI-LO W/O SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0292","description":"HOSP BED VARIBL HT HI-LO W/O SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED VARIBL HT HI-LO W/O SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0292","description":"HOSP BED VARIBL HT HI-LO W/O SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SERVICES RECEIVED PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9692","description":"HOSPICE SERVICES RECEIVED PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SERVICES RECEIVED PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9692","description":"HOSPICE SERVICES RECEIVED PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC GIVEN TO PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9740","description":"HOSPICE SRVC GIVEN TO PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC GIVEN TO PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9740","description":"HOSPICE SRVC GIVEN TO PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT ANY TIME DUR MEASUREMENT PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9709","description":"HOSPICE SRVC PATIENT ANY TIME DUR MEASUREMENT PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT ANY TIME DUR MEASUREMENT PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9709","description":"HOSPICE SRVC PATIENT ANY TIME DUR MEASUREMENT PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT OCCURRED ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9720","description":"HOSPICE SRVC PATIENT OCCURRED ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT OCCURRED ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9720","description":"HOSPICE SRVC PATIENT OCCURRED ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT RECEIVD ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9723","description":"HOSPICE SRVC PATIENT RECEIVD ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT RECEIVD ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9723","description":"HOSPICE SRVC PATIENT RECEIVD ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PROV TO PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9687","description":"HOSPICE SRVC PROV TO PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PROV TO PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9687","description":"HOSPICE SRVC PROV TO PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC UTILIZED BY PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9694","description":"HOSPICE SRVC UTILIZED BY PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC UTILIZED BY PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9694","description":"HOSPICE SRVC UTILIZED BY PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SVC FOR PT PROV ANY TIME DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1067","description":"HOSPICE SVC FOR PT PROV ANY TIME DUR MSR PERIOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SVC FOR PT PROV ANY TIME DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1067","description":"HOSPICE SVC FOR PT PROV ANY TIME DUR MSR PERIOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED FIX HT W/O SIDE RAILS W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0291","description":"HOSPITAL BED FIX HT W/O SIDE RAILS W/O MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED FIX HT W/O SIDE RAILS W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0291","description":"HOSPITAL BED FIX HT W/O SIDE RAILS W/O MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED FIX HT WITHOUT SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0290","description":"HOSPITAL BED FIX HT WITHOUT SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED FIX HT WITHOUT SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0290","description":"HOSPITAL BED FIX HT WITHOUT SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED SEMI-ELEC W/O SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0294","description":"HOSPITAL BED SEMI-ELEC W/O SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED SEMI-ELEC W/O SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0294","description":"HOSPITAL BED SEMI-ELEC W/O SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED TOTAL ELEC W/O SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0296","description":"HOSPITAL BED TOTAL ELEC W/O SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED TOTAL ELEC W/O SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0296","description":"HOSPITAL BED TOTAL ELEC W/O SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL DISCHARGE DAY MANAGEMENT GT 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99239","description":"HOSPITAL DISCHARGE DAY MANAGEMENT GT 30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL DISCHARGE DAY MANAGEMENT 30 MIN OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99238","description":"HOSPITAL DISCHARGE DAY MANAGEMENT 30 MIN OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99236","description":"HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99236","description":"HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99235","description":"HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99235","description":"HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99234","description":"HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99234","description":"HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS DISCHARGE DAY MGMT GT 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99239","description":"HOSPITAL IP/OBS DISCHARGE DAY MGMT GT 30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS DISCHARGE DAY MGMT GT 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99239","description":"HOSPITAL IP/OBS DISCHARGE DAY MGMT GT 30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99238","description":"HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99238","description":"HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OBSERVATION SERVICE PER HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0378","description":"HOSPITAL OBSERVATION SERVICE PER HOUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OBSERVATION SERVICE PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0378","description":"HOSPITAL OBSERVATION SERVICE PER HOUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITALIZED PT NEWLY DX CVA CNSDR EVAR STRK TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9767","description":"HOSPITALIZED PT NEWLY DX CVA CNSDR EVAR STRK TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITALIZED PT NEWLY DX CVA CNSDR EVAR STRK TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9767","description":"HOSPITALIZED PT NEWLY DX CVA CNSDR EVAR STRK TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOUS and INTGR ADHES TRACHEOSTOMA EXCHG SYS and / VALV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7508","description":"HOUS and INTGR ADHES TRACHEOSTOMA EXCHG SYS and / VALV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOUS and INTGR ADHES TRACHEOSTOMA EXCHG SYS and / VALV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7508","description":"HOUS and INTGR ADHES TRACHEOSTOMA EXCHG SYS and / VALV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOUSING REUSABL W/O ADHES EXCHG SYS and / VALV EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7505","description":"HOUSING REUSABL W/O ADHES EXCHG SYS and / VALV EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HOUSING REUSABL W/O ADHES EXCHG SYS and / VALV EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7505","description":"HOUSING REUSABL W/O ADHES EXCHG SYS and / VALV EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HPYLORI BLOOD ANAL UREASE ACT NON-RADACT ISOTOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83009","description":"HPYLORI BLOOD ANAL UREASE ACT NON-RADACT ISOTOPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83013","description":"HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HPYLORI DRUG ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83014","description":"HPYLORI DRUG ADMINISTRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46258","description":"HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46258","description":"HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HRHC 2 OR GT COL/GRP W/FSTULECTMY INCL FSSRECTMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46262","description":"HRHC 2 OR GT COL/GRP W/FSTULECTMY INCL FSSRECTMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HRHC 2 OR GT COL/GRP W/FSTULECTMY INCL FSSRECTMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46262","description":"HRHC 2 OR GT COL/GRP W/FSTULECTMY INCL FSSRECTMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HRHC NTRNL and XTRNL 2 OR GT COLUMN/GROUP W/FISSU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46261","description":"HRHC NTRNL and XTRNL 2 OR GT COLUMN/GROUP W/FISSU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HRHC NTRNL and XTRNL 2 OR GT COLUMN/GROUP W/FISSU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46261","description":"HRHC NTRNL and XTRNL 2 OR GT COLUMN/GROUP W/FISSU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HRT FAILURE ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0001F","description":"HRT FAILURE ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HRT FAILURE ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0001F","description":"HRT FAILURE ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HST W/TYPE II PRTBLE MON UNATTENDED MIN 7 CH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0398","description":"HST W/TYPE II PRTBLE MON UNATTENDED MIN 7 CH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HST W/TYPE II PRTBLE MON UNATTENDED MIN 7 CH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0398","description":"HST W/TYPE II PRTBLE MON UNATTENDED MIN 7 CH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HST W/TYPE III PRTBLE MON UNATTENDED MIN 4 CH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0399","description":"HST W/TYPE III PRTBLE MON UNATTENDED MIN 4 CH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HST W/TYPE III PRTBLE MON UNATTENDED MIN 4 CH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0399","description":"HST W/TYPE III PRTBLE MON UNATTENDED MIN 4 CH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HST W/TYPE IV PRTBLE MON UNATTENDED MIN 3 CH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0400","description":"HST W/TYPE IV PRTBLE MON UNATTENDED MIN 3 CH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HST W/TYPE IV PRTBLE MON UNATTENDED MIN 3 CH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0400","description":"HST W/TYPE IV PRTBLE MON UNATTENDED MIN 3 CH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HUMAN EPIDIDYMIS PROTEIN 4 (HE4)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86305","description":"HUMAN EPIDIDYMIS PROTEIN 4 (HE4)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HUMDIFIR DURABLE SUPLMNTL DUR IPPB TX/O2 DEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0560","description":"HUMDIFIR DURABLE SUPLMNTL DUR IPPB TX/O2 DEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HUMDIFIR DURBLE EXT SUPLMNTL DUR IPPB TX/O2 DEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0550","description":"HUMDIFIR DURBLE EXT SUPLMNTL DUR IPPB TX/O2 DEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HUMDIFIR DURBLE EXT SUPLMNTL DUR IPPB TX/O2 DEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0550","description":"HUMDIFIR DURBLE EXT SUPLMNTL DUR IPPB TX/O2 DEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HUMDIFIR HEATED USED W/POS ARWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0562","description":"HUMDIFIR HEATED USED W/POS ARWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HUMDIFIR NON-HEATED USED W/POS AIRWAY PRESS DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0561","description":"HUMDIFIR NON-HEATED USED W/POS AIRWAY PRESS DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV HYALGAN/SUPARTZ IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7321","description":"HYALURONAN/DERIV HYALGAN/SUPARTZ IA INJ PER DOSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV HYALGAN/SUPARTZ IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7321","description":"HYALURONAN/DERIV HYALGAN/SUPARTZ IA INJ PER DOSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV ORTHOVISC IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7324","description":"HYALURONAN/DERIV ORTHOVISC IA INJ PER DOSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV ORTHOVISC IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7324","description":"HYALURONAN/DERIV ORTHOVISC IA INJ PER DOSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV SYNVISC/SYNVISC-ONE IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7325","description":"HYALURONAN/DERIV SYNVISC/SYNVISC-ONE IA INJ 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV SYNVISC/SYNVISC-ONE IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7325","description":"HYALURONAN/DERIV SYNVISC/SYNVISC-ONE IA INJ 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE EUFLEXXA IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7323","description":"HYALURONAN/DERIVATIVE EUFLEXXA IA INJ PER DOSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE EUFLEXXA IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7323","description":"HYALURONAN/DERIVATIVE EUFLEXXA IA INJ PER DOSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2018F","description":"HYDRATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2018F","description":"HYDRATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS DOCD NORMALLY HYDRATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2030F","description":"HYDRATION STATUS DOCD NORMALLY HYDRATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS DOCD NORMALLY HYDRATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2030F","description":"HYDRATION STATUS DOCD NORMALLY HYDRATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS DOCUMENTED DEHYDRATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2031F","description":"HYDRATION STATUS DOCUMENTED DEHYDRATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS DOCUMENTED DEHYDRATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2031F","description":"HYDRATION STATUS DOCUMENTED DEHYDRATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLATOR UNIT INCLUDES PADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0225","description":"HYDROCOLLATOR UNIT INCLUDES PADS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS GT 16 BUT LT or equal to 48 SQ W/AD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6238","description":"HYDROCOLLOID DRESS GT 16 BUT LT or equal to 48 SQ W/AD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS GT 16 BUT LT or equal to 48 SQ W/AD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6238","description":"HYDROCOLLOID DRESS GT 16 BUT LT or equal to 48 SQ W/AD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS GT 16 BUT LT or equal to 48 SQ W/O AD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6235","description":"HYDROCOLLOID DRESS GT 16 BUT LT or equal to 48 SQ W/O AD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS GT 16 BUT LT or equal to 48 SQ W/O AD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6235","description":"HYDROCOLLOID DRESS GT 16 BUT LT or equal to 48 SQ W/O AD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL GT 48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6236","description":"HYDROCOLLOID DRESS STERL GT 48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL GT 48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6236","description":"HYDROCOLLOID DRESS STERL GT 48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL 16 SQ OR LT ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6237","description":"HYDROCOLLOID DRESS STERL 16 SQ OR LT ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL 16 SQ OR LT ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6237","description":"HYDROCOLLOID DRESS STERL 16 SQ OR LT ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL 16 SQ OR LT NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6234","description":"HYDROCOLLOID DRESS STERL 16 SQ OR LT NO ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL 16 SQ OR LT NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6234","description":"HYDROCOLLOID DRESS STERL 16 SQ OR LT NO ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS WND FIL DRY FORM STERL PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6241","description":"HYDROCOLLOID DRESS WND FIL DRY FORM STERL PER G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS WND FIL DRY FORM STERL PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6241","description":"HYDROCOLLOID DRESS WND FIL DRY FORM STERL PER G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESSING WND FIL PASTE STERL PER OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6240","description":"HYDROCOLLOID DRESSING WND FIL PASTE STERL PER OZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESSING WND FIL PASTE STERL PER OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6240","description":"HYDROCOLLOID DRESSING WND FIL PASTE STERL PER OZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS GT 16 SQ BUT LT or equal to 48 SQ W/ADH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6246","description":"HYDROGEL DRESS GT 16 SQ BUT LT or equal to 48 SQ W/ADH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS GT 16 SQ BUT LT or equal to 48 SQ W/ADH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6246","description":"HYDROGEL DRESS GT 16 SQ BUT LT or equal to 48 SQ W/ADH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS GT 16 SQ BUT LT or equal to 48 SQ W/O AD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6243","description":"HYDROGEL DRESS GT 16 SQ BUT LT or equal to 48 SQ W/O AD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS GT 16 SQ BUT LT or equal to 48 SQ W/O AD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6243","description":"HYDROGEL DRESS GT 16 SQ BUT LT or equal to 48 SQ W/O AD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD GT 48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6244","description":"HYDROGEL DRESS STERL PAD GT 48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD GT 48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6244","description":"HYDROGEL DRESS STERL PAD GT 48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD GT 48 SQ ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6247","description":"HYDROGEL DRESS STERL PAD GT 48 SQ ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD GT 48 SQ ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6247","description":"HYDROGEL DRESS STERL PAD GT 48 SQ ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD 16 SQ OR LT ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6245","description":"HYDROGEL DRESS STERL PAD 16 SQ OR LT ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD 16 SQ OR LT ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6245","description":"HYDROGEL DRESS STERL PAD 16 SQ OR LT ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD 16 SQ OR LT NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6242","description":"HYDROGEL DRESS STERL PAD 16 SQ OR LT NO ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD 16 SQ OR LT NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6242","description":"HYDROGEL DRESS STERL PAD 16 SQ OR LT NO ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESSING WOUND FILLER GEL PER FL OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6248","description":"HYDROGEL DRESSING WOUND FILLER GEL PER FL OZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESSING WOUND FILLER GEL PER FL OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6248","description":"HYDROGEL DRESSING WOUND FILLER GEL PER FL OZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYDROXYCORTICOSTEROIDS 17","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83491","description":"HYDROXYCORTICOSTEROIDS 17","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYMENOTOMY SIMPLE INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56442","description":"HYMENOTOMY SIMPLE INCISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYMENOTOMY SIMPLE INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56442","description":"HYMENOTOMY SIMPLE INCISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYOID MYOTOMY AND SUSPENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21685","description":"HYOID MYOTOMY AND SUSPENSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYOID MYOTOMY AND SUSPENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21685","description":"HYOID MYOTOMY AND SUSPENSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTENSION PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4050F","description":"HYPERTENSION PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTENSION PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4050F","description":"HYPERTENSION PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNAL GENERATED DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77605","description":"HYPERTHERMIA EXTERNAL GENERATED DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNAL GENERATED SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77600","description":"HYPERTHERMIA EXTERNAL GENERATED SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNALLY GENERATED DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77605","description":"HYPERTHERMIA EXTERNALLY GENERATED DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNALLY GENERATED DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77605","description":"HYPERTHERMIA EXTERNALLY GENERATED DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNALLY GENERATED SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77600","description":"HYPERTHERMIA EXTERNALLY GENERATED SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNALLY GENERATED SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77600","description":"HYPERTHERMIA EXTERNALLY GENERATED SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA GENERATED BY INTRACAVITARY PROBES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77620","description":"HYPERTHERMIA GENERATED BY INTRACAVITARY PROBES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA GENERATED BY INTRACAVITARY PROBES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77620","description":"HYPERTHERMIA GENERATED BY INTRACAVITARY PROBES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA INTERSTIAL PROBE 5 OR GT APPLICATORS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77615","description":"HYPERTHERMIA INTERSTIAL PROBE 5 OR GT APPLICATORS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA INTERSTIAL PROBE GT 5 APPLICATORS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77615","description":"HYPERTHERMIA INTERSTIAL PROBE GT 5 APPLICATORS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA INTERSTIAL PROBE GT 5 APPLICATORS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77615","description":"HYPERTHERMIA INTERSTIAL PROBE GT 5 APPLICATORS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA INTERSTITIAL PROBE 5 OR LT APPLICATORS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77610","description":"HYPERTHERMIA INTERSTITIAL PROBE 5 OR LT APPLICATORS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA INTERSTITIAL PROBE 5 OR LT APPLICATORS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77610","description":"HYPERTHERMIA INTERSTITIAL PROBE 5 OR LT APPLICATORS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA INTRACAVITARY PROBES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77620","description":"HYPERTHERMIA INTRACAVITARY PROBES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYPNOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90880","description":"HYPNOTHERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61548","description":"HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61548","description":"HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROPLASTY RPR UTERINE ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58540","description":"HYSTEROPLASTY RPR UTERINE ANOMALY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROPLASTY RPR UTERINE ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58540","description":"HYSTEROPLASTY RPR UTERINE ANOMALY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58520","description":"HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58520","description":"HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTERORRHAPHY RUPTURED UTERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59350","description":"HYSTERORRHAPHY RUPTURED UTERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTERORRHAPHY RUPTURED UTERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59350","description":"HYSTERORRHAPHY RUPTURED UTERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSALPINGOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74740","description":"HYSTEROSALPINGOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSALPINGOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74740","description":"HYSTEROSALPINGOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58565","description":"HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58565","description":"HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY BX ENDOMETRIUM and /POLYPC W/WO D and C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58558","description":"HYSTEROSCOPY BX ENDOMETRIUM and /POLYPC W/WO D and C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY BX ENDOMETRIUM and /POLYPC W/WO D and C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58558","description":"HYSTEROSCOPY BX ENDOMETRIUM and /POLYPC W/WO D and C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58555","description":"HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58555","description":"HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58560","description":"HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58560","description":"HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY ENDOMETRIAL ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58563","description":"HYSTEROSCOPY ENDOMETRIAL ABLATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY ENDOMETRIAL ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58563","description":"HYSTEROSCOPY ENDOMETRIAL ABLATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58559","description":"HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58559","description":"HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58562","description":"HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58562","description":"HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY REMOVAL LEIOMYOMATA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58561","description":"HYSTEROSCOPY REMOVAL LEIOMYOMATA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY REMOVAL LEIOMYOMATA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58561","description":"HYSTEROSCOPY REMOVAL LEIOMYOMATA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROTOMY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59100","description":"HYSTEROTOMY ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROTOMY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59100","description":"HYSTEROTOMY ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Hallux implant","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8642","description":"Hallux implant","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Hemoperfusion","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90997","description":"Hemoperfusion","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Hemoperfusion","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90997","description":"Hemoperfusion","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Heparin assay","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85520","description":"Heparin assay","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Heparin neutralization","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85525","description":"Heparin neutralization","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Hydrocollator unit portable","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0239","description":"Hydrocollator unit portable","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Hypnotherapy","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90880","description":"Hypnotherapy","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Hypnotherapy","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90880","description":"Hypnotherapy","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D ABSCESS PERITONSILLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42700","description":"I AND D ABSCESS PERITONSILLAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D ABSCESS PERITONSILLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42700","description":"I AND D ABSCESS PERITONSILLAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D BELOW FASCIA FOOT 1 BURSAL SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28002","description":"I AND D BELOW FASCIA FOOT 1 BURSAL SPACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D BELOW FASCIA FOOT 1 BURSAL SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28002","description":"I AND D BELOW FASCIA FOOT 1 BURSAL SPACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D BELOW FASCIA FOOT MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28003","description":"I AND D BELOW FASCIA FOOT MULTIPLE AREAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D BELOW FASCIA FOOT MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28003","description":"I AND D BELOW FASCIA FOOT MULTIPLE AREAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D OF BARTHOLINS GLAND ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56420","description":"I AND D OF BARTHOLINS GLAND ABSCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D OF BARTHOLINS GLAND ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56420","description":"I AND D OF BARTHOLINS GLAND ABSCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D PERIANAL ABSCESS SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46050","description":"I AND D PERIANAL ABSCESS SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D PERIANAL ABSCESS SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46050","description":"I AND D PERIANAL ABSCESS SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D SHOULDER INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23031","description":"I AND D SHOULDER INFECTED BURSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D SHOULDER INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23031","description":"I AND D SHOULDER INFECTED BURSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D SUBMUCOSAL ABSCESS RECTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45005","description":"I AND D SUBMUCOSAL ABSCESS RECTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D SUBMUCOSAL ABSCESS RECTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45005","description":"I AND D SUBMUCOSAL ABSCESS RECTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D THYROGLOSSAL DUCT CYST INFECTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60000","description":"I AND D THYROGLOSSAL DUCT CYST INFECTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D THYROGLOSSAL DUCT CYST INFECTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60000","description":"I AND D THYROGLOSSAL DUCT CYST INFECTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D VAGINAL HEMATOMA NON-OBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57023","description":"I AND D VAGINAL HEMATOMA NON-OBSTETRICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D VAGINAL HEMATOMA NON-OBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57023","description":"I AND D VAGINAL HEMATOMA NON-OBSTETRICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42720","description":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42720","description":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42720","description":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42725","description":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42725","description":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27301","description":"I and D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27301","description":"I and D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21501","description":"I and D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21501","description":"I and D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22010","description":"I and D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22010","description":"I and D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22015","description":"I and D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22015","description":"I and D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DP ABSC/HMTMA SFT TIS NCK/THRX PRTL RIB OSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21502","description":"I and D DP ABSC/HMTMA SFT TIS NCK/THRX PRTL RIB OSTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DP ABSC/HMTMA SFT TIS NCK/THRX PRTL RIB OSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21502","description":"I and D DP ABSC/HMTMA SFT TIS NCK/THRX PRTL RIB OSTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DP ABSC/HMTMA SOFT TISS NCK/THORAX PRTL RI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21502","description":"I and D DP ABSC/HMTMA SOFT TISS NCK/THORAX PRTL RI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45020","description":"I and D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45020","description":"I and D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D FOREARM and /WRIST DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25028","description":"I and D FOREARM and /WRIST DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D FOREARM and /WRIST DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25028","description":"I and D FOREARM and /WRIST DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D HEMATOMA SEROMA/FLUID COLLECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10140","description":"I and D HEMATOMA SEROMA/FLUID COLLECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D HEMATOMA SEROMA/FLUID COLLECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10140","description":"I and D HEMATOMA SEROMA/FLUID COLLECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D INTRAMURAL IM/ABSC TRANSANAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46045","description":"I and D INTRAMURAL IM/ABSC TRANSANAL ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D INTRAMURAL IM/SUBMUCOSAL ABSC TRANSANAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46045","description":"I and D INTRAMURAL IM/SUBMUCOSAL ABSC TRANSANAL ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D INTRAMURAL IM/SUBMUCOSAL ABSC TRANSANAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46045","description":"I and D INTRAMURAL IM/SUBMUCOSAL ABSC TRANSANAL ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D ISCHIORCT/INTRAMURAL ABSC W/WO SETON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46060","description":"I and D ISCHIORCT/INTRAMURAL ABSC W/WO SETON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D ISCHIORECTAL and /PERIRECTAL ABSCESS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46040","description":"I and D ISCHIORECTAL and /PERIRECTAL ABSCESS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D ISCHIORECTAL and /PERIRECTAL ABSCESS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46040","description":"I and D ISCHIORECTAL and /PERIRECTAL ABSCESS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D ISCHIORECTAL/INTRAMURAL ABSC W/WO SETON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46060","description":"I and D ISCHIORECTAL/INTRAMURAL ABSC W/WO SETON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D ISCHIORECTAL/INTRAMURAL ABSC W/WO SETON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46060","description":"I and D ISCHIORECTAL/INTRAMURAL ABSC W/WO SETON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D PELVIS/HIP JOINT AREA INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26991","description":"I and D PELVIS/HIP JOINT AREA INFECTED BURSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D PELVIS/HIP JOINT AREA INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26991","description":"I and D PELVIS/HIP JOINT AREA INFECTED BURSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26990","description":"I and D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26990","description":"I and D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D SHOULDER DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23030","description":"I and D SHOULDER DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D SHOULDER DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23030","description":"I and D SHOULDER DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23930","description":"I and D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23930","description":"I and D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57022","description":"I and D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57022","description":"I and D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D VULVA/PERINEAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56405","description":"I and D VULVA/PERINEAL ABSCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D VULVA/PERINEAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56405","description":"I and D VULVA/PERINEAL ABSCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IA INFECTIOUS AGT ANTIBODY QUAL/SEMIQ 1STEP METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86318","description":"IA INFECTIOUS AGT ANTIBODY QUAL/SEMIQ 1STEP METH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ADENOVIRUS ENTERIC TYP 40/41","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87301","description":"IAAD IA ADENOVIRUS ENTERIC TYP 40/41","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ASPERGILLUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87305","description":"IAAD IA ASPERGILLUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CHLAMYDIA TRACHOMATIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87320","description":"IAAD IA CHLAMYDIA TRACHOMATIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CLOSTRIDIUM DIFFICILE TOXIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87324","description":"IAAD IA CLOSTRIDIUM DIFFICILE TOXIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CRYPTOCOCCUS NEOFORMANS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87327","description":"IAAD IA CRYPTOCOCCUS NEOFORMANS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CRYPTOSPORIDIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87328","description":"IAAD IA CRYPTOSPORIDIUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CYTOMEGALOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87332","description":"IAAD IA CYTOMEGALOVIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87336","description":"IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ENTAMOEBA HISTOLYTICA GRP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87337","description":"IAAD IA ENTAMOEBA HISTOLYTICA GRP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ESCHERICHIA COLI 0157","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87335","description":"IAAD IA ESCHERICHIA COLI 0157","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA GIARDIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87329","description":"IAAD IA GIARDIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87341","description":"IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS B SURFACE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87340","description":"IAAD IA HEPATITIS B SURFACE ANTIGEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS BE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87350","description":"IAAD IA HEPATITIS BE ANTIGEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS DELTA ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87380","description":"IAAD IA HEPATITIS DELTA ANTIGEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HISTOPLASM CAPSULATUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87385","description":"IAAD IA HISTOPLASM CAPSULATUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87390","description":"IAAD IA HIV-1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-1 AG W/HIV-1 and HIV-2 ANTBDY SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87389","description":"IAAD IA HIV-1 AG W/HIV-1 and HIV-2 ANTBDY SINGLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87391","description":"IAAD IA HIV-2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HPYLORI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87339","description":"IAAD IA HPYLORI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HPYLORI STOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87338","description":"IAAD IA HPYLORI STOOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA INFLUENZA A/B EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87400","description":"IAAD IA INFLUENZA A/B EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA NOT OTHERWISE SPECIFIED EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87449","description":"IAAD IA NOT OTHERWISE SPECIFIED EACH ORGANISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA POLYV MLT ORGANISMS EA POLYV ANTISERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87451","description":"IAAD IA POLYV MLT ORGANISMS EA POLYV ANTISERUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87420","description":"IAAD IA RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ROTAVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87425","description":"IAAD IA ROTAVIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87426","description":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SHIGA-LIKE TOXIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87427","description":"IAAD IA SHIGA-LIKE TOXIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA STREPTOCOCCUS GROUP A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87430","description":"IAAD IA STREPTOCOCCUS GROUP A","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADI ADENOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87260","description":"IAADI ADENOVIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87265","description":"IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADI CHLAMYDIA TRACHOMATIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87270","description":"IAADI CHLAMYDIA TRACHOMATIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADI CRYPTOSPORIDIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87272","description":"IAADI CRYPTOSPORIDIUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADI CYTOMEGALOVIRUS DIR FLUORESCENT ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87271","description":"IAADI CYTOMEGALOVIRUS DIR FLUORESCENT ANTIBODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADI ENTEROVIRUS DIRECT FLUORESCENT ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87267","description":"IAADI ENTEROVIRUS DIRECT FLUORESCENT ANTIBODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADI GIARDIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87269","description":"IAADI GIARDIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADI HERPES SMPLX VIRUS TYPE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87274","description":"IAADI HERPES SMPLX VIRUS TYPE 1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADI HERPES SMPLX VIRUS TYPE 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87273","description":"IAADI HERPES SMPLX VIRUS TYPE 2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADI INFFLUENZA A VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87276","description":"IAADI INFFLUENZA A VIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADI INFLUENZA B VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87275","description":"IAADI INFLUENZA B VIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADI LEGIONELLA PNEUMOPHILA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87278","description":"IAADI LEGIONELLA PNEUMOPHILA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADI NOT OTHERWISE SPECIFIED EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87299","description":"IAADI NOT OTHERWISE SPECIFIED EACH ORGANISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADI PARAINFLUENZA VIRUS EACH TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87279","description":"IAADI PARAINFLUENZA VIRUS EACH TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADI PNEUMOCUSTIS CARINII","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87281","description":"IAADI PNEUMOCUSTIS CARINII","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADI POLYV MLT ORGANISMS EA POLYV ANTISERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87300","description":"IAADI POLYV MLT ORGANISMS EA POLYV ANTISERUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADI RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87280","description":"IAADI RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADI RUBEOLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87283","description":"IAADI RUBEOLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADI TREPONEMA PALLIDUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87285","description":"IAADI TREPONEMA PALLIDUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADI VARICELLA ZOSTER VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87290","description":"IAADI VARICELLA ZOSTER VIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO ADENOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87809","description":"IAADIADOO ADENOVIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO CHLAMYDIA TRACHOMATIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87810","description":"IAADIADOO CHLAMYDIA TRACHOMATIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO CLOSTRIDIUM DIFFICILE TOXIN A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87803","description":"IAADIADOO CLOSTRIDIUM DIFFICILE TOXIN A","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO INFLUENZA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87804","description":"IAADIADOO INFLUENZA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO NEISSERIA GONORRHOEAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87850","description":"IAADIADOO NEISSERIA GONORRHOEAE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87899","description":"IAADIADOO NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87807","description":"IAADIADOO RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO STREPTOCOCCUS GROUP A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87880","description":"IAADIADOO STREPTOCOCCUS GROUP A","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO STREPTOCOCCUS GROUP B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87802","description":"IAADIADOO STREPTOCOCCUS GROUP B","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO TRICHOMONAS VAGINALIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87808","description":"IAADIADOO TRICHOMONAS VAGINALIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BARTONELLA AMPLIFIED PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87471","description":"IADNA BARTONELLA AMPLIFIED PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BARTONELLA HENSELAE AND QUINTANA QUANTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87472","description":"IADNA BARTONELLA HENSELAE AND QUINTANA QUANTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BORRELIA BURGDORFERI AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87476","description":"IADNA BORRELIA BURGDORFERI AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BORRELIA BURGDORFERI DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87475","description":"IADNA BORRELIA BURGDORFERI DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87481","description":"IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CANDIDA SPECIES DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87480","description":"IADNA CANDIDA SPECIES DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CANDIDA SPECIES QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87482","description":"IADNA CANDIDA SPECIES QUANTIFICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87486","description":"IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA PNEUMONIAE DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87485","description":"IADNA CHLAMYDIA PNEUMONIAE DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA PNEUMONIAE QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87487","description":"IADNA CHLAMYDIA PNEUMONIAE QUANTIFICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87491","description":"IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87490","description":"IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA TRACHOMATIS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87492","description":"IADNA CHLAMYDIA TRACHOMATIS QUANTIFICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87496","description":"IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CYTOMEGALOVIRUS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87495","description":"IADNA CYTOMEGALOVIRUS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CYTOMEGALOVIRUS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87497","description":"IADNA CYTOMEGALOVIRUS QUANTIFICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA ENTEROVIRUS AMPLIF PROBE AND REVRSE TRNSCRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87498","description":"IADNA ENTEROVIRUS AMPLIF PROBE AND REVRSE TRNSCRIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87511","description":"IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87510","description":"IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA GARDNERELLA VAGINALIS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87512","description":"IADNA GARDNERELLA VAGINALIS QUANTIFICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87516","description":"IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS B VIRUS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87517","description":"IADNA HEPATITIS B VIRUS QUANTIFICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS C AMPLIFIED PROBE AND REVRSE TRANSCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87521","description":"IADNA HEPATITIS C AMPLIFIED PROBE AND REVRSE TRANSCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS C DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87520","description":"IADNA HEPATITIS C DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS C QUANT AND REVERSE TRANSCRIPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87522","description":"IADNA HEPATITIS C QUANT AND REVERSE TRANSCRIPTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS G AMPLIFIED PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87526","description":"IADNA HEPATITIS G AMPLIFIED PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS G DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87525","description":"IADNA HEPATITIS G DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS G QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87527","description":"IADNA HEPATITIS G QUANTIFICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES SIMPLX VIRUS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87528","description":"IADNA HERPES SIMPLX VIRUS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87529","description":"IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES SOMPLX VIRUS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87530","description":"IADNA HERPES SOMPLX VIRUS QUANTIFICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES VIRUS-6 AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87532","description":"IADNA HERPES VIRUS-6 AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES VIRUS-6 DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87531","description":"IADNA HERPES VIRUS-6 DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES VIRUS-6 QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87533","description":"IADNA HERPES VIRUS-6 QUANTIFICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-1 AMPLIFIED PROBE AND REVERSE TRANSCRPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87535","description":"IADNA HIV-1 AMPLIFIED PROBE AND REVERSE TRANSCRPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-1 DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87534","description":"IADNA HIV-1 DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-1 QUANT AND REVERSE TRANSCRIPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87536","description":"IADNA HIV-1 QUANT AND REVERSE TRANSCRIPTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-2 AMPLIFIED PROBE AND REVERSE TRANSCRIPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87538","description":"IADNA HIV-2 AMPLIFIED PROBE AND REVERSE TRANSCRIPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-2 DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87537","description":"IADNA HIV-2 DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-2 QUANT AND REVERSE TRANSCRIPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87539","description":"IADNA HIV-2 QUANT AND REVERSE TRANSCRIPTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87541","description":"IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA LEGIONELLA PNEUMOPHILA DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87540","description":"IADNA LEGIONELLA PNEUMOPHILA DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87542","description":"IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87801","description":"IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MULTIPLE ORGANISMS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87800","description":"IADNA MULTIPLE ORGANISMS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA AVIUM-INTRACELLULARE QUANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87562","description":"IADNA MYCOBACTERIA AVIUM-INTRACELLULARE QUANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA AVIUM-INTRACLRE AMP PRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87561","description":"IADNA MYCOBACTERIA AVIUM-INTRACLRE AMP PRB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA AVIUM-INTRACLRE DIR PRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87560","description":"IADNA MYCOBACTERIA AVIUM-INTRACLRE DIR PRB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA SPECIES AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87551","description":"IADNA MYCOBACTERIA SPECIES AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA SPECIES DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87550","description":"IADNA MYCOBACTERIA SPECIES DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA SPECIES QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87552","description":"IADNA MYCOBACTERIA SPECIES QUANTIFICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA TUBERCULOSIS AMP PRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87556","description":"IADNA MYCOBACTERIA TUBERCULOSIS AMP PRB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA TUBERCULOSIS DIR PRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87555","description":"IADNA MYCOBACTERIA TUBERCULOSIS DIR PRB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA TUBERCULOSIS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87557","description":"IADNA MYCOBACTERIA TUBERCULOSIS QUANTIFICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87581","description":"IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLSM PNEUMONIAE DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87580","description":"IADNA MYCOPLSM PNEUMONIAE DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87582","description":"IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87591","description":"IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87590","description":"IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NEISSERIA GONORRHOEAE QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87592","description":"IADNA NEISSERIA GONORRHOEAE QUANTIFICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87798","description":"IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NOS DIRECT PROBE TQ EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87797","description":"IADNA NOS DIRECT PROBE TQ EACH ORGANISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NOS QUANTIFICATION EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87799","description":"IADNA NOS QUANTIFICATION EACH ORGANISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA S AUREUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87640","description":"IADNA S AUREUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA S AUREUS METHICILLIN RESIST AMP PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87641","description":"IADNA S AUREUS METHICILLIN RESIST AMP PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87635","description":"IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87651","description":"IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87650","description":"IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA STREPTOCOCCUS GROUP A QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87652","description":"IADNA STREPTOCOCCUS GROUP A QUANTIFICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87653","description":"IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87661","description":"IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87660","description":"IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IC TSTS W/ALLGIC XTRCS DLYD TYP RXN W/READING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95028","description":"IC TSTS W/ALLGIC XTRCS DLYD TYP RXN W/READING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66983","description":"ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66983","description":"ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93650","description":"ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93650","description":"ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61703","description":"ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61703","description":"ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IDX PHQ-9/PHQ-9M SC GT 9 DOC DUR 12 MO DNOMN ID PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9511","description":"IDX PHQ-9/PHQ-9M SC GT 9 DOC DUR 12 MO DNOMN ID PRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IDX PHQ-9/PHQ-9M SC GT 9 DOC DUR 12 MO DNOMN ID PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9511","description":"IDX PHQ-9/PHQ-9M SC GT 9 DOC DUR 12 MO DNOMN ID PRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90656","description":"IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90656","description":"IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACC PRESRV FREE 0.25 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90655","description":"IIV3 VACC PRESRV FREE 0.25 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACC PRESRV FREE 0.25 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90655","description":"IIV3 VACC PRESRV FREE 0.25 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACCINE SPLIT VIRUS 0.25 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90657","description":"IIV3 VACCINE SPLIT VIRUS 0.25 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACCINE SPLIT VIRUS 0.25 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90657","description":"IIV3 VACCINE SPLIT VIRUS 0.25 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90658","description":"IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90658","description":"IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90686","description":"IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90686","description":"IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC PRSRV FREE 0.25 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90685","description":"IIV4 VACC PRSRV FREE 0.25 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC PRSRV FREE 0.25 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90685","description":"IIV4 VACC PRSRV FREE 0.25 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC SPLIT VIRUS 0.25 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90687","description":"IIV4 VACC SPLIT VIRUS 0.25 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC SPLIT VIRUS 0.25 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90687","description":"IIV4 VACC SPLIT VIRUS 0.25 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90688","description":"IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90688","description":"IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44382","description":"ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44382","description":"ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44380","description":"ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44380","description":"ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSTOMY/JEJUNOSTOMY NON-TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44310","description":"ILEOSTOMY/JEJUNOSTOMY NON-TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSTOMY/JEJUNOSTOMY NON-TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44310","description":"ILEOSTOMY/JEJUNOSTOMY NON-TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ILIAC and /FEM ART ANGIO NONSEL AT TIME CARD CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0278","description":"ILIAC and /FEM ART ANGIO NONSEL AT TIME CARD CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ILIAC and /FEM ART ANGIO NONSEL AT TIME CARD CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0278","description":"ILIAC and /FEM ART ANGIO NONSEL AT TIME CARD CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90471","description":"IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90471","description":"IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90472","description":"IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90472","description":"IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90460","description":"IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90460","description":"IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM THRU 18YR ANY RTE ADDL VAC/TOX COMPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90461","description":"IM ADM THRU 18YR ANY RTE ADDL VAC/TOX COMPT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM THRU 18YR ANY RTE ADDL VAC/TOX COMPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90461","description":"IM ADM THRU 18YR ANY RTE ADDL VAC/TOX COMPT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMAG NEEDED AS PART CLIN TRL;/OTH CLIN ORD STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9537","description":"IMAG NEEDED AS PART CLIN TRL;/OTH CLIN ORD STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAG NEEDED AS PART CLIN TRL;/OTH CLIN ORD STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9537","description":"IMAG NEEDED AS PART CLIN TRL;/OTH CLIN ORD STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAG STUDY NOT NAMED STANDARD NOMEN RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9319","description":"IMAG STUDY NOT NAMED STANDARD NOMEN RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAG STUDY NOT NAMED STANDARD NOMEN RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9319","description":"IMAG STUDY NOT NAMED STANDARD NOMEN RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGE GUID ROBOTIC ACCEL BASE SRS CMPL TX 1 SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0339","description":"IMAGE GUID ROBOTIC ACCEL BASE SRS CMPL TX 1 SESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMAGE GUID ROBOTIC ACCEL BASE SRS CMPL TX 1 SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0339","description":"IMAGE GUID ROBOTIC ACCEL BASE SRS CMPL TX 1 SESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMAGE GUID ROBOTIC ACCL SRS FRAC TX LES 2-5 SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0340","description":"IMAGE GUID ROBOTIC ACCL SRS FRAC TX LES 2-5 SESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMAGE GUID ROBOTIC ACCL SRS FRAC TX LES 2-5 SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0340","description":"IMAGE GUID ROBOTIC ACCL SRS FRAC TX LES 2-5 SESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING OF HEAD WAS NOT OBTAINED RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1029","description":"IMAGING OF HEAD WAS NOT OBTAINED RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING OF HEAD WAS NOT OBTAINED RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1029","description":"IMAGING OF HEAD WAS NOT OBTAINED RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING OF THE HEAD WAS OBTAINED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1027","description":"IMAGING OF THE HEAD WAS OBTAINED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING OF THE HEAD WAS OBTAINED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1027","description":"IMAGING OF THE HEAD WAS OBTAINED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY NAMED ACCORD STANDARD NOMENCLATURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9318","description":"IMAGING STUDY NAMED ACCORD STANDARD NOMENCLATURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY NAMED ACCORD STANDARD NOMENCLATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9318","description":"IMAGING STUDY NAMED ACCORD STANDARD NOMENCLATURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY NOT ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3331F","description":"IMAGING STUDY NOT ORDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY NOT ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3331F","description":"IMAGING STUDY NOT ORDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3330F","description":"IMAGING STUDY ORDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3330F","description":"IMAGING STUDY ORDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMBRICATION DIAPHRAGM EVENTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39545","description":"IMBRICATION DIAPHRAGM EVENTRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMBRICATION DIAPHRAGM EVENTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39545","description":"IMBRICATION DIAPHRAGM EVENTRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS REM CLIN STAFF UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92227","description":"IMG RETINA DETCJ/MNTR DS REM CLIN STAFF UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS REM CLIN STAFF UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92227","description":"IMG RETINA DETCJ/MNTR DS REM CLIN STAFF UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92228","description":"IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I and R UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92228","description":"IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I and R UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88342","description":"IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMHCHEM/IMCYTCHM EA ADDL SINGLE ANTB STAIN PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88341","description":"IMHCHEM/IMCYTCHM EA ADDL SINGLE ANTB STAIN PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMHISTOCHEM/CYTCHM 1ST ANTIBODY STAIN PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88342","description":"IMHISTOCHEM/CYTCHM 1ST ANTIBODY STAIN PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMHISTOCHEM/CYTCHM EA ADDL ANTIBODY SLIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88341","description":"IMHISTOCHEM/CYTCHM EA ADDL ANTIBODY SLIDE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMD POSTSURG APPL RIGD DRS BK W/EA ADD CAST CHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5410","description":"IMMD POSTSURG APPL RIGD DRS BK W/EA ADD CAST CHG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG APPLIC NONWT BEAR RIGD ABOVE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5460","description":"IMMED POSTSURG APPLIC NONWT BEAR RIGD ABOVE KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG APPLIC NONWT BEAR RIGD BELW KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5450","description":"IMMED POSTSURG APPLIC NONWT BEAR RIGD BELW KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG INIT RIGD DRESS 1 CHG AK/KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5420","description":"IMMED POSTSURG INIT RIGD DRESS 1 CHG AK/KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG INIT RIGD DRSG AK EA ADD CAST CHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5430","description":"IMMED POSTSURG INIT RIGD DRSG AK EA ADD CAST CHG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG ELB DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6382","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG ELB DISARTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG SHLDR DISRTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6384","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG SHLDR DISRTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG WRST DISRTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6380","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG WRST DISRTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG/EARLY FIT APPLIC RIGID DRESS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6388","description":"IMMED POSTSURG/EARLY FIT APPLIC RIGID DRESS ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG/EARLY FIT EA ADD CAST CHG and REALIGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6386","description":"IMMED POSTSURG/EARLY FIT EA ADD CAST CHG and REALIGN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMED PSTSRG/ERLY FIT APPLY RIGD DRSS W/1 CHG BK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5400","description":"IMMED PSTSRG/ERLY FIT APPLY RIGD DRSS W/1 CHG BK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMERSION EXTERNAL HEATER FOR NEBULIZER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1372","description":"IMMERSION EXTERNAL HEATER FOR NEBULIZER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMT INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19340","description":"IMMT INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE COMPLEX ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86332","description":"IMMUNE COMPLEX ASSAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE GLOBULIN HUMAN SUBQ INFUSION 100 MG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90284","description":"IMMUNE GLOBULIN HUMAN SUBQ INFUSION 100 MG EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE GLOBULIN HUMAN SUBQ INFUSION 100 MG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90284","description":"IMMUNE GLOBULIN HUMAN SUBQ INFUSION 100 MG EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83516","description":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAL SINGLE STEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83518","description":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAL SINGLE STEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83516","description":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83519","description":"IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUANTITATIVE NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83520","description":"IMMUNOASSAY ANALYTE QUANTITATIVE NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86317","description":"IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86294","description":"IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86316","description":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86304","description":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86300","description":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86301","description":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86331","description":"IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNODIFFUSION NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86329","description":"IMMUNODIFFUSION NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFIXJ ELECTROPHORESIS SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86334","description":"IMMUNOFIXJ ELECTROPHORESIS SERUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88346","description":"IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENCE PER SPEC 1ST SINGLE ANTB STN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88346","description":"IMMUNOFLUORESCENCE PER SPEC 1ST SINGLE ANTB STN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOSUPPRESSIVE DRUG NOT OTHERWISE CLASSIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7599","description":"IMMUNOSUPPRESSIVE DRUG NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOSUPPRESSIVE DRUG NOT OTHERWISE CLASSIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7599","description":"IMMUNOSUPPRESSIVE DRUG NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMP MED TM ED AR-INIT ED PN MED ADMIN PRF ADM PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9426","description":"IMP MED TM ED AR-INIT ED PN MED ADMIN PRF ADM PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMP MED TM ED AR-INIT ED PN MED ADMIN PRF ADM PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9426","description":"IMP MED TM ED AR-INIT ED PN MED ADMIN PRF ADM PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMP MED TM ED AR-INIT PAIN MED ADMIN NOT PRF ADM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9427","description":"IMP MED TM ED AR-INIT PAIN MED ADMIN NOT PRF ADM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMP MED TM ED AR-INIT PAIN MED ADMIN NOT PRF ADM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9427","description":"IMP MED TM ED AR-INIT PAIN MED ADMIN NOT PRF ADM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69714","description":"IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69714","description":"IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT CARDIOVERT-DEFIB (ICD) COUNSELING PROV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4470F","description":"IMPLANT CARDIOVERT-DEFIB (ICD) COUNSELING PROV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT CARDIOVERT-DEFIB (ICD) COUNSELING PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4470F","description":"IMPLANT CARDIOVERT-DEFIB (ICD) COUNSELING PROV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8600","description":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE INTRASPINL CATHETER USED W/PUMP-REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0785","description":"IMPLANTABLE INTRASPINL CATHETER USED W/PUMP-REPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8680","description":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR ANY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8679","description":"IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR ANY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE NEUROSTIMULATOR RADIOFREQ RECEIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8682","description":"IMPLANTABLE NEUROSTIMULATOR RADIOFREQ RECEIVER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE PROGRAMMABLE INFUSION PUMP REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0786","description":"IMPLANTABLE PROGRAMMABLE INFUSION PUMP REPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTATION NERVE END BONE/MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64787","description":"IMPLANTATION NERVE END BONE/MUSCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTATION NERVE END BONE/MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64787","description":"IMPLANTATION NERVE END BONE/MUSCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15777","description":"IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15777","description":"IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61517","description":"IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61517","description":"IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67027","description":"IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67027","description":"IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ OSSEOINTEGRATED TEMPORAL BONE W/MASTOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69714","description":"IMPLTJ OSSEOINTEGRATED TEMPORAL BONE W/MASTOID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62350","description":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62350","description":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62351","description":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62351","description":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT FS NON-PRGRBL PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62361","description":"IMPLTJ/RPLCMT FS NON-PRGRBL PUMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT FS NON-PRGRBL PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62361","description":"IMPLTJ/RPLCMT FS NON-PRGRBL PUMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62362","description":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62362","description":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62360","description":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62360","description":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION AURICULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21086","description":"IMPRESSION AND PREPARATION AURICULAR PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION AURICULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21086","description":"IMPRESSION AND PREPARATION AURICULAR PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION FACIAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21088","description":"IMPRESSION AND PREPARATION FACIAL PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION FACIAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21088","description":"IMPRESSION AND PREPARATION FACIAL PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION INTERIM OBTURATOR PROST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21079","description":"IMPRESSION AND PREPARATION INTERIM OBTURATOR PROST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION NASAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21087","description":"IMPRESSION AND PREPARATION NASAL PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION NASAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21087","description":"IMPRESSION AND PREPARATION NASAL PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION ORAL SURGICAL SPLINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21085","description":"IMPRESSION AND PREPARATION ORAL SURGICAL SPLINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION ORAL SURGICAL SPLINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21085","description":"IMPRESSION AND PREPARATION ORAL SURGICAL SPLINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION ORBITAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21077","description":"IMPRESSION AND PREPARATION ORBITAL PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION ORBITAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21077","description":"IMPRESSION AND PREPARATION ORBITAL PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION PALATAL LIFT PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21083","description":"IMPRESSION AND PREPARATION PALATAL LIFT PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION PALATAL LIFT PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21083","description":"IMPRESSION AND PREPARATION PALATAL LIFT PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION SPEECH AID PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21084","description":"IMPRESSION AND PREPARATION SPEECH AID PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION SPEECH AID PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21084","description":"IMPRESSION AND PREPARATION SPEECH AID PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPJ DEFINITIVE OBTURATOR PROSTHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21080","description":"IMPRESSION AND PREPJ DEFINITIVE OBTURATOR PROSTHES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPJ MANDIBULAR RESECTION PROSTHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21081","description":"IMPRESSION AND PREPJ MANDIBULAR RESECTION PROSTHES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPJ PALATAL AUGMENTATION PROSTHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21082","description":"IMPRESSION AND PREPJ PALATAL AUGMENTATION PROSTHES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPJ DEFINITIVE OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21080","description":"IMPRESSION and PREPJ DEFINITIVE OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPJ DEFINITIVE OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21080","description":"IMPRESSION and PREPJ DEFINITIVE OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPJ MANDIBULAR RESECTION PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21081","description":"IMPRESSION and PREPJ MANDIBULAR RESECTION PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPJ MANDIBULAR RESECTION PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21081","description":"IMPRESSION and PREPJ MANDIBULAR RESECTION PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPJ PALATAL AUGMENTATION PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21082","description":"IMPRESSION and PREPJ PALATAL AUGMENTATION PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPJ PALATAL AUGMENTATION PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21082","description":"IMPRESSION and PREPJ PALATAL AUGMENTATION PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION SURG OBTURATOR PROSTHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21076","description":"IMPRESSION AND PREPARATION SURG OBTURATOR PROSTHES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPARATION INTERIM OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21079","description":"IMPRESSION and PREPARATION INTERIM OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPARATION INTERIM OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21079","description":"IMPRESSION and PREPARATION INTERIM OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPARATION SURGICAL OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21076","description":"IMPRESSION and PREPARATION SURGICAL OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPARATION SURGICAL OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21076","description":"IMPRESSION and PREPARATION SURGICAL OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPROV VISUAL FUNCT ACHV W/I 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0913","description":"IMPROV VISUAL FUNCT ACHV W/I 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPROV VISUAL FUNCT ACHV W/I 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0913","description":"IMPROV VISUAL FUNCT ACHV W/I 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPROV VISUAL FUNCT NOT ACHV 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0915","description":"IMPROV VISUAL FUNCT NOT ACHV 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPROV VISUAL FUNCT NOT ACHV 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0915","description":"IMPROV VISUAL FUNCT NOT ACHV 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN SITU HYBRIDIZATION 1ST PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88365","description":"IN SITU HYBRIDIZATION 1ST PROBE STAIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35585","description":"IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35585","description":"IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU VEIN BYP POP-TIBL PRONEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35587","description":"IN-SITU VEIN BYP POP-TIBL PRONEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU VEIN BYP POP-TIBL PRONEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35587","description":"IN-SITU VEIN BYP POP-TIBL PRONEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU VEIN BYPASS FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35583","description":"IN-SITU VEIN BYPASS FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU VEIN BYPASS FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35583","description":"IN-SITU VEIN BYPASS FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23935","description":"INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23935","description":"INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27303","description":"INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27303","description":"INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INC IMPLTJ CRNL NRV NSTIM ELTRDS AND PULSE GENER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64568","description":"INC IMPLTJ CRNL NRV NSTIM ELTRDS AND PULSE GENER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INC IMPLTJ NEUROSTIMULATOR ELTRD SACRAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64581","description":"INC IMPLTJ NEUROSTIMULATOR ELTRD SACRAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INC IMPLTJ NSTIM ELTRD NEUROMUSCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64580","description":"INC IMPLTJ NSTIM ELTRD NEUROMUSCULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64575","description":"INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCIDENTAL THYROID NODULE LT 1.0 CM NOTED REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9552","description":"INCIDENTAL THYROID NODULE LT 1.0 CM NOTED REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCIDENTAL THYROID NODULE LT 1.0 CM NOTED REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9552","description":"INCIDENTAL THYROID NODULE LT 1.0 CM NOTED REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISE AND RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62148","description":"INCISE AND RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISE AND RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62148","description":"INCISE AND RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE COMPLEX PO WOUND INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10180","description":"INCISION AND DRAINAGE COMPLEX PO WOUND INFECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE COMPLEX PO WOUND INFECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10180","description":"INCISION AND DRAINAGE COMPLEX PO WOUND INFECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE PILONIDAL CYST COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10081","description":"INCISION AND DRAINAGE PILONIDAL CYST COMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE PILONIDAL CYST COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10081","description":"INCISION AND DRAINAGE PILONIDAL CYST COMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE PILONIDAL CYST SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10080","description":"INCISION AND DRAINAGE PILONIDAL CYST SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE PILONIDAL CYST SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10080","description":"INCISION AND DRAINAGE PILONIDAL CYST SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND REMOVAL FOREIGN BODY SUBQ TISS COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10121","description":"INCISION AND REMOVAL FOREIGN BODY SUBQ TISS COMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10120","description":"INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10120","description":"INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND SUBCUTANEOUS PLMT CRANIAL BONE GRAF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61316","description":"INCISION AND SUBCUTANEOUS PLMT CRANIAL BONE GRAF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE ABSCESS COMPLICATED/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10061","description":"INCISION and DRAINAGE ABSCESS COMPLICATED/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE ABSCESS COMPLICATED/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10061","description":"INCISION and DRAINAGE ABSCESS COMPLICATED/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE ABSCESS SIMPLE/SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10060","description":"INCISION and DRAINAGE ABSCESS SIMPLE/SINGLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE ABSCESS SIMPLE/SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10060","description":"INCISION and DRAINAGE ABSCESS SIMPLE/SINGLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE FOREARM and /WRIST BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25031","description":"INCISION and DRAINAGE FOREARM and /WRIST BURSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE FOREARM and /WRIST BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25031","description":"INCISION and DRAINAGE FOREARM and /WRIST BURSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27603","description":"INCISION and DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27603","description":"INCISION and DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LEG/ANKLE INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27604","description":"INCISION and DRAINAGE LEG/ANKLE INFECTED BURSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LEG/ANKLE INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27604","description":"INCISION and DRAINAGE LEG/ANKLE INFECTED BURSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and REMOVAL FOREIGN BODY SUBQ TISS COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10121","description":"INCISION and REMOVAL FOREIGN BODY SUBQ TISS COMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and REMOVAL FOREIGN BODY SUBQ TISS COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10121","description":"INCISION and REMOVAL FOREIGN BODY SUBQ TISS COMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION ANAL SEPTUM INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46070","description":"INCISION ANAL SEPTUM INFANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION ANAL SEPTUM INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46070","description":"INCISION ANAL SEPTUM INFANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44900","description":"INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44900","description":"INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE BURSA FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28001","description":"INCISION AND DRAINAGE BURSA FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE BURSA FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28001","description":"INCISION AND DRAINAGE BURSA FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28005","description":"INCISION BONE CORTEX FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28005","description":"INCISION BONE CORTEX FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX HAND/FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26034","description":"INCISION BONE CORTEX HAND/FINGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX HAND/FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26034","description":"INCISION BONE CORTEX HAND/FINGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX PELVIS and /HIP JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26992","description":"INCISION BONE CORTEX PELVIS and /HIP JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX PELVIS and /HIP JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26992","description":"INCISION BONE CORTEX PELVIS and /HIP JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX SHOULDER AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23035","description":"INCISION BONE CORTEX SHOULDER AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX SHOULDER AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23035","description":"INCISION BONE CORTEX SHOULDER AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION CONJUNCTIVA DRAINAGE OF CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68020","description":"INCISION CONJUNCTIVA DRAINAGE OF CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION CONJUNCTIVA DRAINAGE OF CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68020","description":"INCISION CONJUNCTIVA DRAINAGE OF CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DEEP BONE CORTEX FOREARM and /WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25035","description":"INCISION DEEP BONE CORTEX FOREARM and /WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DEEP BONE CORTEX FOREARM and /WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25035","description":"INCISION DEEP BONE CORTEX FOREARM and /WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DEEP OPENING BONE CORTEX THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21510","description":"INCISION DEEP OPENING BONE CORTEX THORAX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DEEP OPENING BONE CORTEX THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21510","description":"INCISION DEEP OPENING BONE CORTEX THORAX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DRAINAGE LACRIMAL GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68400","description":"INCISION DRAINAGE LACRIMAL GLAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DRAINAGE LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68420","description":"INCISION DRAINAGE LACRIMAL SAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION EXTENSOR TENDON SHEATH WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25000","description":"INCISION EXTENSOR TENDON SHEATH WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION EXTENSOR TENDON SHEATH WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25000","description":"INCISION EXTENSOR TENDON SHEATH WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION FLEXOR TENDON SHEATH WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25001","description":"INCISION FLEXOR TENDON SHEATH WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION FLEXOR TENDON SHEATH WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25001","description":"INCISION FLEXOR TENDON SHEATH WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LABIAL FRENUM FRENOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40806","description":"INCISION LABIAL FRENUM FRENOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LABIAL FRENUM FRENOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40806","description":"INCISION LABIAL FRENUM FRENOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LEG/ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27607","description":"INCISION LEG/ANKLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LEG/ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27607","description":"INCISION LEG/ANKLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LINGUAL FRENUM FRENOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41010","description":"INCISION LINGUAL FRENUM FRENOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LINGUAL FRENUM FRENOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41010","description":"INCISION LINGUAL FRENUM FRENOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION THROMBOSED HEMORRHOID EXTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46083","description":"INCISION THROMBOSED HEMORRHOID EXTERNAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION THROMBOSED HEMORRHOID EXTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46083","description":"INCISION THROMBOSED HEMORRHOID EXTERNAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LACRIMAL GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68400","description":"INCISION and DRAINAGE LACRIMAL GLAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LACRIMAL GLAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68400","description":"INCISION and DRAINAGE LACRIMAL GLAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68420","description":"INCISION and DRAINAGE LACRIMAL SAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68420","description":"INCISION and DRAINAGE LACRIMAL SAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE UPPER ARM/ELBOW BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23931","description":"INCISION and DRAINAGE UPPER ARM/ELBOW BURSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE UPPER ARM/ELBOW BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23931","description":"INCISION and DRAINAGE UPPER ARM/ELBOW BURSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and SUBCUTANEOUS PLMT CRANIAL BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61316","description":"INCISION and SUBCUTANEOUS PLMT CRANIAL BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and SUBCUTANEOUS PLMT CRANIAL BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61316","description":"INCISION and SUBCUTANEOUS PLMT CRANIAL BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY EYELID SKIN AND LID MARGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67810","description":"INCISIONAL BIOPSY EYELID SKIN AND LID MARGIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67810","description":"INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67810","description":"INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE SUPPLY URETHRAL INSERT ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4336","description":"INCONTINENCE SUPPLY URETHRAL INSERT ANY TYPE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE SUPPLY URETHRAL INSERT ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4336","description":"INCONTINENCE SUPPLY URETHRAL INSERT ANY TYPE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9513","description":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9513","description":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIVIDUAL HAD A PDC OF 0.8 OR GREATER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9512","description":"INDIVIDUAL HAD A PDC OF 0.8 OR GREATER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIVIDUAL HAD A PDC OF 0.8 OR GREATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9512","description":"INDIVIDUAL HAD A PDC OF 0.8 OR GREATER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92240","description":"INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I and R UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92240","description":"INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I and R UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCE ABORT 1 OR GT AMNIOT NJXS DLVR FETUS D and C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59851","description":"INDUCE ABORT 1 OR GT AMNIOT NJXS DLVR FETUS D and C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCE ABORT 1 OR GT AMNIOT NJXS DLVR FETUS D and C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59851","description":"INDUCE ABORT 1 OR GT AMNIOT NJXS DLVR FETUS D and C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCE ABORT 1 OR GT AMNIOT NJXS DLVR FETUS HYSTOTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59852","description":"INDUCE ABORT 1 OR GT AMNIOT NJXS DLVR FETUS HYSTOTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCE ABORT 1 OR GT AMNIOT NJXS DLVR FETUS HYSTOTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59852","description":"INDUCE ABORT 1 OR GT AMNIOT NJXS DLVR FETUS HYSTOTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT VAG SUPP DLVR FETUS D and C and /E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59856","description":"INDUCED ABORT 1 OR GT VAG SUPP DLVR FETUS D and C and /E","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT VAG SUPP DLVR FETUS D and C and /E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59856","description":"INDUCED ABORT 1 OR GT VAG SUPP DLVR FETUS D and C and /E","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT VAG SUPPOS DLVR FETUS HYSTOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59857","description":"INDUCED ABORT 1 OR GT VAG SUPPOS DLVR FETUS HYSTOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT VAG SUPPOS DLVR FETUS HYSTOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59857","description":"INDUCED ABORT 1 OR GT VAG SUPPOS DLVR FETUS HYSTOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT VAG SUPPOSITORIES DLVR FETUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59855","description":"INDUCED ABORT 1 OR GT VAG SUPPOSITORIES DLVR FETUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT VAG SUPPOSITORIES DLVR FETUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59855","description":"INDUCED ABORT 1 OR GT VAG SUPPOSITORIES DLVR FETUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION 1 OR GT AMNIOTIC INJX W/D and C/EVACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59850","description":"INDUCED ABORTION 1 OR GT AMNIOTIC INJX W/D and C/EVACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION 1 OR GT AMNIOTIC INJX W/D and C/EVACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59850","description":"INDUCED ABORTION 1 OR GT AMNIOTIC INJX W/D and C/EVACJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION DILATION AND EVACUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59841","description":"INDUCED ABORTION DILATION AND EVACUATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION DILATION AND EVACUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59841","description":"INDUCED ABORTION DILATION AND EVACUATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION DILATION AND CURETTAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59840","description":"INDUCED ABORTION DILATION AND CURETTAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION DILATION AND CURETTAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59840","description":"INDUCED ABORTION DILATION AND CURETTAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL CATH FOLEY TYPE TWO-WAY ALL SILCON EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4344","description":"INDWELL CATH FOLEY TYPE TWO-WAY ALL SILCON EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL CATH; FOLEY TYPE TWO-WAY LATEX W/COAT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4338","description":"INDWELL CATH; FOLEY TYPE TWO-WAY LATEX W/COAT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL CATH; FOLEY TYPE TWO-WAY LATEX W/COAT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4338","description":"INDWELL CATH; FOLEY TYPE TWO-WAY LATEX W/COAT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL CATH; FOLY TYPE 3-WAY CONT IRRIGATION EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4346","description":"INDWELL CATH; FOLY TYPE 3-WAY CONT IRRIGATION EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL CATH; FOLY TYPE 3-WAY CONT IRRIGATION EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4346","description":"INDWELL CATH; FOLY TYPE 3-WAY CONT IRRIGATION EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDWELLING CATH FOLEY TYPE TWO-WAY ALL SIL/PU EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4344","description":"INDWELLING CATH FOLEY TYPE TWO-WAY ALL SIL/PU EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDWELLING CATH FOLEY TYPE TWO-WAY ALL SIL/PU EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4344","description":"INDWELLING CATH FOLEY TYPE TWO-WAY ALL SIL/PU EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDWELLING CATHETER; SPECIALTY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4340","description":"INDWELLING CATHETER; SPECIALTY TYPE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INDWELLING CATHETER; SPECIALTY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4340","description":"INDWELLING CATHETER; SPECIALTY TYPE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INE HYALURONIDASE OVINE PRES FREE 1 USP UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3471","description":"INE HYALURONIDASE OVINE PRES FREE 1 USP UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INE HYALURONIDASE OVINE PRES FREE 1 USP UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3471","description":"INE HYALURONIDASE OVINE PRES FREE 1 USP UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87493","description":"INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INF AGT AB DETECT EIA TECH HIV-1 and /HIV-2 SCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0432","description":"INF AGT AB DETECT EIA TECH HIV-1 and /HIV-2 SCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INF AGT AB DETECT EIA TECH HIV-1 and /HIV-2 SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0432","description":"INF AGT AB DETECT EIA TECH HIV-1 and /HIV-2 SCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INF AGT ANTIG DETECT RPD AB TST OMT HIV-1/-2 SCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0435","description":"INF AGT ANTIG DETECT RPD AB TST OMT HIV-1/-2 SCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INF AGT ANTIG DETECT RPD AB TST OMT HIV-1/-2 SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0435","description":"INF AGT ANTIG DETECT RPD AB TST OMT HIV-1/-2 SCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INF ANTIBODY ELISA TECH HIV-1 and /OR HIV-2 SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0433","description":"INF ANTIBODY ELISA TECH HIV-1 and /OR HIV-2 SCREEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INF ANTIBODY ELISA TECH HIV-1 and /OR HIV-2 SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0433","description":"INF ANTIBODY ELISA TECH HIV-1 and /OR HIV-2 SCREEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87502","description":"INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS AGENT DNA/RNA INFLUENZA EA TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87501","description":"INFECTIOUS AGENT DNA/RNA INFLUENZA EA TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87500","description":"INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS AGENT ENZYMATIC ACTV OTH/THN VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87905","description":"INFECTIOUS AGENT ENZYMATIC ACTV OTH/THN VIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION ORDERED OR ADMINISTERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4037F","description":"INFLUENZA IMMUNIZATION ORDERED OR ADMINISTERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION ORDERED OR ADMINISTERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4037F","description":"INFLUENZA IMMUNIZATION ORDERED OR ADMINISTERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4035F","description":"INFLUENZA IMMUNIZATION RECOMMENDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4035F","description":"INFLUENZA IMMUNIZATION RECOMMENDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1030F","description":"INFLUENZA IMMUNIZATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1030F","description":"INFLUENZA IMMUNIZATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFO SYSTEM ANALYSIS ABNORMAL INTERPRATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"7025F","description":"INFO SYSTEM ANALYSIS ABNORMAL INTERPRATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFO SYSTEM ANALYSIS ABNORMAL INTERPRATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"7025F","description":"INFO SYSTEM ANALYSIS ABNORMAL INTERPRATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR and /MOBI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61591","description":"INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR and /MOBI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR and /MOBI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61591","description":"INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR and /MOBI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61590","description":"INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61590","description":"INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SPL EXT RX INFUS PUMP CASSETTE/BAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4222","description":"INFUS SPL EXT RX INFUS PUMP CASSETTE/BAG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SPL EXT RX INFUS PUMP CASSETTE/BAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4222","description":"INFUS SPL EXT RX INFUS PUMP CASSETTE/BAG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION D-5-W 1000 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7070","description":"INFUSION D-5-W 1000 CC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION D-5-W 1000 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7070","description":"INFUSION D-5-W 1000 CC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION DEXTRAN 40500 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7100","description":"INFUSION DEXTRAN 40500 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION DEXTRAN 40500 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7100","description":"INFUSION DEXTRAN 40500 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION DEXTRAN 75500 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7110","description":"INFUSION DEXTRAN 75500 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION DEXTRAN 75500 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7110","description":"INFUSION DEXTRAN 75500 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION NORMAL SALINE SOLUTION 1000 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7030","description":"INFUSION NORMAL SALINE SOLUTION 1000 CC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION NORMAL SALINE SOLUTION 1000 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7030","description":"INFUSION NORMAL SALINE SOLUTION 1000 CC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION NORMAL SALINE SOLUTION 250 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7050","description":"INFUSION NORMAL SALINE SOLUTION 250 CC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION NORMAL SALINE SOLUTION 250 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7050","description":"INFUSION NORMAL SALINE SOLUTION 250 CC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION NORMAL SALINE SOLUTION STERILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7040","description":"INFUSION NORMAL SALINE SOLUTION STERILE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION NORMAL SALINE SOLUTION STERILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7040","description":"INFUSION NORMAL SALINE SOLUTION STERILE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION PUMP IMPLANTABLE NON-PROGRAMMABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0782","description":"INFUSION PUMP IMPLANTABLE NON-PROGRAMMABLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION PUMP SYSTEM IMPLANTABLE PROGRAMMABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0783","description":"INFUSION PUMP SYSTEM IMPLANTABLE PROGRAMMABLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION PUMP UNINTERRUPTED PARENTERAL ADMIN MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0455","description":"INFUSION PUMP UNINTERRUPTED PARENTERAL ADMIN MED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38760","description":"INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38760","description":"INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38765","description":"INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38765","description":"INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INHALED BRONCHODILATOR PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4025F","description":"INHALED BRONCHODILATOR PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHALED BRONCHODILATOR PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4025F","description":"INHALED BRONCHODILATOR PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHALED CORTICOSTEROIDS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4140F","description":"INHALED CORTICOSTEROIDS PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHALED CORTICOSTEROIDS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4140F","description":"INHALED CORTICOSTEROIDS PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHIBIN A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86336","description":"INHIBIN A","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INHLJ BRNCL CHALLENGE TSTG W/HISTAM/METHACHOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95070","description":"INHLJ BRNCL CHALLENGE TSTG W/HISTAM/METHACHOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INHLJ BRNCL CHALLENGE TSTG W/HISTAMINE/METHACHOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95070","description":"INHLJ BRNCL CHALLENGE TSTG W/HISTAMINE/METHACHOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INHLJ BRNCL CHALLENGE TSTG W/HISTAMINE/METHACHOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95070","description":"INHLJ BRNCL CHALLENGE TSTG W/HISTAMINE/METHACHOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INIT ABVE KNEE-DISARTC ISCH LEVL SOCKT NON-ALIGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5505","description":"INIT ABVE KNEE-DISARTC ISCH LEVL SOCKT NON-ALIGN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INIT BELOW KNEE PTB SOCKET NON-ALIGN DIR FORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5500","description":"INIT BELOW KNEE PTB SOCKET NON-ALIGN DIR FORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INIT PREV PE LTD NEW BENEF DUR 1ST 12 MOS MCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0402","description":"INIT PREV PE LTD NEW BENEF DUR 1ST 12 MOS MCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INIT PREV PE LTD NEW BENEF DUR 1ST 12 MOS MCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0402","description":"INIT PREV PE LTD NEW BENEF DUR 1ST 12 MOS MCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL EVALUATION FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1119F","description":"INITIAL EVALUATION FOR CONDITION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL EVALUATION FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1119F","description":"INITIAL EVALUATION FOR CONDITION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL EXAMINATION INVOLVED JOINTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2004F","description":"INITIAL EXAMINATION INVOLVED JOINTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL EXAMINATION INVOLVED JOINTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2004F","description":"INITIAL EXAMINATION INVOLVED JOINTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSP NEONATE 28 D OR LT NOT CRITICALLY ILL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99477","description":"INITIAL HOSP NEONATE 28 D OR LT NOT CRITICALLY ILL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSP NEONATE 28 D OR LT NOT CRITICALLY ILL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99477","description":"INITIAL HOSP NEONATE 28 D OR LT NOT CRITICALLY ILL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSPITAL CARE/DAY 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99221","description":"INITIAL HOSPITAL CARE/DAY 30 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSPITAL CARE/DAY 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99222","description":"INITIAL HOSPITAL CARE/DAY 50 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSPITAL CARE/DAY 70 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99223","description":"INITIAL HOSPITAL CARE/DAY 70 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99306","description":"INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99306","description":"INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99305","description":"INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99305","description":"INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99304","description":"INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99304","description":"INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE/DAY 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99304","description":"INITIAL NURSING FACILITY CARE/DAY 25 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE/DAY 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99305","description":"INITIAL NURSING FACILITY CARE/DAY 35 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE/DAY 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99306","description":"INITIAL NURSING FACILITY CARE/DAY 45 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PED CRITICAL CARE 2 THRU 5 YEARS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99475","description":"INITIAL PED CRITICAL CARE 2 THRU 5 YEARS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PED CRITICAL CARE 2 THRU 5 YEARS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99475","description":"INITIAL PED CRITICAL CARE 2 THRU 5 YEARS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99471","description":"INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99471","description":"INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PHYS E and M DIABETIC NEUROPATHY W/LOPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0245","description":"INITIAL PHYS E and M DIABETIC NEUROPATHY W/LOPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PHYS E and M DIABETIC NEUROPATHY W/LOPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0245","description":"INITIAL PHYS E and M DIABETIC NEUROPATHY W/LOPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PRENATAL CARE VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0500F","description":"INITIAL PRENATAL CARE VISIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PRENATAL CARE VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0500F","description":"INITIAL PRENATAL CARE VISIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99386","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99386","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS and GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99387","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS and GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS and GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99387","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS and GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99385","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99385","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL TX 1ST DEGREE BURN LOCAL TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16000","description":"INITIAL TX 1ST DEGREE BURN LOCAL TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL TX 1ST DEGREE BURN LOCAL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16000","description":"INITIAL TX 1ST DEGREE BURN LOCAL TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL VISIT FOR EPISODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0525F","description":"INITIAL VISIT FOR EPISODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL VISIT FOR EPISODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0525F","description":"INITIAL VISIT FOR EPISODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0129","description":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0129","description":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ AHF/ VWF CMPLX PER FACTOR VIII IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7186","description":"INJ AHF/ VWF CMPLX PER FACTOR VIII IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ AHF/ VWF CMPLX PER FACTOR VIII IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7186","description":"INJ AHF/ VWF CMPLX PER FACTOR VIII IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ BETAMETHASONE ACETATE AND PHOSPHATE 3 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0702","description":"INJ BETAMETHASONE ACETATE AND PHOSPHATE 3 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ BETAMETHASONE ACETATE AND PHOSPHATE 3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0702","description":"INJ BETAMETHASONE ACETATE AND PHOSPHATE 3 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ BULK AGT COLL IMPL URIN TRACT 2.5 ML SYRINGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8603","description":"INJ BULK AGT COLL IMPL URIN TRACT 2.5 ML SYRINGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ BULK AGT DX/HA COPOLYMER IMPL ANAL CNL 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8605","description":"INJ BULK AGT DX/HA COPOLYMER IMPL ANAL CNL 1 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ BULK AGT SYNTH IMPL URIN TRACT 1 ML SYRINGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8606","description":"INJ BULK AGT SYNTH IMPL URIN TRACT 1 ML SYRINGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ C-1 ESTERASE INHIB HUMN BERINERT 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0597","description":"INJ C-1 ESTERASE INHIB HUMN BERINERT 10 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ C-1 ESTERASE INHIB HUMN BERINERT 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0597","description":"INJ C-1 ESTERASE INHIB HUMN BERINERT 10 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0775","description":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0775","description":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0882","description":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0882","description":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7195","description":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7195","description":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1573","description":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1573","description":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1571","description":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1571","description":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3472","description":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3472","description":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1720","description":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1720","description":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ IBUTILIDE FUMARATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1742","description":"INJ IBUTILIDE FUMARATE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ IBUTILIDE FUMARATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1742","description":"INJ IBUTILIDE FUMARATE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG FLEBOGAMMA DIF IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1572","description":"INJ IG FLEBOGAMMA DIF IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG FLEBOGAMMA DIF IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1572","description":"INJ IG FLEBOGAMMA DIF IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG GAMMAGARD LIQ IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1569","description":"INJ IG GAMMAGARD LIQ IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1566","description":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1566","description":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG IV NONLYOPHILIZED E.G. LIQUID NOS 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1599","description":"INJ IG IV NONLYOPHILIZED E.G. LIQUID NOS 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG IV NONLYOPHILIZED E.G. LIQUID NOS 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1599","description":"INJ IG IV NONLYOPHILIZED E.G. LIQUID NOS 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1568","description":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1568","description":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG PRIVIGEN IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1459","description":"INJ IG PRIVIGEN IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG PRIVIGEN IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1459","description":"INJ IG PRIVIGEN IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1459","description":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1572","description":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2353","description":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2353","description":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ OCTREOTIDE NON-DEPOT FORM SUBQ/IV INJ 25 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2354","description":"INJ OCTREOTIDE NON-DEPOT FORM SUBQ/IV INJ 25 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ OCTREOTIDE NON-DEPOT FORM SUBQ/IV INJ 25 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2354","description":"INJ OCTREOTIDE NON-DEPOT FORM SUBQ/IV INJ 25 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ PIPERACILLIN SOD/TAZOBACTAM SOD 1 G/0.125 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2543","description":"INJ PIPERACILLIN SOD/TAZOBACTAM SOD 1 G/0.125 G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ PIPERACILLIN SOD/TAZOBACTAM SOD 1 G/0.125 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2543","description":"INJ PIPERACILLIN SOD/TAZOBACTAM SOD 1 G/0.125 G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ PROC SI JNT;ANES STEROID and /TX AGT and ARTHROGRPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0260","description":"INJ PROC SI JNT;ANES STEROID and /TX AGT and ARTHROGRPH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ PROC SI JNT;ANES STEROID and /TX AGT and ARTHROGRPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0260","description":"INJ PROC SI JNT;ANES STEROID and /TX AGT and ARTHROGRPH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ PROCHLORPERAZINE TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0780","description":"INJ PROCHLORPERAZINE TO 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ PROCHLORPERAZINE TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0780","description":"INJ PROCHLORPERAZINE TO 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50684","description":"INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50684","description":"INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38792","description":"INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38792","description":"INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IG HUMAN RHOPHYLAC IM/IV 100 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2791","description":"INJ RHO D IG HUMAN RHOPHYLAC IM/IV 100 IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IG HUMAN RHOPHYLAC IM/IV 100 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2791","description":"INJ RHO D IG HUMAN RHOPHYLAC IM/IV 100 IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2792","description":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2792","description":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2788","description":"INJ RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2788","description":"INJ RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2916","description":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2916","description":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67025","description":"INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67025","description":"INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3240","description":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3240","description":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3300","description":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3300","description":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ VONWILLEBRND FACTOR CMPLX HUMN RISTOCETIN IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7187","description":"INJ VONWILLEBRND FACTOR CMPLX HUMN RISTOCETIN IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ VONWILLEBRND FACTOR CMPLX HUMN RISTOCETIN IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7187","description":"INJ VONWILLEBRND FACTOR CMPLX HUMN RISTOCETIN IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49427","description":"INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49427","description":"INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECT SI JOINT ARTHRGRPHY and /ANES/STEROID W/IMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27096","description":"INJECT SI JOINT ARTHRGRPHY and /ANES/STEROID W/IMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECT SI JOINT ARTHRGRPHY and /ANES/STEROID W/IMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27096","description":"INJECT SI JOINT ARTHRGRPHY and /ANES/STEROID W/IMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IDURSULFASE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1743","description":"INJECTION IDURSULFASE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IDURSULFASE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1743","description":"INJECTION IDURSULFASE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NATALIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2323","description":"INJECTION NATALIZUMAB 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NATALIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2323","description":"INJECTION NATALIZUMAB 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20550","description":"INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20550","description":"INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD AXILLARY NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64417","description":"INJECTION AA and /STRD AXILLARY NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD AXILLARY NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64417","description":"INJECTION AA and /STRD AXILLARY NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD AXILLARY NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64417","description":"INJECTION AA and /STRD AXILLARY NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACH PLEX CONT NFS CATH IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64416","description":"INJECTION AA and /STRD BRACH PLEX CONT NFS CATH IMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACH PLEX CONT NFS CATH IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64416","description":"INJECTION AA and /STRD BRACH PLEX CONT NFS CATH IMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACHIAL PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64415","description":"INJECTION AA and /STRD BRACHIAL PLEXUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACHIAL PLEXUS CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64416","description":"INJECTION AA and /STRD BRACHIAL PLEXUS CONT NFS CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACHIAL PLEXUS W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64415","description":"INJECTION AA and /STRD BRACHIAL PLEXUS W/IMG GDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACHIAL PLEXUS W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64415","description":"INJECTION AA and /STRD BRACHIAL PLEXUS W/IMG GDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD FEMORAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64447","description":"INJECTION AA and /STRD FEMORAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD FEMORAL NERVE CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64448","description":"INJECTION AA and /STRD FEMORAL NERVE CONT NFS CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD FEMORAL NERVE CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64448","description":"INJECTION AA and /STRD FEMORAL NERVE CONT NFS CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD FEMORAL NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64447","description":"INJECTION AA and /STRD FEMORAL NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD FEMORAL NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64447","description":"INJECTION AA and /STRD FEMORAL NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD GREATER OCCIPITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64405","description":"INJECTION AA and /STRD GREATER OCCIPITAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD GREATER OCCIPITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64405","description":"INJECTION AA and /STRD GREATER OCCIPITAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD ILIOINGUINAL IH NERVES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64425","description":"INJECTION AA and /STRD ILIOINGUINAL IH NERVES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD ILIOINGUINAL IH NERVES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64425","description":"INJECTION AA and /STRD ILIOINGUINAL IH NERVES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD INTERCOSTAL NRV EA ADDL LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64421","description":"INJECTION AA and /STRD INTERCOSTAL NRV EA ADDL LVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD INTERCOSTAL NRV EA ADDL LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64421","description":"INJECTION AA and /STRD INTERCOSTAL NRV EA ADDL LVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD INTERCOSTAL NRV SINGLE LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64420","description":"INJECTION AA and /STRD INTERCOSTAL NRV SINGLE LVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD INTERCOSTAL NRV SINGLE LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64420","description":"INJECTION AA and /STRD INTERCOSTAL NRV SINGLE LVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD LUMBAR PLEXUS CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64449","description":"INJECTION AA and /STRD LUMBAR PLEXUS CONT NFS CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD LUMBAR PLEXUS CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64449","description":"INJECTION AA and /STRD LUMBAR PLEXUS CONT NFS CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD OTHER PERIPHERAL NERVE/BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64450","description":"INJECTION AA and /STRD OTHER PERIPHERAL NERVE/BRANCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD OTHER PERIPHERAL NERVE/BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64450","description":"INJECTION AA and /STRD OTHER PERIPHERAL NERVE/BRANCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD PARACERVICAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64435","description":"INJECTION AA and /STRD PARACERVICAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD PARACERVICAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64435","description":"INJECTION AA and /STRD PARACERVICAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD PUDENDAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64430","description":"INJECTION AA and /STRD PUDENDAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD PUDENDAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64430","description":"INJECTION AA and /STRD PUDENDAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64445","description":"INJECTION AA and /STRD SCIATIC NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NERVE CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64446","description":"INJECTION AA and /STRD SCIATIC NERVE CONT NFS CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64445","description":"INJECTION AA and /STRD SCIATIC NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64445","description":"INJECTION AA and /STRD SCIATIC NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NRV CONT NFS CATH IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64446","description":"INJECTION AA and /STRD SCIATIC NRV CONT NFS CATH IMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NRV CONT NFS CATH IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64446","description":"INJECTION AA and /STRD SCIATIC NRV CONT NFS CATH IMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SUPRASCAPULAR NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64418","description":"INJECTION AA and /STRD SUPRASCAPULAR NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SUPRASCAPULAR NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64418","description":"INJECTION AA and /STRD SUPRASCAPULAR NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD TRIGEMINAL NERVE EACH BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64400","description":"INJECTION AA and /STRD TRIGEMINAL NERVE EACH BRANCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD TRIGEMINAL NERVE EACH BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64400","description":"INJECTION AA and /STRD TRIGEMINAL NERVE EACH BRANCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD VAGUS NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64408","description":"INJECTION AA and /STRD VAGUS NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD VAGUS NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64408","description":"INJECTION AA and /STRD VAGUS NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ABOBOTULINUMTOXINA 5 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0586","description":"INJECTION ABOBOTULINUMTOXINA 5 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ABOBOTULINUMTOXINA 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0586","description":"INJECTION ABOBOTULINUMTOXINA 5 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1120","description":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1120","description":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETYLCYSTEINE 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0132","description":"INJECTION ACETYLCYSTEINE 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETYLCYSTEINE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0132","description":"INJECTION ACETYLCYSTEINE 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACYCLOVIR 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0133","description":"INJECTION ACYCLOVIR 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACYCLOVIR 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0133","description":"INJECTION ACYCLOVIR 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADENOSINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0153","description":"INJECTION ADENOSINE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADENOSINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0153","description":"INJECTION ADENOSINE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AGALSIDASE BETA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0180","description":"INJECTION AGALSIDASE BETA 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AGALSIDASE BETA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0180","description":"INJECTION AGALSIDASE BETA 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49400","description":"INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49400","description":"INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALDESLEUKIN PER SINGLE USE VIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9015","description":"INJECTION ALDESLEUKIN PER SINGLE USE VIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALDESLEUKIN PER SINGLE USE VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9015","description":"INJECTION ALDESLEUKIN PER SINGLE USE VIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALGLUCOSIDASE ALFA 10 MG NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0220","description":"INJECTION ALGLUCOSIDASE ALFA 10 MG NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALGLUCOSIDASE ALFA 10 MG NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0220","description":"INJECTION ALGLUCOSIDASE ALFA 10 MG NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0256","description":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0256","description":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALTEPLASE RECOMBINANT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2997","description":"INJECTION ALTEPLASE RECOMBINANT 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALTEPLASE RECOMBINANT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2997","description":"INJECTION ALTEPLASE RECOMBINANT 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIFOSTINE 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0207","description":"INJECTION AMIFOSTINE 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIFOSTINE 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0207","description":"INJECTION AMIFOSTINE 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIKACIN SULFATE 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0278","description":"INJECTION AMIKACIN SULFATE 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIKACIN SULFATE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0278","description":"INJECTION AMIKACIN SULFATE 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOPHYLLIN UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0280","description":"INJECTION AMINOPHYLLIN UP TO 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOPHYLLINE UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0280","description":"INJECTION AMINOPHYLLINE UP TO 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOPHYLLINE UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0280","description":"INJECTION AMINOPHYLLINE UP TO 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIODARONE HYDROCHLORIDE 30 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0282","description":"INJECTION AMIODARONE HYDROCHLORIDE 30 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIODARONE HYDROCHLORIDE 30 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0282","description":"INJECTION AMIODARONE HYDROCHLORIDE 30 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMOBARBITAL UP TO 125 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0300","description":"INJECTION AMOBARBITAL UP TO 125 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMOBARBITAL UP TO 125 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0300","description":"INJECTION AMOBARBITAL UP TO 125 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0295","description":"INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0295","description":"INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0285","description":"INJECTION AMPHOTERICIN B 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0285","description":"INJECTION AMPHOTERICIN B 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B LIPID COMPLEX 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0287","description":"INJECTION AMPHOTERICIN B LIPID COMPLEX 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B LIPID COMPLEX 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0287","description":"INJECTION AMPHOTERICIN B LIPID COMPLEX 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B LIPOSOME 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0289","description":"INJECTION AMPHOTERICIN B LIPOSOME 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B LIPOSOME 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0289","description":"INJECTION AMPHOTERICIN B LIPOSOME 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPICILLIN SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0290","description":"INJECTION AMPICILLIN SODIUM 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPICILLIN SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0290","description":"INJECTION AMPICILLIN SODIUM 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES AGENT SPHENOPALATINE GANGLION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64505","description":"INJECTION ANES AGENT SPHENOPALATINE GANGLION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES AGENT SPHENOPALATINE GANGLION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64505","description":"INJECTION ANES AGENT SPHENOPALATINE GANGLION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64520","description":"INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64520","description":"INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64517","description":"INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64517","description":"INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANIDULAFUNGIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0348","description":"INJECTION ANIDULAFUNGIN 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANIDULAFUNGIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0348","description":"INJECTION ANIDULAFUNGIN 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANKLE ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27648","description":"INJECTION ANKLE ARTHROGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANKLE ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27648","description":"INJECTION ANKLE ARTHROGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANTITHROMBIN RECOMBINANT 50 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7196","description":"INJECTION ANTITHROMBIN RECOMBINANT 50 I.U.","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANTITHROMBIN RECOMBINANT 50 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7196","description":"INJECTION ANTITHROMBIN RECOMBINANT 50 I.U.","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE INTRAMUSCULAR 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0400","description":"INJECTION ARIPIPRAZOLE INTRAMUSCULAR 0.25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE INTRAMUSCULAR 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0400","description":"INJECTION ARIPIPRAZOLE INTRAMUSCULAR 0.25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARSENIC TRIOXIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9017","description":"INJECTION ARSENIC TRIOXIDE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARSENIC TRIOXIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9017","description":"INJECTION ARSENIC TRIOXIDE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATROPINE SULFATE 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0461","description":"INJECTION ATROPINE SULFATE 0.01 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATROPINE SULFATE 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0461","description":"INJECTION ATROPINE SULFATE 0.01 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AZACITIDINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9025","description":"INJECTION AZACITIDINE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AZACITIDINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9025","description":"INJECTION AZACITIDINE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AZITHROMYCIN 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0456","description":"INJECTION AZITHROMYCIN 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AZITHROMYCIN 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0456","description":"INJECTION AZITHROMYCIN 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BACLOFEN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0475","description":"INJECTION BACLOFEN 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BACLOFEN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0475","description":"INJECTION BACLOFEN 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0476","description":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0476","description":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BASILIXIMAB 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0480","description":"INJECTION BASILIXIMAB 20 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BASILIXIMAB 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0480","description":"INJECTION BASILIXIMAB 20 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELIMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0490","description":"INJECTION BELIMUMAB 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELIMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0490","description":"INJECTION BELIMUMAB 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9033","description":"INJECTION BENDAMUSTINE HCL 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9033","description":"INJECTION BENDAMUSTINE HCL 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL TREANDA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9033","description":"INJECTION BENDAMUSTINE HCL TREANDA 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENZTROPINE MESYLATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0515","description":"INJECTION BENZTROPINE MESYLATE PER 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENZTROPINE MESYLATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0515","description":"INJECTION BENZTROPINE MESYLATE PER 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9035","description":"INJECTION BEVACIZUMAB 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9035","description":"INJECTION BEVACIZUMAB 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BIVALIRUDIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0583","description":"INJECTION BIVALIRUDIN 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BIVALIRUDIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0583","description":"INJECTION BIVALIRUDIN 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BLEOMYCIN SULFATE 15 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9040","description":"INJECTION BLEOMYCIN SULFATE 15 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BLEOMYCIN SULFATE 15 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9040","description":"INJECTION BLEOMYCIN SULFATE 15 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9041","description":"INJECTION BORTEZOMIB 0.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9041","description":"INJECTION BORTEZOMIB 0.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BRENTUXIMAB VEDOTIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9042","description":"INJECTION BRENTUXIMAB VEDOTIN 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BRENTUXIMAB VEDOTIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9042","description":"INJECTION BRENTUXIMAB VEDOTIN 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BROMPHENIRAMINE MALEATE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0945","description":"INJECTION BROMPHENIRAMINE MALEATE PER 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BROMPHENIRAMINE MALEATE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0945","description":"INJECTION BROMPHENIRAMINE MALEATE PER 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0592","description":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0592","description":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUSULFAN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0594","description":"INJECTION BUSULFAN 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUSULFAN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0594","description":"INJECTION BUSULFAN 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUTORPHANOL TARTRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0595","description":"INJECTION BUTORPHANOL TARTRATE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUTORPHANOL TARTRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0595","description":"INJECTION BUTORPHANOL TARTRATE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION C1 ESTERASE INHIBITOR CINRYZE 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0598","description":"INJECTION C1 ESTERASE INHIBITOR CINRYZE 10 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION C1 ESTERASE INHIBITOR CINRYZE 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0598","description":"INJECTION C1 ESTERASE INHIBITOR CINRYZE 10 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALCITRIOL 0.1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0636","description":"INJECTION CALCITRIOL 0.1 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALCITRIOL 0.1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0636","description":"INJECTION CALCITRIOL 0.1 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CANAKINUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0638","description":"INJECTION CANAKINUMAB 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CANAKINUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0638","description":"INJECTION CANAKINUMAB 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOPLATIN 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9045","description":"INJECTION CARBOPLATIN 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOPLATIN 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9045","description":"INJECTION CARBOPLATIN 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARMUSTINE 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9050","description":"INJECTION CARMUSTINE 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARMUSTINE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9050","description":"INJECTION CARMUSTINE 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CASPOFUNGIN ACETATE 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0637","description":"INJECTION CASPOFUNGIN ACETATE 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CASPOFUNGIN ACETATE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0637","description":"INJECTION CASPOFUNGIN ACETATE 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFAZOLIN SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0690","description":"INJECTION CEFAZOLIN SODIUM 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFAZOLIN SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0690","description":"INJECTION CEFAZOLIN SODIUM 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0692","description":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0692","description":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOTAXIME SODIUM PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0698","description":"INJECTION CEFOTAXIME SODIUM PER G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOTAXIME SODIUM PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0698","description":"INJECTION CEFOTAXIME SODIUM PER G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOXITIN SODIUM 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0694","description":"INJECTION CEFOXITIN SODIUM 1 G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOXITIN SODIUM 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0694","description":"INJECTION CEFOXITIN SODIUM 1 G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAROLINE FOSAMIL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0712","description":"INJECTION CEFTAROLINE FOSAMIL 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAROLINE FOSAMIL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0712","description":"INJECTION CEFTAROLINE FOSAMIL 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAZIDIME PER 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0713","description":"INJECTION CEFTAZIDIME PER 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAZIDIME PER 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0713","description":"INJECTION CEFTAZIDIME PER 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTRIAXONE SODIUM PER 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0696","description":"INJECTION CEFTRIAXONE SODIUM PER 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTRIAXONE SODIUM PER 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0696","description":"INJECTION CEFTRIAXONE SODIUM PER 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CETUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9055","description":"INJECTION CETUXIMAB 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CETUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9055","description":"INJECTION CETUXIMAB 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0720","description":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0720","description":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORDIAZEPOXIDE HCL UP TO 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1990","description":"INJECTION CHLORDIAZEPOXIDE HCL UP TO 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORDIAZEPOXIDE HCL UP TO 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1990","description":"INJECTION CHLORDIAZEPOXIDE HCL UP TO 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLOROTHIAZIDE SODIUM PER 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1205","description":"INJECTION CHLOROTHIAZIDE SODIUM PER 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLOROTHIAZIDE SODIUM PER 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1205","description":"INJECTION CHLOROTHIAZIDE SODIUM PER 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3230","description":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3230","description":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIDOFOVIR 375 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0740","description":"INJECTION CIDOFOVIR 375 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIDOFOVIR 375 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0740","description":"INJECTION CIDOFOVIR 375 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0743","description":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0743","description":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0744","description":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0744","description":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9060","description":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9060","description":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLADRIBINE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9065","description":"INJECTION CLADRIBINE PER 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLADRIBINE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9065","description":"INJECTION CLADRIBINE PER 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLOFARABINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9027","description":"INJECTION CLOFARABINE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLOFARABINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9027","description":"INJECTION CLOFARABINE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLONIDINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0735","description":"INJECTION CLONIDINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLONIDINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0735","description":"INJECTION CLONIDINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CODEINE PHOSPHATE PER 30 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0745","description":"INJECTION CODEINE PHOSPHATE PER 30 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CODEINE PHOSPHATE PER 30 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0745","description":"INJECTION CODEINE PHOSPHATE PER 30 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0770","description":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0770","description":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68850","description":"INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68850","description":"INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COSYNTROPIN 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0834","description":"INJECTION COSYNTROPIN 0.25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COSYNTROPIN 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0834","description":"INJECTION COSYNTROPIN 0.25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOSPORINE 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7516","description":"INJECTION CYCLOSPORINE 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOSPORINE 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7516","description":"INJECTION CYCLOSPORINE 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYTARABINE 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9100","description":"INJECTION CYTARABINE 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYTARABINE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9100","description":"INJECTION CYTARABINE 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0850","description":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0850","description":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DACTINOMYCIN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9120","description":"INJECTION DACTINOMYCIN 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DACTINOMYCIN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9120","description":"INJECTION DACTINOMYCIN 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DALTEPARIN SODIUM PER 2500 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1645","description":"INJECTION DALTEPARIN SODIUM PER 2500 IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DALTEPARIN SODIUM PER 2500 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1645","description":"INJECTION DALTEPARIN SODIUM PER 2500 IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAPTOMYCIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0878","description":"INJECTION DAPTOMYCIN 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAPTOMYCIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0878","description":"INJECTION DAPTOMYCIN 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0881","description":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0881","description":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAUNORUBICIN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9150","description":"INJECTION DAUNORUBICIN 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAUNORUBICIN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9150","description":"INJECTION DAUNORUBICIN 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DECITABINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0894","description":"INJECTION DECITABINE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DECITABINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0894","description":"INJECTION DECITABINE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEFEROXAMINE MESYLATE 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0895","description":"INJECTION DEFEROXAMINE MESYLATE 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEFEROXAMINE MESYLATE 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0895","description":"INJECTION DEFEROXAMINE MESYLATE 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEGARELIX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9155","description":"INJECTION DEGARELIX 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEGARELIX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9155","description":"INJECTION DEGARELIX 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1000","description":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1000","description":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2597","description":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2597","description":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXAMETHOSONE SODIUM PHOSPHATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1100","description":"INJECTION DEXAMETHOSONE SODIUM PHOSPHATE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXAMETHOSONE SODIUM PHOSPHATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1100","description":"INJECTION DEXAMETHOSONE SODIUM PHOSPHATE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1190","description":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1190","description":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIAZEPAM UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3360","description":"INJECTION DIAZEPAM UP TO 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIAZEPAM UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3360","description":"INJECTION DIAZEPAM UP TO 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DICYCLOMINE HCL UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0500","description":"INJECTION DICYCLOMINE HCL UP TO 20 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DICYCLOMINE HCL UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0500","description":"INJECTION DICYCLOMINE HCL UP TO 20 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1162","description":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1162","description":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIGOXIN UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1160","description":"INJECTION DIGOXIN UP TO 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIGOXIN UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1160","description":"INJECTION DIGOXIN UP TO 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1110","description":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1110","description":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIMENHYDRINATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1240","description":"INJECTION DIMENHYDRINATE UP TO 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIMENHYDRINATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1240","description":"INJECTION DIMENHYDRINATE UP TO 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIMERCAPROL PER 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0470","description":"INJECTION DIMERCAPROL PER 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIMERCAPROL PER 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0470","description":"INJECTION DIMERCAPROL PER 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIPHENHYDRAMINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1200","description":"INJECTION DIPHENHYDRAMINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIPHENHYDRAMINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1200","description":"INJECTION DIPHENHYDRAMINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIPYRIDAMOLE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1245","description":"INJECTION DIPYRIDAMOLE PER 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIPYRIDAMOLE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1245","description":"INJECTION DIPYRIDAMOLE PER 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DMSO DIMETHYL SULFOXIDE 50 PCT 50 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1212","description":"INJECTION DMSO DIMETHYL SULFOXIDE 50 PCT 50 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DMSO DIMETHYL SULFOXIDE 50 PCT 50 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1212","description":"INJECTION DMSO DIMETHYL SULFOXIDE 50 PCT 50 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOBUTAMINE HCI PER 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1250","description":"INJECTION DOBUTAMINE HCI PER 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOBUTAMINE HCI PER 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1250","description":"INJECTION DOBUTAMINE HCI PER 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9171","description":"INJECTION DOCETAXEL 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9171","description":"INJECTION DOCETAXEL 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOLASETRON MESYLATE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1260","description":"INJECTION DOLASETRON MESYLATE 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOLASETRON MESYLATE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1260","description":"INJECTION DOLASETRON MESYLATE 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOPAMINE HCL 40 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1265","description":"INJECTION DOPAMINE HCL 40 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOPAMINE HCL 40 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1265","description":"INJECTION DOPAMINE HCL 40 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXERCALCIFEROL 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1270","description":"INJECTION DOXERCALCIFEROL 1 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXERCALCIFEROL 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1270","description":"INJECTION DOXERCALCIFEROL 1 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXORUBICIN HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9000","description":"INJECTION DOXORUBICIN HCL 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXORUBICIN HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9000","description":"INJECTION DOXORUBICIN HCL 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DROPERIDOL UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1790","description":"INJECTION DROPERIDOL UP TO 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DROPERIDOL UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1790","description":"INJECTION DROPERIDOL UP TO 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECALLANTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1290","description":"INJECTION ECALLANTIDE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECALLANTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1290","description":"INJECTION ECALLANTIDE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0600","description":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0600","description":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELBOW ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24220","description":"INJECTION ELBOW ARTHROGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELLIOTTS B SOLUTION 1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9175","description":"INJECTION ELLIOTTS B SOLUTION 1 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELLIOTTS B SOLUTION 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9175","description":"INJECTION ELLIOTTS B SOLUTION 1 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENFUVIRTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1324","description":"INJECTION ENFUVIRTIDE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENFUVIRTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1324","description":"INJECTION ENFUVIRTIDE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENOXAPARIN SODIUM 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1650","description":"INJECTION ENOXAPARIN SODIUM 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENOXAPARIN SODIUM 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1650","description":"INJECTION ENOXAPARIN SODIUM 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENZYME PALMAR FASCIAL CORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20527","description":"INJECTION ENZYME PALMAR FASCIAL CORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENZYME PALMAR FASCIAL CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20527","description":"INJECTION ENZYME PALMAR FASCIAL CORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPIDURAL BLOOD/CLOT PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62273","description":"INJECTION EPIDURAL BLOOD/CLOT PATCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPIDURAL BLOOD/CLOT PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62273","description":"INJECTION EPIDURAL BLOOD/CLOT PATCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPIRUBICIN HCL 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9178","description":"INJECTION EPIRUBICIN HCL 2 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPIRUBICIN HCL 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9178","description":"INJECTION EPIRUBICIN HCL 2 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0885","description":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0885","description":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOPROSTENOL 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1325","description":"INJECTION EPOPROSTENOL 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOPROSTENOL 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1325","description":"INJECTION EPOPROSTENOL 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPTIFIBATIDE 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1327","description":"INJECTION EPTIFIBATIDE 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPTIFIBATIDE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1327","description":"INJECTION EPTIFIBATIDE 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERIBULIN MESYLATE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9179","description":"INJECTION ERIBULIN MESYLATE 0.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERIBULIN MESYLATE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9179","description":"INJECTION ERIBULIN MESYLATE 0.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERTAPENEM SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1335","description":"INJECTION ERTAPENEM SODIUM 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERTAPENEM SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1335","description":"INJECTION ERTAPENEM SODIUM 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1364","description":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1364","description":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESTRADIOL VALERATE UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1380","description":"INJECTION ESTRADIOL VALERATE UP TO 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESTRADIOL VALERATE UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1380","description":"INJECTION ESTRADIOL VALERATE UP TO 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESTROGEN CONJUGATED PER 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1410","description":"INJECTION ESTROGEN CONJUGATED PER 25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESTROGEN CONJUGATED PER 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1410","description":"INJECTION ESTROGEN CONJUGATED PER 25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESTRONE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1435","description":"INJECTION ESTRONE PER 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETANERCEPT 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1438","description":"INJECTION ETANERCEPT 25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETANERCEPT 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1438","description":"INJECTION ETANERCEPT 25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETHANOLAMINE OLEATE 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1430","description":"INJECTION ETHANOLAMINE OLEATE 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETHANOLAMINE OLEATE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1430","description":"INJECTION ETHANOLAMINE OLEATE 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETOPOSIDE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9181","description":"INJECTION ETOPOSIDE 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETOPOSIDE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9181","description":"INJECTION ETOPOSIDE 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL RETISERT 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7311","description":"INJECTION FA INTRAVITREAL IMPL RETISERT 0.01 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL RETISERT 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7311","description":"INJECTION FA INTRAVITREAL IMPL RETISERT 0.01 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7185","description":"INJECTION FACTOR VIII PER IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7185","description":"INJECTION FACTOR VIII PER IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FENTANYL CITRATE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3010","description":"INJECTION FENTANYL CITRATE 0.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FENTANYL CITRATE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3010","description":"INJECTION FENTANYL CITRATE 0.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLOXURIDINE 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9200","description":"INJECTION FLOXURIDINE 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLOXURIDINE 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9200","description":"INJECTION FLOXURIDINE 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUCONAZOLE 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1450","description":"INJECTION FLUCONAZOLE 200 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUCONAZOLE 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1450","description":"INJECTION FLUCONAZOLE 200 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUDARABINE PHOSPHATE 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9185","description":"INJECTION FLUDARABINE PHOSPHATE 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUDARABINE PHOSPHATE 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9185","description":"INJECTION FLUDARABINE PHOSPHATE 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUOROURACIL 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9190","description":"INJECTION FLUOROURACIL 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUOROURACIL 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9190","description":"INJECTION FLUOROURACIL 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2680","description":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2680","description":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOMEPIZOLE 15 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1451","description":"INJECTION FOMEPIZOLE 15 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOMEPIZOLE 15 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1451","description":"INJECTION FOMEPIZOLE 15 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FONDAPARINUX SODIUM 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1652","description":"INJECTION FONDAPARINUX SODIUM 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FONDAPARINUX SODIUM 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1652","description":"INJECTION FONDAPARINUX SODIUM 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSAPREPITANT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1453","description":"INJECTION FOSAPREPITANT 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSAPREPITANT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1453","description":"INJECTION FOSAPREPITANT 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSCARNET SODIUM PER 1000 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1455","description":"INJECTION FOSCARNET SODIUM PER 1000 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSCARNET SODIUM PER 1000 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1455","description":"INJECTION FOSCARNET SODIUM PER 1000 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FULVESTRANT 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9395","description":"INJECTION FULVESTRANT 25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FULVESTRANT 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9395","description":"INJECTION FULVESTRANT 25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9579","description":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9579","description":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GALSULFASE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1458","description":"INJECTION GALSULFASE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GALSULFASE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1458","description":"INJECTION GALSULFASE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOB INTRAMUSCULAR OVER 10 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1560","description":"INJECTION GAMMA GLOB INTRAMUSCULAR OVER 10 CC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOB INTRAMUSCULAR OVER 10 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1560","description":"INJECTION GAMMA GLOB INTRAMUSCULAR OVER 10 CC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1460","description":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1460","description":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GANCICLOVIR SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1570","description":"INJECTION GANCICLOVIR SODIUM 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GANCICLOVIR SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1570","description":"INJECTION GANCICLOVIR SODIUM 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1580","description":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1580","description":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMCITABINE HCL NOS 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9201","description":"INJECTION GEMCITABINE HCL NOS 200 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMCITABINE HCL NOS 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9201","description":"INJECTION GEMCITABINE HCL NOS 200 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLATIRAMER ACETATE 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1595","description":"INJECTION GLATIRAMER ACETATE 20 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLATIRAMER ACETATE 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1595","description":"INJECTION GLATIRAMER ACETATE 20 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1610","description":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1610","description":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1600","description":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1600","description":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GRANISETRON HYDROCHLORIDE 100 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1626","description":"INJECTION GRANISETRON HYDROCHLORIDE 100 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GRANISETRON HYDROCHLORIDE 100 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1626","description":"INJECTION GRANISETRON HYDROCHLORIDE 100 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HALOPERIDOL DECANOATE PER 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1631","description":"INJECTION HALOPERIDOL DECANOATE PER 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HALOPERIDOL DECANOATE PER 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1631","description":"INJECTION HALOPERIDOL DECANOATE PER 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HALOPERIDOL UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1630","description":"INJECTION HALOPERIDOL UP TO 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HALOPERIDOL UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1630","description":"INJECTION HALOPERIDOL UP TO 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HEMIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1640","description":"INJECTION HEMIN 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HEMIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1640","description":"INJECTION HEMIN 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HEPARIN SODIUM PER 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1642","description":"INJECTION HEPARIN SODIUM PER 10 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HEPARIN SODIUM PER 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1642","description":"INJECTION HEPARIN SODIUM PER 10 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HEPARIN SODIUM PER 1000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1644","description":"INJECTION HEPARIN SODIUM PER 1000 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HEPARIN SODIUM PER 1000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1644","description":"INJECTION HEPARIN SODIUM PER 1000 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HIP ARTHROGRAPHY W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27095","description":"INJECTION HIP ARTHROGRAPHY W/ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HIP ARTHROGRAPHY W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27095","description":"INJECTION HIP ARTHROGRAPHY W/ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27093","description":"INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27093","description":"INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HISTRELIN ACETATE 10 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1675","description":"INJECTION HISTRELIN ACETATE 10 MICROGRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HISTRELIN ACETATE 10 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1675","description":"INJECTION HISTRELIN ACETATE 10 MICROGRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYALURONIDASE RECOMBINANT 1 USP UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3473","description":"INJECTION HYALURONIDASE RECOMBINANT 1 USP UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYALURONIDASE RECOMBINANT 1 USP UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3473","description":"INJECTION HYALURONIDASE RECOMBINANT 1 USP UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYALURONIDASE UP TO 150 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3470","description":"INJECTION HYALURONIDASE UP TO 150 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYALURONIDASE UP TO 150 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3470","description":"INJECTION HYALURONIDASE UP TO 150 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDRALAZINE HCL UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0360","description":"INJECTION HYDRALAZINE HCL UP TO 20 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDRALAZINE HCL UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0360","description":"INJECTION HYDRALAZINE HCL UP TO 20 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROCORTISONE ACETATE UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1700","description":"INJECTION HYDROCORTISONE ACETATE UP TO 25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROCORTISONE ACETATE UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1700","description":"INJECTION HYDROCORTISONE ACETATE UP TO 25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYZINE HCL UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3410","description":"INJECTION HYDROXYZINE HCL UP TO 25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYZINE HCL UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3410","description":"INJECTION HYDROXYZINE HCL UP TO 25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1980","description":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1980","description":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBANDRONATE SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1740","description":"INJECTION IBANDRONATE SODIUM 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBANDRONATE SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1740","description":"INJECTION IBANDRONATE SODIUM 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IDARUBICIN HCL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9211","description":"INJECTION IDARUBICIN HCL 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IDARUBICIN HCL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9211","description":"INJECTION IDARUBICIN HCL 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IFOSFAMIDE 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9208","description":"INJECTION IFOSFAMIDE 1 G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IFOSFAMIDE 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9208","description":"INJECTION IFOSFAMIDE 1 G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IG GAMMAGARD LIQUID/ERC 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1569","description":"INJECTION IG GAMMAGARD LIQUID/ERC 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IG GAMMAGARD LIQUID/ERC 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1569","description":"INJECTION IG GAMMAGARD LIQUID/ERC 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMIGLUCERASE 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1786","description":"INJECTION IMIGLUCERASE 10 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMIGLUCERASE 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1786","description":"INJECTION IMIGLUCERASE 10 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1559","description":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1559","description":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1561","description":"INJECTION IMMUNE GLOBULIN NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1561","description":"INJECTION IMMUNE GLOBULIN NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0588","description":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0588","description":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1745","description":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1745","description":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INSULIN PER 5 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1815","description":"INJECTION INSULIN PER 5 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INSULIN PER 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1815","description":"INJECTION INSULIN PER 5 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON ALFA-2A RECOMBINANT 3 M U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9213","description":"INJECTION INTERFERON ALFA-2A RECOMBINANT 3 M U","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON ALFA-2A RECOMBINANT 3 M U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9213","description":"INJECTION INTERFERON ALFA-2A RECOMBINANT 3 M U","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON ALFA-2B RECOMBINANT 1 M U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9214","description":"INJECTION INTERFERON ALFA-2B RECOMBINANT 1 M U","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON ALFA-2B RECOMBINANT 1 M U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9214","description":"INJECTION INTERFERON ALFA-2B RECOMBINANT 1 M U","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON ALFA-N3 250,000 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9215","description":"INJECTION INTERFERON ALFA-N3 250,000 IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON ALFA-N3 250,000 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9215","description":"INJECTION INTERFERON ALFA-N3 250,000 IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1B 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1830","description":"INJECTION INTERFERON BETA-1B 0.25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1B 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1830","description":"INJECTION INTERFERON BETA-1B 0.25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9216","description":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9216","description":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRALESIONAL GT 7 LESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11901","description":"INJECTION INTRALESIONAL GT 7 LESIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRALESIONAL GT 7 LESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11901","description":"INJECTION INTRALESIONAL GT 7 LESIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRALESIONAL UP TO AND INCLUD 7 LESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11900","description":"INJECTION INTRALESIONAL UP TO AND INCLUD 7 LESIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRALESIONAL UP TO AND INCLUD 7 LESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11900","description":"INJECTION INTRALESIONAL UP TO AND INCLUD 7 LESIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRAOPERATIVE PANCREATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48400","description":"INJECTION INTRAOPERATIVE PANCREATOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRAOPERATIVE PANCREATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48400","description":"INJECTION INTRAOPERATIVE PANCREATOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRINOTECAN 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9206","description":"INJECTION IRINOTECAN 20 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRINOTECAN 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9206","description":"INJECTION IRINOTECAN 20 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRON DEXTRAN 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1750","description":"INJECTION IRON DEXTRAN 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRON DEXTRAN 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1750","description":"INJECTION IRON DEXTRAN 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRON SUCROSE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1756","description":"INJECTION IRON SUCROSE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRON SUCROSE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1756","description":"INJECTION IRON SUCROSE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ITRACONAZOLE 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1835","description":"INJECTION ITRACONAZOLE 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ITRACONAZOLE 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1835","description":"INJECTION ITRACONAZOLE 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IXABEPILONE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9207","description":"INJECTION IXABEPILONE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IXABEPILONE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9207","description":"INJECTION IXABEPILONE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION KETOROLAC TROMETHAMINE PER 15 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1885","description":"INJECTION KETOROLAC TROMETHAMINE PER 15 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION KETOROLAC TROMETHAMINE PER 15 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1885","description":"INJECTION KETOROLAC TROMETHAMINE PER 15 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANREOTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1930","description":"INJECTION LANREOTIDE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANREOTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1930","description":"INJECTION LANREOTIDE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LARONIDASE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1931","description":"INJECTION LARONIDASE 0.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LARONIDASE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1931","description":"INJECTION LARONIDASE 0.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUCOVORIN CALCIUM PER 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0640","description":"INJECTION LEUCOVORIN CALCIUM PER 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUCOVORIN CALCIUM PER 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0640","description":"INJECTION LEUCOVORIN CALCIUM PER 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1950","description":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1950","description":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVETIRACETAM 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1953","description":"INJECTION LEVETIRACETAM 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVETIRACETAM 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1953","description":"INJECTION LEVETIRACETAM 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOCARNITINE PER 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1955","description":"INJECTION LEVOCARNITINE PER 1 G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOCARNITINE PER 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1955","description":"INJECTION LEVOCARNITINE PER 1 G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOFLOXACIN 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1956","description":"INJECTION LEVOFLOXACIN 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOFLOXACIN 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1956","description":"INJECTION LEVOFLOXACIN 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOLEUCOVORIN NOS 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0641","description":"INJECTION LEVOLEUCOVORIN NOS 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOLEUCOVORIN NOS 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0641","description":"INJECTION LEVOLEUCOVORIN NOS 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINCOMYCIN HCL UP TO 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2010","description":"INJECTION LINCOMYCIN HCL UP TO 300 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINCOMYCIN HCL UP TO 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2010","description":"INJECTION LINCOMYCIN HCL UP TO 300 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINEZOLID 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2020","description":"INJECTION LINEZOLID 200 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINEZOLID 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2020","description":"INJECTION LINEZOLID 200 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LORAZEPAM 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2060","description":"INJECTION LORAZEPAM 2 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LORAZEPAM 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2060","description":"INJECTION LORAZEPAM 2 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MAGNESIUM SULPHATE PER 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3475","description":"INJECTION MAGNESIUM SULPHATE PER 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MAGNESIUM SULPHATE PER 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3475","description":"INJECTION MAGNESIUM SULPHATE PER 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MAMMARY DUCTOGRAM/GALACTOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19030","description":"INJECTION MAMMARY DUCTOGRAM/GALACTOGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MECHLORETHAMINE HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9230","description":"INJECTION MECHLORETHAMINE HCL 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MECHLORETHAMINE HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9230","description":"INJECTION MECHLORETHAMINE HCL 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEDICATION/OTHER SUBST TENON CAPSULE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67515","description":"INJECTION MEDICATION/OTHER SUBST TENON CAPSULE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEDICATION/OTHER SUBST TENON CAPSULE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67515","description":"INJECTION MEDICATION/OTHER SUBST TENON CAPSULE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN HCI NOS 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9245","description":"INJECTION MELPHALAN HCI NOS 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN HCI NOS 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9245","description":"INJECTION MELPHALAN HCI NOS 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPERIDINE AND PROMETHAZINE HCL TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2180","description":"INJECTION MEPERIDINE AND PROMETHAZINE HCL TO 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPERIDINE AND PROMETHAZINE HCL TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2180","description":"INJECTION MEPERIDINE AND PROMETHAZINE HCL TO 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPERIDINE HCL PER 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2175","description":"INJECTION MEPERIDINE HCL PER 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPERIDINE HCL PER 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2175","description":"INJECTION MEPERIDINE HCL PER 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPIVACAINE HCL PER 10 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0670","description":"INJECTION MEPIVACAINE HCL PER 10 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPIVACAINE HCL PER 10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0670","description":"INJECTION MEPIVACAINE HCL PER 10 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2185","description":"INJECTION MEROPENEM 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2185","description":"INJECTION MEROPENEM 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MESNA 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9209","description":"INJECTION MESNA 200 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MESNA 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9209","description":"INJECTION MESNA 200 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHADONE HCL UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1230","description":"INJECTION METHADONE HCL UP TO 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHADONE HCL UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1230","description":"INJECTION METHADONE HCL UP TO 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHOCARBAMOL UP TO 10 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2800","description":"INJECTION METHOCARBAMOL UP TO 10 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHOCARBAMOL UP TO 10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2800","description":"INJECTION METHOCARBAMOL UP TO 10 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHOTREXATE SODIUM 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9260","description":"INJECTION METHOTREXATE SODIUM 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHOTREXATE SODIUM 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9260","description":"INJECTION METHOTREXATE SODIUM 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLDOPATE HCL UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0210","description":"INJECTION METHYLDOPATE HCL UP TO 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLDOPATE HCL UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0210","description":"INJECTION METHYLDOPATE HCL UP TO 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLERGONOVINE MALEATE UP TO 0.2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2210","description":"INJECTION METHYLERGONOVINE MALEATE UP TO 0.2 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLERGONOVINE MALEATE UP TO 0.2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2210","description":"INJECTION METHYLERGONOVINE MALEATE UP TO 0.2 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2765","description":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2765","description":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MICAFUNGIN SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2248","description":"INJECTION MICAFUNGIN SODIUM 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MICAFUNGIN SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2248","description":"INJECTION MICAFUNGIN SODIUM 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIDAZOLAM HCL PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2250","description":"INJECTION MIDAZOLAM HCL PER 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIDAZOLAM HCL PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2250","description":"INJECTION MIDAZOLAM HCL PER 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MILRINONE LACTATE 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2260","description":"INJECTION MILRINONE LACTATE 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MILRINONE LACTATE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2260","description":"INJECTION MILRINONE LACTATE 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MITOMYCIN 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9280","description":"INJECTION MITOMYCIN 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MITOMYCIN 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9280","description":"INJECTION MITOMYCIN 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MITOXANTRONE HCL PER 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9293","description":"INJECTION MITOXANTRONE HCL PER 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MITOXANTRONE HCL PER 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9293","description":"INJECTION MITOXANTRONE HCL PER 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MORPHINE SULFATE UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2270","description":"INJECTION MORPHINE SULFATE UP TO 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MORPHINE SULFATE UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2270","description":"INJECTION MORPHINE SULFATE UP TO 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOXIFLOXACIN 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2280","description":"INJECTION MOXIFLOXACIN 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOXIFLOXACIN 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2280","description":"INJECTION MOXIFLOXACIN 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALBUPHINE HCL PER 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2300","description":"INJECTION NALBUPHINE HCL PER 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALBUPHINE HCL PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2300","description":"INJECTION NALBUPHINE HCL PER 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALTREXONE DEPOT FORM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2315","description":"INJECTION NALTREXONE DEPOT FORM 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALTREXONE DEPOT FORM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2315","description":"INJECTION NALTREXONE DEPOT FORM 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NANDROLONE DECANOATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2320","description":"INJECTION NANDROLONE DECANOATE UP TO 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NANDROLONE DECANOATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2320","description":"INJECTION NANDROLONE DECANOATE UP TO 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NELARABINE 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9261","description":"INJECTION NELARABINE 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NELARABINE 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9261","description":"INJECTION NELARABINE 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NEOSTIGMINE METHYLSULFATE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2710","description":"INJECTION NEOSTIGMINE METHYLSULFATE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NEOSTIGMINE METHYLSULFATE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2710","description":"INJECTION NEOSTIGMINE METHYLSULFATE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NESIRITIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2325","description":"INJECTION NESIRITIDE 0.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NESIRITIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2325","description":"INJECTION NESIRITIDE 0.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OFATUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9302","description":"INJECTION OFATUMUMAB 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OFATUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9302","description":"INJECTION OFATUMUMAB 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLANZAPINE LONG-ACTING 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2358","description":"INJECTION OLANZAPINE LONG-ACTING 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLANZAPINE LONG-ACTING 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2358","description":"INJECTION OLANZAPINE LONG-ACTING 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMALIZUMAB 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2357","description":"INJECTION OMALIZUMAB 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMALIZUMAB 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2357","description":"INJECTION OMALIZUMAB 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ONDANSETRON HCL PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2405","description":"INJECTION ONDANSETRON HCL PER 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ONDANSETRON HCL PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2405","description":"INJECTION ONDANSETRON HCL PER 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OPRELVEKIN 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2355","description":"INJECTION OPRELVEKIN 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OPRELVEKIN 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2355","description":"INJECTION OPRELVEKIN 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2360","description":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2360","description":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXACILLIN SODIUM UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2700","description":"INJECTION OXACILLIN SODIUM UP TO 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXACILLIN SODIUM UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2700","description":"INJECTION OXACILLIN SODIUM UP TO 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXALIPLATIN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9263","description":"INJECTION OXALIPLATIN 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXALIPLATIN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9263","description":"INJECTION OXALIPLATIN 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXYMORPHONE HCL UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2410","description":"INJECTION OXYMORPHONE HCL UP TO 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXYMORPHONE HCL UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2410","description":"INJECTION OXYMORPHONE HCL UP TO 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXYTOCIN UP TO 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2590","description":"INJECTION OXYTOCIN UP TO 10 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXYTOCIN UP TO 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2590","description":"INJECTION OXYTOCIN UP TO 10 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PACLITAXEL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9267","description":"INJECTION PACLITAXEL 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PACLITAXEL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9267","description":"INJECTION PACLITAXEL 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9264","description":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9264","description":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIFERMIN 50 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2425","description":"INJECTION PALIFERMIN 50 MICROGRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIFERMIN 50 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2425","description":"INJECTION PALIFERMIN 50 MICROGRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIPERIDONE PALMITATE EXT RLSE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2426","description":"INJECTION PALIPERIDONE PALMITATE EXT RLSE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALONOSETRON HCL 25 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2469","description":"INJECTION PALONOSETRON HCL 25 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALONOSETRON HCL 25 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2469","description":"INJECTION PALONOSETRON HCL 25 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAMIDRONATE DISODIUM PER 30 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2430","description":"INJECTION PAMIDRONATE DISODIUM PER 30 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAMIDRONATE DISODIUM PER 30 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2430","description":"INJECTION PAMIDRONATE DISODIUM PER 30 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PANITUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9303","description":"INJECTION PANITUMUMAB 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PANITUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9303","description":"INJECTION PANITUMUMAB 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAPAVERINE HCL UP TO 60 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2440","description":"INJECTION PAPAVERINE HCL UP TO 60 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAPAVERINE HCL UP TO 60 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2440","description":"INJECTION PAPAVERINE HCL UP TO 60 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PARICALCITOL 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2501","description":"INJECTION PARICALCITOL 1 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PARICALCITOL 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2501","description":"INJECTION PARICALCITOL 1 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0558","description":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0558","description":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2510","description":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2510","description":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9266","description":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9266","description":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED NOS10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9305","description":"INJECTION PEMETREXED NOS10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED NOS10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9305","description":"INJECTION PEMETREXED NOS10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0561","description":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0561","description":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENICILLIN G POTASSIUM TO 600000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2540","description":"INJECTION PENICILLIN G POTASSIUM TO 600000 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENICILLIN G POTASSIUM TO 600000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2540","description":"INJECTION PENICILLIN G POTASSIUM TO 600000 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTAZOCINE 30 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3070","description":"INJECTION PENTAZOCINE 30 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTAZOCINE 30 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3070","description":"INJECTION PENTAZOCINE 30 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTOBARBITAL SODIUM PER 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2515","description":"INJECTION PENTOBARBITAL SODIUM PER 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTOBARBITAL SODIUM PER 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2515","description":"INJECTION PENTOBARBITAL SODIUM PER 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTOSTATIN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9268","description":"INJECTION PENTOSTATIN 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTOSTATIN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9268","description":"INJECTION PENTOSTATIN 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9957","description":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9957","description":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2560","description":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2560","description":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENTOLAMINE MESYLATE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2760","description":"INJECTION PHENTOLAMINE MESYLATE UP TO 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENTOLAMINE MESYLATE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2760","description":"INJECTION PHENTOLAMINE MESYLATE UP TO 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENYTOIN SODIUM PER 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1165","description":"INJECTION PHENYTOIN SODIUM PER 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENYTOIN SODIUM PER 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1165","description":"INJECTION PHENYTOIN SODIUM PER 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHYTONADIONE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3430","description":"INJECTION PHYTONADIONE PER 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHYTONADIONE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3430","description":"INJECTION PHYTONADIONE PER 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLERIXAFOR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2562","description":"INJECTION PLERIXAFOR 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLERIXAFOR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2562","description":"INJECTION PLERIXAFOR 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PORFIMER SODIUM 75 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9600","description":"INJECTION PORFIMER SODIUM 75 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PORFIMER SODIUM 75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9600","description":"INJECTION PORFIMER SODIUM 75 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POTASSIUM CHLORIDE PER 2 MEQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3480","description":"INJECTION POTASSIUM CHLORIDE PER 2 MEQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POTASSIUM CHLORIDE PER 2 MEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3480","description":"INJECTION POTASSIUM CHLORIDE PER 2 MEQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PP LAI EXT RLS INVEGA SUSTENNA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2426","description":"INJECTION PP LAI EXT RLS INVEGA SUSTENNA 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PP LAI EXT RLS INVEGA SUSTENNA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2426","description":"INJECTION PP LAI EXT RLS INVEGA SUSTENNA 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PRALATREXATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9307","description":"INJECTION PRALATREXATE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PRALATREXATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9307","description":"INJECTION PRALATREXATE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2730","description":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2730","description":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PREDNISOLONE ACETATE UP TO 1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2650","description":"INJECTION PREDNISOLONE ACETATE UP TO 1 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PREDNISOLONE ACETATE UP TO 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2650","description":"INJECTION PREDNISOLONE ACETATE UP TO 1 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCAINAMIDE HCL UP TO 1 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2690","description":"INJECTION PROCAINAMIDE HCL UP TO 1 GM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCAINAMIDE HCL UP TO 1 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2690","description":"INJECTION PROCAINAMIDE HCL UP TO 1 GM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24220","description":"INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24220","description":"INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR SI JNT; ARTHROGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0259","description":"INJECTION PROCEDURE FOR SI JNT; ARTHROGRAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR SI JNT; ARTHROGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0259","description":"INJECTION PROCEDURE FOR SI JNT; ARTHROGRAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE LYMPHANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38790","description":"INJECTION PROCEDURE LYMPHANGIOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE LYMPHANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38790","description":"INJECTION PROCEDURE LYMPHANGIOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62284","description":"INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62284","description":"INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE SPLENOPORTOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38200","description":"INJECTION PROCEDURE SPLENOPORTOGRAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE SPLENOPORTOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38200","description":"INJECTION PROCEDURE SPLENOPORTOGRAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROGESTERONE PER 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2675","description":"INJECTION PROGESTERONE PER 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROGESTERONE PER 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2675","description":"INJECTION PROGESTERONE PER 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROMETHAZINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2550","description":"INJECTION PROMETHAZINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROMETHAZINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2550","description":"INJECTION PROMETHAZINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROPOFOL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2704","description":"INJECTION PROPOFOL 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROPOFOL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2704","description":"INJECTION PROPOFOL 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROPRANOLOL HCL UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1800","description":"INJECTION PROPRANOLOL HCL UP TO 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROPRANOLOL HCL UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1800","description":"INJECTION PROPRANOLOL HCL UP TO 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTAMINE SULFATE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2720","description":"INJECTION PROTAMINE SULFATE PER 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTAMINE SULFATE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2720","description":"INJECTION PROTAMINE SULFATE PER 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2724","description":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2724","description":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX CHEMONUCLEOLYSIS 1/MLT LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62292","description":"INJECTION PX CHEMONUCLEOLYSIS 1/MLT LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX CHEMONUCLEOLYSIS 1/MLT LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62292","description":"INJECTION PX CHEMONUCLEOLYSIS 1/MLT LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62290","description":"INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62290","description":"INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62291","description":"INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62291","description":"INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX ONLY MAMMARY DUCTOGRAM/GALACTOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19030","description":"INJECTION PX ONLY MAMMARY DUCTOGRAM/GALACTOGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX ONLY MAMMARY DUCTOGRAM/GALACTOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19030","description":"INJECTION PX ONLY MAMMARY DUCTOGRAM/GALACTOGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36002","description":"INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36002","description":"INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PYRIDOXINE HCL 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3415","description":"INJECTION PYRIDOXINE HCL 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PYRIDOXINE HCL 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3415","description":"INJECTION PYRIDOXINE HCL 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION QUINUPRISTIN/DALFOPRISTIN 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2770","description":"INJECTION QUINUPRISTIN/DALFOPRISTIN 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION QUINUPRISTIN/DALFOPRISTIN 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2770","description":"INJECTION QUINUPRISTIN/DALFOPRISTIN 500 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2778","description":"INJECTION RANIBIZUMAB 0.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2778","description":"INJECTION RANIBIZUMAB 0.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RASBURICASE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2783","description":"INJECTION RASBURICASE 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RASBURICASE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2783","description":"INJECTION RASBURICASE 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REGADENOSON 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2785","description":"INJECTION REGADENOSON 0.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REGADENOSON 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2785","description":"INJECTION REGADENOSON 0.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RETEPLASE 18.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2993","description":"INJECTION RETEPLASE 18.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RETEPLASE 18.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2993","description":"INJECTION RETEPLASE 18.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2790","description":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2790","description":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RILONACEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2793","description":"INJECTION RILONACEPT 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RILONACEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2793","description":"INJECTION RILONACEPT 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RIMABOTULINUMTOXINB 100 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0587","description":"INJECTION RIMABOTULINUMTOXINB 100 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RIMABOTULINUMTOXINB 100 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0587","description":"INJECTION RIMABOTULINUMTOXINB 100 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2794","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2794","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROPIVACAINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2795","description":"INJECTION ROPIVACAINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROPIVACAINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2795","description":"INJECTION ROPIVACAINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SARGRAMOSTIM 50 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2820","description":"INJECTION SARGRAMOSTIM 50 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SARGRAMOSTIM 50 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2820","description":"INJECTION SARGRAMOSTIM 50 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36471","description":"INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36471","description":"INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSANT SINGLE INCMPTNT VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36470","description":"INJECTION SCLEROSANT SINGLE INCMPTNT VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSANT SINGLE INCMPTNT VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36470","description":"INJECTION SCLEROSANT SINGLE INCMPTNT VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSING SOLUTION HEMORRHOIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46500","description":"INJECTION SCLEROSING SOLUTION HEMORRHOIDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSING SOLUTION HEMORRHOIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46500","description":"INJECTION SCLEROSING SOLUTION HEMORRHOIDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2850","description":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2850","description":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23350","description":"INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23350","description":"INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINCALIDE 5 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2805","description":"INJECTION SINCALIDE 5 MICROGRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINCALIDE 5 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2805","description":"INJECTION SINCALIDE 5 MICROGRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE TENDON ORIGIN/INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20551","description":"INJECTION SINGLE TENDON ORIGIN/INSERTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE TENDON ORIGIN/INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20551","description":"INJECTION SINGLE TENDON ORIGIN/INSERTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20552","description":"INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20552","description":"INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE/MLT TRIGGER POINT 3 OR GT MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20553","description":"INJECTION SINGLE/MLT TRIGGER POINT 3 OR GT MUSCLES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE/MLT TRIGGER POINT 3 OR GT MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20553","description":"INJECTION SINGLE/MLT TRIGGER POINT 3 OR GT MUSCLES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINUS TRACT DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20501","description":"INJECTION SINUS TRACT DIAGNOSTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINUS TRACT DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20501","description":"INJECTION SINUS TRACT DIAGNOSTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20500","description":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20500","description":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20500","description":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SOMATROPIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2941","description":"INJECTION SOMATROPIN 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SOMATROPIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2941","description":"INJECTION SOMATROPIN 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0697","description":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0697","description":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STREPTOMYCIN UP TO 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3000","description":"INJECTION STREPTOMYCIN UP TO 1 G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STREPTOMYCIN UP TO 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3000","description":"INJECTION STREPTOMYCIN UP TO 1 G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STREPTOZOCIN 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9320","description":"INJECTION STREPTOZOCIN 1 G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STREPTOZOCIN 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9320","description":"INJECTION STREPTOZOCIN 1 G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SUCCINYLCHOLINE CHLORIDE UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0330","description":"INJECTION SUCCINYLCHOLINE CHLORIDE UP TO 20 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SUCCINYLCHOLINE CHLORIDE UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0330","description":"INJECTION SUCCINYLCHOLINE CHLORIDE UP TO 20 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SUMATRIPTAN SUCCINATE 6 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3030","description":"INJECTION SUMATRIPTAN SUCCINATE 6 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SUMATRIPTAN SUCCINATE 6 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3030","description":"INJECTION SUMATRIPTAN SUCCINATE 6 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TELAVANCIN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3095","description":"INJECTION TELAVANCIN 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TELAVANCIN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3095","description":"INJECTION TELAVANCIN 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMOZOLOMIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9328","description":"INJECTION TEMOZOLOMIDE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMOZOLOMIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9328","description":"INJECTION TEMOZOLOMIDE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21116","description":"INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21116","description":"INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMSIROLIMUS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9330","description":"INJECTION TEMSIROLIMUS 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMSIROLIMUS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9330","description":"INJECTION TEMSIROLIMUS 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TENECTEPLASE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3101","description":"INJECTION TENECTEPLASE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TENECTEPLASE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3101","description":"INJECTION TENECTEPLASE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TERBUTALINE SULFATE UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3105","description":"INJECTION TERBUTALINE SULFATE UP TO 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TERBUTALINE SULFATE UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3105","description":"INJECTION TERBUTALINE SULFATE UP TO 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1670","description":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1670","description":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THEOPHYLLINE PER 40 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2810","description":"INJECTION THEOPHYLLINE PER 40 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THEOPHYLLINE PER 40 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2810","description":"INJECTION THEOPHYLLINE PER 40 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THERAPEUTIC CARPAL TUNNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20526","description":"INJECTION THERAPEUTIC CARPAL TUNNEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THERAPEUTIC CARPAL TUNNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20526","description":"INJECTION THERAPEUTIC CARPAL TUNNEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIAMINE HCL 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3411","description":"INJECTION THIAMINE HCL 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIAMINE HCL 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3411","description":"INJECTION THIAMINE HCL 100 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TIGECYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3243","description":"INJECTION TIGECYCLINE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TIGECYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3243","description":"INJECTION TIGECYCLINE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TIROFIBAN HCI 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3246","description":"INJECTION TIROFIBAN HCI 0.25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TIROFIBAN HCI 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3246","description":"INJECTION TIROFIBAN HCI 0.25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3260","description":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3260","description":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOCILIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3262","description":"INJECTION TOCILIZUMAB 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOCILIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3262","description":"INJECTION TOCILIZUMAB 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOPOTECAN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9351","description":"INJECTION TOPOTECAN 0.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOPOTECAN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9351","description":"INJECTION TOPOTECAN 0.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9355","description":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9355","description":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREPROSTINIL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3285","description":"INJECTION TREPROSTINIL 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREPROSTINIL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3285","description":"INJECTION TREPROSTINIL 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE ACETONIDE NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3301","description":"INJECTION TRIAMCINOLONE ACETONIDE NOS 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE ACETONIDE NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3301","description":"INJECTION TRIAMCINOLONE ACETONIDE NOS 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE DIACETATE PER 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3302","description":"INJECTION TRIAMCINOLONE DIACETATE PER 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE DIACETATE PER 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3302","description":"INJECTION TRIAMCINOLONE DIACETATE PER 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3303","description":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3303","description":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIMETHOBENZAMIDE HCL UP TO 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3250","description":"INJECTION TRIMETHOBENZAMIDE HCL UP TO 200 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIMETHOBENZAMIDE HCL UP TO 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3250","description":"INJECTION TRIMETHOBENZAMIDE HCL UP TO 200 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIPTORELIN PAMOATE 3.75 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3315","description":"INJECTION TRIPTORELIN PAMOATE 3.75 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIPTORELIN PAMOATE 3.75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3315","description":"INJECTION TRIPTORELIN PAMOATE 3.75 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TURBINATE THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30200","description":"INJECTION TURBINATE THERAPEUTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TURBINATE THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30200","description":"INJECTION TURBINATE THERAPEUTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VALRUBICIN INTRAVESICAL 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9357","description":"INJECTION VALRUBICIN INTRAVESICAL 200 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VALRUBICIN INTRAVESICAL 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9357","description":"INJECTION VALRUBICIN INTRAVESICAL 200 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VELAGLUCERASE ALFA 100 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3385","description":"INJECTION VELAGLUCERASE ALFA 100 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VELAGLUCERASE ALFA 100 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3385","description":"INJECTION VELAGLUCERASE ALFA 100 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VERTEPORFIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3396","description":"INJECTION VERTEPORFIN 0.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VERTEPORFIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3396","description":"INJECTION VERTEPORFIN 0.1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VINBLASTINE SULFATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9360","description":"INJECTION VINBLASTINE SULFATE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VINBLASTINE SULFATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9360","description":"INJECTION VINBLASTINE SULFATE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VINORELBINE TARTRATE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9390","description":"INJECTION VINORELBINE TARTRATE 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VINORELBINE TARTRATE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9390","description":"INJECTION VINORELBINE TARTRATE 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VIT B-12 CYANOCOBALAMIN TO 1000 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3420","description":"INJECTION VIT B-12 CYANOCOBALAMIN TO 1000 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VIT B-12 CYANOCOBALAMIN TO 1000 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3420","description":"INJECTION VIT B-12 CYANOCOBALAMIN TO 1000 MCG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VORICONAZOLE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3465","description":"INJECTION VORICONAZOLE 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VORICONAZOLE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3465","description":"INJECTION VORICONAZOLE 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION WRIST ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25246","description":"INJECTION WRIST ARTHROGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION WRIST ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25246","description":"INJECTION WRIST ARTHROGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZICONOTIDE 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2278","description":"INJECTION ZICONOTIDE 1 MICROGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZICONOTIDE 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2278","description":"INJECTION ZICONOTIDE 1 MICROGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIDOVUDINE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3485","description":"INJECTION ZIDOVUDINE 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIDOVUDINE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3485","description":"INJECTION ZIDOVUDINE 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIPRASIDONE MESYLATE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3486","description":"INJECTION ZIPRASIDONE MESYLATE 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIPRASIDONE MESYLATE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3486","description":"INJECTION ZIPRASIDONE MESYLATE 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTIONS SCLEROSANT FOR SPIDER VEINS LIM/TRNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36468","description":"INJECTIONS SCLEROSANT FOR SPIDER VEINS LIM/TRNK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTIONS SCLEROSANT FOR SPIDER VEINS LIM/TRNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36468","description":"INJECTIONS SCLEROSANT FOR SPIDER VEINS LIM/TRNK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64530","description":"INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64530","description":"INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66020","description":"INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66020","description":"INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX ANTERIOR CHAMBER EYE MEDICATION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66030","description":"INJX ANTERIOR CHAMBER EYE MEDICATION SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX ANTERIOR CHAMBER EYE MEDICATION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66030","description":"INJX ANTERIOR CHAMBER EYE MEDICATION SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62282","description":"INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62282","description":"INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62281","description":"INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62281","description":"INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62280","description":"INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62280","description":"INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37191","description":"INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37191","description":"INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33207","description":"INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33207","description":"INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33206","description":"INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33206","description":"INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL and VENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33208","description":"INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL and VENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL and VENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33208","description":"INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL and VENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33213","description":"INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33213","description":"INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33221","description":"INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33221","description":"INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INS PM PLS GEN W/EXIST SINGLE LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33212","description":"INS PM PLS GEN W/EXIST SINGLE LEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INS PM PLS GEN W/EXIST SINGLE LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33212","description":"INS PM PLS GEN W/EXIST SINGLE LEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INS/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0448","description":"INS/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INS/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0448","description":"INS/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ and CONN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64590","description":"INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ and CONN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ and CONN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64590","description":"INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ and CONN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49442","description":"INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49442","description":"INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49441","description":"INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49441","description":"INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERT GASTROSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49440","description":"INSERT GASTROSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERT GASTROSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49440","description":"INSERT GASTROSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53855","description":"INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53855","description":"INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE LT 5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36557","description":"INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE LT 5 YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE LT 5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36557","description":"INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE LT 5 YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19340","description":"INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19340","description":"INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION CERVICAL DILATOR SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59200","description":"INSERTION CERVICAL DILATOR SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION CERVICAL DILATOR SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59200","description":"INSERTION CERVICAL DILATOR SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION DRUG DELIVERY IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11981","description":"INSERTION DRUG DELIVERY IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION DRUG DELIVERY IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11981","description":"INSERTION DRUG DELIVERY IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33203","description":"INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33203","description":"INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION EPICARDIAL ELECTRODE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33202","description":"INSERTION EPICARDIAL ELECTRODE OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION EPICARDIAL ELECTRODE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33202","description":"INSERTION EPICARDIAL ELECTRODE OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION FLOW DIRECTED CATHETER FOR MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93503","description":"INSERTION FLOW DIRECTED CATHETER FOR MONITORING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION FLOW DIRECTED CATHETER FOR MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93503","description":"INSERTION FLOW DIRECTED CATHETER FOR MONITORING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58346","description":"INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58346","description":"INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INDWELLING TUNNELED PLEURAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32550","description":"INSERTION INDWELLING TUNNELED PLEURAL CATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INDWELLING TUNNELED PLEURAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32550","description":"INSERTION INDWELLING TUNNELED PLEURAL CATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33967","description":"INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33967","description":"INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION NASAL SEPTAL PROSTHESIS BUTTON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30220","description":"INSERTION NASAL SEPTAL PROSTHESIS BUTTON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION NASAL SEPTAL PROSTHESIS BUTTON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30220","description":"INSERTION NASAL SEPTAL PROSTHESIS BUTTON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49425","description":"INSERTION PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49425","description":"INSERTION PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/O IMG GDN LT 5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36568","description":"INSERTION PICC W/O IMG GDN LT 5 YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/O IMG GDN LT 5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36568","description":"INSERTION PICC W/O IMG GDN LT 5 YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/O IMG GDN 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36569","description":"INSERTION PICC W/O IMG GDN 5 YR OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/O IMG GDN 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36569","description":"INSERTION PICC W/O IMG GDN 5 YR OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95830","description":"INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95830","description":"INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TANDEM CUFF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53444","description":"INSERTION TANDEM CUFF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TANDEM CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53444","description":"INSERTION TANDEM CUFF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION THOMAS SHUNT SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36835","description":"INSERTION THOMAS SHUNT SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION THOMAS SHUNT SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36835","description":"INSERTION THOMAS SHUNT SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11960","description":"INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11960","description":"INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TRAY W/DRAIN BAG BUT WITHOUT CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4354","description":"INSERTION TRAY W/DRAIN BAG BUT WITHOUT CATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TRAY W/DRAIN BAG BUT WITHOUT CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4354","description":"INSERTION TRAY W/DRAIN BAG BUT WITHOUT CATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TRAY W/O DRAIN BAG and W/O CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4310","description":"INSERTION TRAY W/O DRAIN BAG and W/O CATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TRAY W/O DRAIN BAG and W/O CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4310","description":"INSERTION TRAY W/O DRAIN BAG and W/O CATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49421","description":"INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49421","description":"INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49419","description":"INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49419","description":"INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION UTERINE TANDEM and /VAGINAL OVOIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57155","description":"INSERTION UTERINE TANDEM and /VAGINAL OVOIDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION UTERINE TANDEM and /VAGINAL OVOIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57155","description":"INSERTION UTERINE TANDEM and /VAGINAL OVOIDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION VAGINAL RADIATION DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57156","description":"INSERTION VAGINAL RADIATION DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION VAGINAL RADIATION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57156","description":"INSERTION VAGINAL RADIATION DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION VASCULAR PEDICLE CARPAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25430","description":"INSERTION VASCULAR PEDICLE CARPAL BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION VASCULAR PEDICLE CARPAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25430","description":"INSERTION VASCULAR PEDICLE CARPAL BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20650","description":"INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20650","description":"INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64590","description":"INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33216","description":"INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33216","description":"INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33217","description":"INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33217","description":"INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36810","description":"INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36810","description":"INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36800","description":"INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36800","description":"INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36815","description":"INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36815","description":"INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36823","description":"INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36823","description":"INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33224","description":"INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33224","description":"INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33225","description":"INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33225","description":"INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33335","description":"INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33335","description":"INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33330","description":"INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33330","description":"INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33973","description":"INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33973","description":"INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36260","description":"INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36260","description":"INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33240","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33240","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33230","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33230","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33231","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33231","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53445","description":"INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53445","description":"INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33970","description":"INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33970","description":"INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INTRAPERITONEAL CATHETER W/IMG GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49418","description":"INSJ INTRAPERITONEAL CATHETER W/IMG GUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INTRAPERITONEAL CATHETER W/IMG GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49418","description":"INSJ INTRAPERITONEAL CATHETER W/IMG GUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66985","description":"INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66985","description":"INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57267","description":"INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57267","description":"INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11981","description":"INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-NDWELLG BLADDER CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51701","description":"INSJ NON-NDWELLG BLADDER CATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-NDWELLG BLADDER CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51701","description":"INSJ NON-NDWELLG BLADDER CATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE LT 5 Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36555","description":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE LT 5 Y","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE LT 5 Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36555","description":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE LT 5 Y","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36556","description":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36556","description":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT AFTER ENCL MUSC ATTACHED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65140","description":"INSJ OC IMPLT AFTER ENCL MUSC ATTACHED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT AFTER ENCL MUSC ATTACHED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65140","description":"INSJ OC IMPLT AFTER ENCL MUSC ATTACHED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65135","description":"INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65135","description":"INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65130","description":"INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65130","description":"INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PIN-RETAINED PALATAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42281","description":"INSJ PIN-RETAINED PALATAL PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PIN-RETAINED PALATAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42281","description":"INSJ PIN-RETAINED PALATAL PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36571","description":"INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36571","description":"INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36570","description":"INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36570","description":"INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ SUBQ RSVR PUMP/CONT INFUSION SYS VENTR CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61215","description":"INSJ SUBQ RSVR PUMP/CONT INFUSION SYS VENTR CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ SUBQ RSVR PUMP/CONT INFUSION SYS VENTR CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61215","description":"INSJ SUBQ RSVR PUMP/CONT INFUSION SYS VENTR CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ SUBQ RSVR PUMP/INFUSION SYSTEM VENTRIC CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61215","description":"INSJ SUBQ RSVR PUMP/INFUSION SYSTEM VENTRIC CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51703","description":"INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51703","description":"INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37182","description":"INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37182","description":"INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36565","description":"INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36565","description":"INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36566","description":"INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36566","description":"INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36561","description":"INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36561","description":"INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36560","description":"INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36560","description":"INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36563","description":"INSJ TUNNELED CTR VAD W/SUBQ PUMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36563","description":"INSJ TUNNELED CTR VAD W/SUBQ PUMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36558","description":"INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36558","description":"INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33979","description":"INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33979","description":"INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33976","description":"INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33976","description":"INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33975","description":"INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33975","description":"INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19342","description":"INSJ/RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19342","description":"INSJ/RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2 OR GT ELTRDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61886","description":"INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2 OR GT ELTRDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2 OR GT ELTRDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61886","description":"INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2 OR GT ELTRDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61885","description":"INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61885","description":"INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33249","description":"INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33249","description":"INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63685","description":"INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ and CONNJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63685","description":"INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ and CONNJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ and CONNJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63685","description":"INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ and CONNJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33210","description":"INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33210","description":"INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33211","description":"INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33211","description":"INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSRT INDWLL TRACHEOESOPH PROS W/WO VALV REPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8511","description":"INSRT INDWLL TRACHEOESOPH PROS W/WO VALV REPLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSRT TRAY W/O DRN BAG W/CATH 3-WAY CONT IRRIG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4313","description":"INSRT TRAY W/O DRN BAG W/CATH 3-WAY CONT IRRIG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSRT TRAY W/O DRN BAG W/CATH 3-WAY CONT IRRIG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4313","description":"INSRT TRAY W/O DRN BAG W/CATH 3-WAY CONT IRRIG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH 2-WAY LATX W/COAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4314","description":"INSRTION TRAY W/DRN BAG W/CATH 2-WAY LATX W/COAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH 2-WAY LATX W/COAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4314","description":"INSRTION TRAY W/DRN BAG W/CATH 2-WAY LATX W/COAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH 3-WAY CONT IRRIG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4316","description":"INSRTION TRAY W/DRN BAG W/CATH 3-WAY CONT IRRIG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH 3-WAY CONT IRRIG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4316","description":"INSRTION TRAY W/DRN BAG W/CATH 3-WAY CONT IRRIG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH2-WAY ALL SILCON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4315","description":"INSRTION TRAY W/DRN BAG W/CATH2-WAY ALL SILCON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH2-WAY ALL SILCON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4315","description":"INSRTION TRAY W/DRN BAG W/CATH2-WAY ALL SILCON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY LATEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4311","description":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY LATEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY LATEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4311","description":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY LATEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY SILCON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4312","description":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY SILCON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY SILCON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4312","description":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY SILCON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32562","description":"INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32562","description":"INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ THER AGENT RENAL PELVIS and /URETER VIA TUB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50391","description":"INSTLJ THER AGENT RENAL PELVIS and /URETER VIA TUB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ THER AGENT RENAL PELVIS and /URETER VIA TUB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50391","description":"INSTLJ THER AGENT RENAL PELVIS and /URETER VIA TUB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32561","description":"INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32561","description":"INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32560","description":"INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32560","description":"INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTR THER XRCS-DR FLLWUP PT EPSD BACK PN GT 12 WK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4240F","description":"INSTR THER XRCS-DR FLLWUP PT EPSD BACK PN GT 12 WK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTR THER XRCS-DR FLLWUP PT EPSD BACK PN GT 12 WK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4240F","description":"INSTR THER XRCS-DR FLLWUP PT EPSD BACK PN GT 12 WK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN ADMINISTRATION THROUGH DME PER 50 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1817","description":"INSULIN ADMINISTRATION THROUGH DME PER 50 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN ADMINISTRATION THROUGH DME PER 50 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1817","description":"INSULIN ADMINISTRATION THROUGH DME PER 50 UNITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86337","description":"INSULIN ANTIBODIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN TOLERANCE PANEL ACTH INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80434","description":"INSULIN TOLERANCE PANEL ACTH INSUFFICIENCY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN TOLERANCE PANEL GROWTH HORM DEFNCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80435","description":"INSULIN TOLERANCE PANEL GROWTH HORM DEFNCY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN-INDUCED C-PEPTIDE SUPRESSION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80432","description":"INSULIN-INDUCED C-PEPTIDE SUPRESSION PANEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INT ANAST PANCREATIC CYST GI TRACT DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48520","description":"INT ANAST PANCREATIC CYST GI TRACT DIRECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INT ANAST PANCREATIC CYST GI TRACT DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48520","description":"INT ANAST PANCREATIC CYST GI TRACT DIRECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48540","description":"INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48540","description":"INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC BY LIGATION 2 Plus HROID W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46946","description":"INT HRHC BY LIGATION 2 Plus HROID W/O IMG GDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC BY LIGATION 2 Plus HROID W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46946","description":"INT HRHC BY LIGATION 2 Plus HROID W/O IMG GDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46945","description":"INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46945","description":"INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/EXER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0422","description":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/EXER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/EXER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0422","description":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/EXER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/O EXER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0423","description":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/O EXER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/O EXER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0423","description":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/O EXER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9539","description":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9539","description":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERACTV GRP PSYCHOTX PART HOS 45 TO 50 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0411","description":"INTERACTV GRP PSYCHOTX PART HOS 45 TO 50 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERACTV GRP PSYCHOTX PARTIAL HOSP/OP 45-50 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0411","description":"INTERACTV GRP PSYCHOTX PARTIAL HOSP/OP 45-50 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERACTV GRP PSYCHOTX PARTIAL HOSP/OP 45-50 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0411","description":"INTERACTV GRP PSYCHOTX PARTIAL HOSP/OP 45-50 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERDENTAL WIRING OTHER THAN FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21497","description":"INTERDENTAL WIRING OTHER THAN FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERDENTAL WIRING OTHER THAN FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21497","description":"INTERDENTAL WIRING OTHER THAN FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERFACE COUGH STIMULAT DEVC REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7020","description":"INTERFACE COUGH STIMULAT DEVC REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERFACE COUGH STIMULAT DEVC REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7020","description":"INTERFACE COUGH STIMULAT DEVC REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERMED RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3272F","description":"INTERMED RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMED RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3272F","description":"INTERMED RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMEDIATE RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3551F","description":"INTERMEDIATE RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMEDIATE RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3551F","description":"INTERMEDIATE RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMEDIATE VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92082","description":"INTERMEDIATE VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERMEDIATE VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92082","description":"INTERMEDIATE VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERMIT URIN CATH; STRAIGHT TIP W/WO COAT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4351","description":"INTERMIT URIN CATH; STRAIGHT TIP W/WO COAT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERMIT URIN CATH; STRAIGHT TIP W/WO COAT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4351","description":"INTERMIT URIN CATH; STRAIGHT TIP W/WO COAT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERMIT URINARY CATHETER W/INSERTION SUPPLIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4353","description":"INTERMIT URINARY CATHETER W/INSERTION SUPPLIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERMIT URINARY CATHETER W/INSERTION SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4353","description":"INTERMIT URINARY CATHETER W/INSERTION SUPPLIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT ASTHMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1039F","description":"INTERMITTENT ASTHMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT ASTHMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1039F","description":"INTERMITTENT ASTHMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT URINARY CATHETER; COUDE TIP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4352","description":"INTERMITTENT URINARY CATHETER; COUDE TIP EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT URINARY CATHETER; COUDE TIP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4352","description":"INTERMITTENT URINARY CATHETER; COUDE TIP EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64727","description":"INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64727","description":"INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERPELVIABDOMINAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27290","description":"INTERPELVIABDOMINAL AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERPELVIABDOMINAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27290","description":"INTERPELVIABDOMINAL AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERPHALANGEAL JOINT SPACER SILICONE/EQUAL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8658","description":"INTERPHALANGEAL JOINT SPACER SILICONE/EQUAL EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93290","description":"INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93290","description":"INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93288","description":"INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93288","description":"INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93291","description":"INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93291","description":"INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93289","description":"INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93289","description":"INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93292","description":"INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93292","description":"INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL REMOTE LT 90 D 1/2/MLT LD DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93295","description":"INTERROGATION EVAL REMOTE LT 90 D 1/2/MLT LD DFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL REMOTE LT 90 D 1/2/MLT LD DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93295","description":"INTERROGATION EVAL REMOTE LT 90 D 1/2/MLT LD DFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93750","description":"INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93750","description":"INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAP THOR HUM SECT INTRL LOCK ELB FORARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6350","description":"INTERSCAP THOR HUM SECT INTRL LOCK ELB FORARM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAP-THOR OTTO BOCK/ Equal to MYOELEC CNTRL TERM DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6975","description":"INTERSCAP-THOR OTTO BOCK/ Equal to MYOELEC CNTRL TERM DVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAP-THOR OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6970","description":"INTERSCAP-THOR OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAPULAR THOR PASSIVE REST CMPL PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6360","description":"INTERSCAPULAR THOR PASSIVE REST CMPL PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAPULAR THOR PASSIVE REST SHLDR CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6370","description":"INTERSCAPULAR THOR PASSIVE REST SHLDR CAP ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49411","description":"INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49411","description":"INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77778","description":"INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77778","description":"INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERTHORACOSCAPULAR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23900","description":"INTERTHORACOSCAPULAR AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERTHORACOSCAPULAR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23900","description":"INTERTHORACOSCAPULAR AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINAL PLICATION SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44680","description":"INTESTINAL PLICATION SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINAL PLICATION SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44680","description":"INTESTINAL PLICATION SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINE IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78290","description":"INTESTINE IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINE IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78290","description":"INTESTINE IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93613","description":"INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93613","description":"INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77763","description":"INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77763","description":"INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC INTERMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77762","description":"INTRACAVITARY RADIATION SOURCE APPLIC INTERMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC INTERMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77762","description":"INTRACAVITARY RADIATION SOURCE APPLIC INTERMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77761","description":"INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77761","description":"INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ DURAL CMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61692","description":"INTRACRANIAL ARVEN MALFRMJ DURAL CMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ DURAL CMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61692","description":"INTRACRANIAL ARVEN MALFRMJ DURAL CMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ DURAL SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61690","description":"INTRACRANIAL ARVEN MALFRMJ DURAL SMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ DURAL SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61690","description":"INTRACRANIAL ARVEN MALFRMJ DURAL SMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61686","description":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61686","description":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61684","description":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61684","description":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61682","description":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61682","description":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61680","description":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61680","description":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95024","description":"INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95024","description":"INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95027","description":"INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRALUMINAL DILATION STRICTURES and /OBSTRCJS RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74360","description":"INTRALUMINAL DILATION STRICTURES and /OBSTRCJS RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRALUMINAL DILATION STRICTURES and /OBSTRCJS RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74360","description":"INTRALUMINAL DILATION STRICTURES and /OBSTRCJS RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOCULAR PRESS REDUCED GT EQUAL 15 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3284F","description":"INTRAOCULAR PRESS REDUCED GT EQUAL 15 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP RADIAJ TX DELIVER ELECTRONS SNGL TX SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77425","description":"INTRAOP RADIAJ TX DELIVER ELECTRONS SNGL TX SESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP RADIAJ TX DELIVER ELECTRONS SNGL TX SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77425","description":"INTRAOP RADIAJ TX DELIVER ELECTRONS SNGL TX SESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP RADIAJ TX DELIVER XRAY SINGLE TX SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77424","description":"INTRAOP RADIAJ TX DELIVER XRAY SINGLE TX SESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP RADIAJ TX DELIVER XRAY SINGLE TX SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77424","description":"INTRAOP RADIAJ TX DELIVER XRAY SINGLE TX SESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38900","description":"INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38900","description":"INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE COLONIC LAVAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44701","description":"INTRAOPERATIVE COLONIC LAVAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE COLONIC LAVAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44701","description":"INTRAOPERATIVE COLONIC LAVAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77469","description":"INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77469","description":"INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR LINGUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41000","description":"INTRAORAL I and D TONGUE/FLOOR LINGUAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR LINGUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41000","description":"INTRAORAL I and D TONGUE/FLOOR LINGUAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR MASTICATOR SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41009","description":"INTRAORAL I and D TONGUE/FLOOR MASTICATOR SPACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR MASTICATOR SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41009","description":"INTRAORAL I and D TONGUE/FLOOR MASTICATOR SPACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL DP SPRMLHYD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41006","description":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL DP SPRMLHYD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL DP SPRMLHYD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41006","description":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL DP SPRMLHYD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL SUPFC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41005","description":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL SUPFC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL SUPFC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41005","description":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL SUPFC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBMENTAL SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41007","description":"INTRAORAL I and D TONGUE/FLOOR SUBMENTAL SPACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBMENTAL SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41007","description":"INTRAORAL I and D TONGUE/FLOOR SUBMENTAL SPACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBMNDBLR SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41008","description":"INTRAORAL I and D TONGUE/FLOOR SUBMNDBLR SPACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBMNDBLR SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41008","description":"INTRAORAL I and D TONGUE/FLOOR SUBMNDBLR SPACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVITREAL NJX PHARMACOLOGIC AGT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67028","description":"INTRAVITREAL NJX PHARMACOLOGIC AGT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVITREAL NJX PHARMACOLOGIC AGT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67028","description":"INTRAVITREAL NJX PHARMACOLOGIC AGT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRINSIC FACTOR ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86340","description":"INTRINSIC FACTOR ANTIBODIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57180","description":"INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57180","description":"INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36013","description":"INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36013","description":"INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36010","description":"INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36010","description":"INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO LONG GI TUBE W/MULT FLUORO and IMAGES RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74340","description":"INTRO LONG GI TUBE W/MULT FLUORO and IMAGES RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO LONG GI TUBE W/MULT FLUORO and IMAGES RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74340","description":"INTRO LONG GI TUBE W/MULT FLUORO and IMAGES RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36160","description":"INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36160","description":"INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36100","description":"INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36100","description":"INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36140","description":"INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36140","description":"INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION CATHETER AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36200","description":"INTRODUCTION CATHETER AORTA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION CATHETER AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36200","description":"INTRODUCTION CATHETER AORTA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44500","description":"INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44500","description":"INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRSCAP THOR MOLD SCKT ENDOSKEL W/SFT PROS TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6570","description":"INTRSCAP THOR MOLD SCKT ENDOSKEL W/SFT PROS TISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM NOT REQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9305","description":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM NOT REQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM NOT REQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9305","description":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM NOT REQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM REQUIRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9306","description":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM REQUIRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM REQUIRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9306","description":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM REQUIRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRVL 3 OR GT YRS PTS LAST COLONOSCOPY DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0529F","description":"INTRVL 3 OR GT YRS PTS LAST COLONOSCOPY DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRVL 3 OR GT YRS PTS LAST COLONOSCOPY DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0529F","description":"INTRVL 3 OR GT YRS PTS LAST COLONOSCOPY DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44615","description":"INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44615","description":"INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31500","description":"INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31500","description":"INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IO PRESSURE REDUCED GT or equal to 15 PCT PRE-INTERVENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3284F","description":"IO PRESSURE REDUCED GT or equal to 15 PCT PRE-INTERVENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IO PRESSURE REDUCED GT or equal to 15 PCT PRE-INTERVENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3284F","description":"IO PRESSURE REDUCED GT or equal to 15 PCT PRE-INTERVENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IOP REDUCED LT 15 PCT PRE-INTERVENTION LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3285F","description":"IOP REDUCED LT 15 PCT PRE-INTERVENTION LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IOP REDUCED LT 15 PCT PRE-INTERVENTION LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3285F","description":"IOP REDUCED LT 15 PCT PRE-INTERVENTION LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IORT CYSTOSCOPY NOT PERF EVAL LWR TRACT INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9608","description":"IORT CYSTOSCOPY NOT PERF EVAL LWR TRACT INJURY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IORT CYSTOSCOPY NOT PERF EVAL LWR TRACT INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9608","description":"IORT CYSTOSCOPY NOT PERF EVAL LWR TRACT INJURY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IORT CYSTOSCOPY PERF TO EVAL FOR LWR TRACT INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9606","description":"IORT CYSTOSCOPY PERF TO EVAL FOR LWR TRACT INJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IORT CYSTOSCOPY PERF TO EVAL FOR LWR TRACT INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9606","description":"IORT CYSTOSCOPY PERF TO EVAL FOR LWR TRACT INJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP FNGR JNT REPL TWO/MORE PECES METL CERAM-LIKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8659","description":"IP FNGR JNT REPL TWO/MORE PECES METL CERAM-LIKE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IPECAC/SIMILAR ADMN EMESIS and OBS STOMACH EMPTIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99175","description":"IPECAC/SIMILAR ADMN EMESIS and OBS STOMACH EMPTIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IPECAC/SIMILAR ADMN EMESIS and OBS STOMACH EMPTIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99175","description":"IPECAC/SIMILAR ADMN EMESIS and OBS STOMACH EMPTIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IPPB MACH W/BUILT-IN NEBULIZATION; VALVS; PWR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0500","description":"IPPB MACH W/BUILT-IN NEBULIZATION; VALVS; PWR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IPRATROPIUM BROMIDE INHAL NON-CP U DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7644","description":"IPRATROPIUM BROMIDE INHAL NON-CP U DOSE PER MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IPRATROPIUM BROMIDE INHAL NON-CP U DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7644","description":"IPRATROPIUM BROMIDE INHAL NON-CP U DOSE PER MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IPRATROPIUM BROMIDE INHAL THRU DME U DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7645","description":"IPRATROPIUM BROMIDE INHAL THRU DME U DOSE PER MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IPRATROPIUM BROMIDE INHAL THRU DME U DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7645","description":"IPRATROPIUM BROMIDE INHAL THRU DME U DOSE PER MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IQ TSTS ALLERGENIC XTRCS DLYD TYP RXN W/READING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95028","description":"IQ TSTS ALLERGENIC XTRCS DLYD TYP RXN W/READING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IQ TSTS ALLERGENIC XTRCS DLYD TYP RXN W/READING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95028","description":"IQ TSTS ALLERGENIC XTRCS DLYD TYP RXN W/READING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IQ TSTS SEQL and INCRL W/ALLERGENIC XTRCS AIRBORNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95027","description":"IQ TSTS SEQL and INCRL W/ALLERGENIC XTRCS AIRBORNE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IQ TSTS SEQL and INCRL W/ALLERGENIC XTRCS AIRBORNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95027","description":"IQ TSTS SEQL and INCRL W/ALLERGENIC XTRCS AIRBORNE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66605","description":"IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66605","description":"IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66635","description":"IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66635","description":"IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66625","description":"IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66625","description":"IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66600","description":"IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66600","description":"IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66630","description":"IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66630","description":"IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOPLASTY PHOTOCOAGULATION 1 OR GT SESSIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66762","description":"IRIDOPLASTY PHOTOCOAGULATION 1 OR GT SESSIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOPLASTY PHOTOCOAGULATION 1 OR GT SESSIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66762","description":"IRIDOPLASTY PHOTOCOAGULATION 1 OR GT SESSIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY STAB INC SPX TRANSFIXION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66505","description":"IRIDOTOMY STAB INC SPX TRANSFIXION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY STAB INC SPX TRANSFIXION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66505","description":"IRIDOTOMY STAB INC SPX TRANSFIXION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY STAB INC SPX XCP TRANSFIXION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66500","description":"IRIDOTOMY STAB INC SPX XCP TRANSFIXION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY STAB INC SPX XCP TRANSFIXION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66500","description":"IRIDOTOMY STAB INC SPX XCP TRANSFIXION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66761","description":"IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66761","description":"IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRON BINDING CAPACITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83550","description":"IRON BINDING CAPACITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRON STAIN PERIPHERAL BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85536","description":"IRON STAIN PERIPHERAL BLOOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRRIG TUBING CONT BLADD IRRIG 3-WAY CATH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4355","description":"IRRIG TUBING CONT BLADD IRRIG 3-WAY CATH EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRRIG TUBING CONT BLADD IRRIG 3-WAY CATH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4355","description":"IRRIG TUBING CONT BLADD IRRIG 3-WAY CATH EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96523","description":"IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96523","description":"IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SYRINGE BULB OR PISTON EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4322","description":"IRRIGATION SYRINGE BULB OR PISTON EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SYRINGE BULB OR PISTON EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4322","description":"IRRIGATION SYRINGE BULB OR PISTON EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION TRAY W/BULB/PISTON SYRINGE ANY PRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4320","description":"IRRIGATION TRAY W/BULB/PISTON SYRINGE ANY PRPOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION TRAY W/BULB/PISTON SYRINGE ANY PRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4320","description":"IRRIGATION TRAY W/BULB/PISTON SYRINGE ANY PRPOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION VAGINA and /APPL MEDICAMENT TX DISEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57150","description":"IRRIGATION VAGINA and /APPL MEDICAMENT TX DISEASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION VAGINA and /APPL MEDICAMENT TX DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57150","description":"IRRIGATION VAGINA and /APPL MEDICAMENT TX DISEASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95875","description":"ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95875","description":"ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC STROKE SX ONSET GT or equal to 3 HRS PRIOR ARRIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1066F","description":"ISCHEMIC STROKE SX ONSET GT or equal to 3 HRS PRIOR ARRIV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC STROKE SX ONSET GT or equal to 3 HRS PRIOR ARRIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1066F","description":"ISCHEMIC STROKE SX ONSET GT or equal to 3 HRS PRIOR ARRIV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC STROKE SYMP ONSET GT or equal to 3 HRS PRIOR ARR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1066F","description":"ISCHEMIC STROKE SYMP ONSET GT or equal to 3 HRS PRIOR ARR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC STROKE SYMP ONSET LT 3 HRS PRIOR ARRIVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1065F","description":"ISCHEMIC STROKE SYMP ONSET LT 3 HRS PRIOR ARRIVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC STROKE SYMP ONSET LT 3 HRS PRIOR ARRIVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1065F","description":"ISCHEMIC STROKE SYMP ONSET LT 3 HRS PRIOR ARRIVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8648","description":"ISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE LT 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISLET CELL ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86341","description":"ISLET CELL ANTIBODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ISOCITRIC DEHYDROGENASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83570","description":"ISOCITRIC DEHYDROGENASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ISOPROTERENOL HCI INHAL CP PROD THRU DME PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7657","description":"ISOPROTERENOL HCI INHAL CP PROD THRU DME PER MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ISOPROTERENOL HCI INHAL CP PROD THRU DME PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7657","description":"ISOPROTERENOL HCI INHAL CP PROD THRU DME PER MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ISOPROTERENOL HCI INHAL THRU DME U DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7660","description":"ISOPROTERENOL HCI INHAL THRU DME U DOSE PER MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ISOPROTERENOL HCI INHAL THRU DME U DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7660","description":"ISOPROTERENOL HCI INHAL THRU DME U DOSE PER MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IV HANGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0105","description":"IV HANGER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION HYDRATION EACH ADDITIONAL HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96361","description":"IV INFUSION HYDRATION EACH ADDITIONAL HOUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION HYDRATION EACH ADDITIONAL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96361","description":"IV INFUSION HYDRATION EACH ADDITIONAL HOUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96360","description":"IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96360","description":"IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96367","description":"IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96367","description":"IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96366","description":"IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96366","description":"IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96365","description":"IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96365","description":"IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IV INJECTION AGENT TEST VASCULAR FLOW FLAP/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15860","description":"IV INJECTION AGENT TEST VASCULAR FLOW FLAP/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IV INJECTION AGENT TEST VASCULAR FLOW FLAP/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15860","description":"IV INJECTION AGENT TEST VASCULAR FLOW FLAP/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IV INJECTION TEST VASCULAR FLOW FLAP/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15860","description":"IV INJECTION TEST VASCULAR FLOW FLAP/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96368","description":"IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96368","description":"IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"IV T-PA INITIATED W/IN 3 HRS TIME LAST KNWN WELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8600","description":"IV T-PA INITIATED W/IN 3 HRS TIME LAST KNWN WELL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV T-PA NOT INIT IN 3 HRS LAST WELL RSN DOC CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8601","description":"IV T-PA NOT INIT IN 3 HRS LAST WELL RSN DOC CLIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TPA NOT INIT W/I 3 HRS TIME KNOWN RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8602","description":"IV TPA NOT INIT W/I 3 HRS TIME KNOWN RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT INIT W/N 4.5 HRS LT or equal to 270 MIN OF TIME LK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8600","description":"IV TT INIT W/N 4.5 HRS LT or equal to 270 MIN OF TIME LK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT INIT W/N 4.5 HRS LT or equal to 270 MIN OF TIME LK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8600","description":"IV TT INIT W/N 4.5 HRS LT or equal to 270 MIN OF TIME LK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT NOT INIT 4.5 HRS LKW REASON DOC BY CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8601","description":"IV TT NOT INIT 4.5 HRS LKW REASON DOC BY CLIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT NOT INIT 4.5 HRS LKW REASON DOC BY CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8601","description":"IV TT NOT INIT 4.5 HRS LKW REASON DOC BY CLIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT NOT INIT WI 4.5 HOURS LT or equal to 270 MIN LKW NO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8602","description":"IV TT NOT INIT WI 4.5 HOURS LT or equal to 270 MIN LKW NO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT NOT INIT WI 4.5 HOURS LT or equal to 270 MIN LKW NO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8602","description":"IV TT NOT INIT WI 4.5 HOURS LT or equal to 270 MIN LKW NO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Immune complex assay","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86332","description":"Immune complex assay","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Injection estrone per 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1435","description":"Injection estrone per 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Injection estrone per 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1435","description":"Injection estrone per 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Insulin antibodies","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86337","description":"Insulin antibodies","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Islet cell antibody","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86341","description":"Islet cell antibody","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Iv pole","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0776","description":"Iv pole","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"JAW MOTION REHABILITATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1700","description":"JAW MOTION REHABILITATION SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"JAW MOTION REHABILITATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1700","description":"JAW MOTION REHABILITATION SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"JOINT SINGLE AXIS KNEE SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5331","description":"JOINT SINGLE AXIS KNEE SACH FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77077","description":"JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77077","description":"JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KAFO 1 UPRT FREE KNEE FREE ANK SOLID STIRUP CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2000","description":"KAFO 1 UPRT FREE KNEE FREE ANK SOLID STIRUP CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KAFO 1 UPRT SOLID STIRUP W/O KNEE JNT CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2010","description":"KAFO 1 UPRT SOLID STIRUP W/O KNEE JNT CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KAFO ANY MATL AUTO LOCK and SWNG RLSE W/ANK JNT CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2005","description":"KAFO ANY MATL AUTO LOCK and SWNG RLSE W/ANK JNT CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KAFO DBL UPRT SOLID STIRUP THI AND CALF CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2020","description":"KAFO DBL UPRT SOLID STIRUP THI AND CALF CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KAFO DBL UPRT SOLID STIRUP W/O KNEE JNT CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2030","description":"KAFO DBL UPRT SOLID STIRUP W/O KNEE JNT CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOS SEMI-RIGD PRFAB FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2134","description":"KAFO FEM FX CAST ORTHOS SEMI-RIGD PRFAB FIT AND ADJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOSIS RIGD PRFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2136","description":"KAFO FEM FX CAST ORTHOSIS RIGD PRFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOSIS SFT PRFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2132","description":"KAFO FEM FX CAST ORTHOSIS SFT PRFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOSIS THERMOPLSTC CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2126","description":"KAFO FEM FX CAST ORTHOSIS THERMOPLSTC CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FULL PLASTIC MX-AXIS ANKLE CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2038","description":"KAFO FULL PLASTIC MX-AXIS ANKLE CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FULL PLASTIC SINGLE UPRIGHT CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2037","description":"KAFO FULL PLASTIC SINGLE UPRIGHT CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FULL PLASTIC DOUBLE UPRIGHT CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2036","description":"KAFO FULL PLASTIC DOUBLE UPRIGHT CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FULL PLSTC STAT PED W/O FREE MOT ANK PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2035","description":"KAFO FULL PLSTC STAT PED W/O FREE MOT ANK PRFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FX ORTHOSIS FEM FX CAST ORTHOSIS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2128","description":"KAFO FX ORTHOSIS FEM FX CAST ORTHOSIS CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KAFO PLASTIC MED LAT ROTAT CNTRL CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2034","description":"KAFO PLASTIC MED LAT ROTAT CNTRL CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY ANTERIOR LAMELLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65710","description":"KERATOPLASTY ANTERIOR LAMELLAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY ANTERIOR LAMELLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65710","description":"KERATOPLASTY ANTERIOR LAMELLAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY ENDOTHELIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65756","description":"KERATOPLASTY ENDOTHELIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY ENDOTHELIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65756","description":"KERATOPLASTY ENDOTHELIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENETRAING APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65750","description":"KERATOPLASTY PENETRAING APHAKIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENETRAING APHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65750","description":"KERATOPLASTY PENETRAING APHAKIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENETRATING PSEUDOPHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65755","description":"KERATOPLASTY PENETRATING PSEUDOPHAKIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENETRATING PSEUDOPHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65755","description":"KERATOPLASTY PENETRATING PSEUDOPHAKIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65730","description":"KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65730","description":"KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65770","description":"KERATOPROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65770","description":"KERATOPROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KETONE BODIES SERUM QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82009","description":"KETONE BODIES SERUM QUALITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KETONE BODIES SERUM QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82010","description":"KETONE BODIES SERUM QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KETONE BODYS QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82009","description":"KETONE BODYS QUALITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KETONE BODYS QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82010","description":"KETONE BODYS QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KETOSTEROIDS 17- FRACTIONATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83593","description":"KETOSTEROIDS 17- FRACTIONATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78725","description":"KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78725","description":"KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMAGING MORPHOLOGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78700","description":"KIDNEY IMAGING MORPHOLOGY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMAGING MORPHOLOGY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78700","description":"KIDNEY IMAGING MORPHOLOGY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78701","description":"KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78701","description":"KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78707","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78707","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78708","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78708","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78709","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78709","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KNEE DISARTIC MOLD SOCKET 1 AXIS KNEE SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5312","description":"KNEE DISARTIC MOLD SOCKET 1 AXIS KNEE SACH FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KNEE DISARTIC MOLD SOCKT BENT KNEE EXT KNEE JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5160","description":"KNEE DISARTIC MOLD SOCKT BENT KNEE EXT KNEE JNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KNEE DISRTC MOLD SOCKT EXT KNEE JNT SHIN SACH FT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5150","description":"KNEE DISRTC MOLD SOCKT EXT KNEE JNT SHIN SACH FT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOS LOCK KNEE JNT PSTN ORTHOS PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1831","description":"KNEE ORTHOS LOCK KNEE JNT PSTN ORTHOS PRFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOS MOD SUPRACONDYLR PROS SOCKT CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1860","description":"KNEE ORTHOS MOD SUPRACONDYLR PROS SOCKT CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ADJUSTABLE JOINT AIR SUPP PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1848","description":"KNEE ORTHOSIS ADJUSTABLE JOINT AIR SUPP PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ADJUSTABLE JOINT RIGD SUPP PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1833","description":"KNEE ORTHOSIS ADJUSTABLE JOINT RIGD SUPP PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT AIR PREFAB CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1847","description":"KNEE ORTHOSIS DOUBLE UPRIGHT AIR PREFAB CUSTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1846","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF CUSTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1845","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ELASTIC JOINTS PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1810","description":"KNEE ORTHOSIS ELASTIC JOINTS PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ELASTIC WITH JOINTS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1812","description":"KNEE ORTHOSIS ELASTIC WITH JOINTS PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS IMMOBLIZER ADJUSTABLE JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1832","description":"KNEE ORTHOSIS IMMOBLIZER ADJUSTABLE JOINT PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS IMMOBLIZER CANVAS LONGTUDNL PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1830","description":"KNEE ORTHOSIS IMMOBLIZER CANVAS LONGTUDNL PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS IMMOBLIZER CANVAS LONGTUDNL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1830","description":"KNEE ORTHOSIS IMMOBLIZER CANVAS LONGTUDNL PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS RIGID WITHOUT JOINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1836","description":"KNEE ORTHOSIS RIGID WITHOUT JOINT PREFABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1844","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF CUSTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1843","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SWEDISH TYPE PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1850","description":"KNEE ORTHOSIS SWEDISH TYPE PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KO DEROTATION MEDIAL-LATERAL ACL CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1840","description":"KO DEROTATION MEDIAL-LATERAL ACL CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KO ELAST CONDYLR PADS and JNT PRFAB CM FIT SPEC PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1820","description":"KO ELAST CONDYLR PADS and JNT PRFAB CM FIT SPEC PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KO WITHOUT KNEE JOINT RIGID CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1834","description":"KO WITHOUT KNEE JOINT RIGID CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KRUKENBERG PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25915","description":"KRUKENBERG PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KRUKENBERG PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25915","description":"KRUKENBERG PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KT/V GT or equal to 1.7","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3084F","description":"KT/V GT or equal to 1.7","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V GT or equal to 1.7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3084F","description":"KT/V GT or equal to 1.7","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V LT 1.2 (CLEARANCE OF UREA (KT)/VOLUME (V))","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3082F","description":"KT/V LT 1.2 (CLEARANCE OF UREA (KT)/VOLUME (V))","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V LT 1.2 (CLEARANCE OF UREA (KT)/VOLUME (V))","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3082F","description":"KT/V LT 1.2 (CLEARANCE OF UREA (KT)/VOLUME (V))","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V EQUAL OR GT 1.2 and LT 1.7","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3083F","description":"KT/V EQUAL OR GT 1.2 and LT 1.7","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V EQUAL OR GT 1.2 and LT 1.7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3083F","description":"KT/V EQUAL OR GT 1.2 and LT 1.7","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KYPHECTOMY 3 OR MORE SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22819","description":"KYPHECTOMY 3 OR MORE SEGMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KYPHECTOMY 3 OR MORE SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22819","description":"KYPHECTOMY 3 OR MORE SEGMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KYPHECTOMY SINGLE OR TWO SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22818","description":"KYPHECTOMY SINGLE OR TWO SEGMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"KYPHECTOMY SINGLE OR TWO SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22818","description":"KYPHECTOMY SINGLE OR TWO SEGMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93452","description":"L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93452","description":"L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78140","description":"LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78140","description":"LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHECTOMY TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69905","description":"LABYRINTHECTOMY TRANSCANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHECTOMY TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69905","description":"LABYRINTHECTOMY TRANSCANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHECTOMY W/MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69910","description":"LABYRINTHECTOMY W/MASTOIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHECTOMY W/MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69910","description":"LABYRINTHECTOMY W/MASTOIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHOTOMY TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69801","description":"LABYRINTHOTOMY TRANSCANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHOTOMY TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69801","description":"LABYRINTHOTOMY TRANSCANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LACTATE DEHYDROGENASE ISOENZYMES SEP AND QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83625","description":"LACTATE DEHYDROGENASE ISOENZYMES SEP AND QUAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LACTATE DEHYDROGENASE LDH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83615","description":"LACTATE DEHYDROGENASE LDH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LACTOFERRIN FECAL QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83630","description":"LACTOFERRIN FECAL QUALITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LACTOFERRIN FECAL QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83631","description":"LACTOFERRIN FECAL QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LACTOGEN HPL HUMAN CHORIONIC SOMATOMAMMOTROPIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83632","description":"LACTOGEN HPL HUMAN CHORIONIC SOMATOMAMMOTROPIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LACTOSE URINE QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83633","description":"LACTOSE URINE QUALITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAIV3 VACCINE LIVE FOR INTRANASAL USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90660","description":"LAIV3 VACCINE LIVE FOR INTRANASAL USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAIV3 VACCINE LIVE FOR INTRANASAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90660","description":"LAIV3 VACCINE LIVE FOR INTRANASAL USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAIV4 VACCINE FOR INTRANASAL USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90672","description":"LAIV4 VACCINE FOR INTRANASAL USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAIV4 VACCINE FOR INTRANASAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90672","description":"LAIV4 VACCINE FOR INTRANASAL USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63285","description":"LAM BX/EXC ISPI NEO IDRL IMED CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63285","description":"LAM BX/EXC ISPI NEO IDRL IMED CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63286","description":"LAM BX/EXC ISPI NEO IDRL IMED THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63286","description":"LAM BX/EXC ISPI NEO IDRL IMED THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63287","description":"LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63287","description":"LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63283","description":"LAM BX/EXC ISPI NEO IDRL SACRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63283","description":"LAM BX/EXC ISPI NEO IDRL SACRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63280","description":"LAM BX/EXC ISPI NEO IDRL XMED CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63280","description":"LAM BX/EXC ISPI NEO IDRL XMED CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63282","description":"LAM BX/EXC ISPI NEO IDRL XMED LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63282","description":"LAM BX/EXC ISPI NEO IDRL XMED LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63281","description":"LAM BX/EXC ISPI NEO IDRL XMED THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63281","description":"LAM BX/EXC ISPI NEO IDRL XMED THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63290","description":"LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63290","description":"LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM CORDOTOMY SCTJ BOTH SPINOTHALMIC TRACT THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63197","description":"LAM CORDOTOMY SCTJ BOTH SPINOTHALMIC TRACT THRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63270","description":"LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63270","description":"LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63272","description":"LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63272","description":"LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63273","description":"LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63273","description":"LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63271","description":"LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63271","description":"LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63265","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63265","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63268","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63268","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63266","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63266","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63267","description":"LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63267","description":"LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63252","description":"LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63252","description":"LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63250","description":"LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63250","description":"LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63251","description":"LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63251","description":"LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY AND FORAMOTOMY 1 SEGMENT CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63045","description":"LAM FACETECTOMY AND FORAMOTOMY 1 SEGMENT CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY AND FORAMOTOMY 1 SEGMENT LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63047","description":"LAM FACETECTOMY AND FORAMOTOMY 1 SEGMENT LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY AND FORAMOTOMY 1 SEGMENT THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63046","description":"LAM FACETECTOMY AND FORAMOTOMY 1 SEGMENT THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY and FORAMOTOMY 1 VRT SGM CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63045","description":"LAM FACETECTOMY and FORAMOTOMY 1 VRT SGM CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY and FORAMOTOMY 1 VRT SGM CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63045","description":"LAM FACETECTOMY and FORAMOTOMY 1 VRT SGM CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY and FORAMOTOMY 1 VRT SGM LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63047","description":"LAM FACETECTOMY and FORAMOTOMY 1 VRT SGM LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY and FORAMOTOMY 1 VRT SGM LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63047","description":"LAM FACETECTOMY and FORAMOTOMY 1 VRT SGM LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY and FORAMOTOMY 1 VRT SGM THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63046","description":"LAM FACETECTOMY and FORAMOTOMY 1 VRT SGM THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY and FORAMOTOMY 1 VRT SGM THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63046","description":"LAM FACETECTOMY and FORAMOTOMY 1 VRT SGM THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY and FORAMOT 1 VRT SGM EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63048","description":"LAM FACETECTOMY and FORAMOT 1 VRT SGM EA ADDL SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY and FORAMOT 1 VRT SGM EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63048","description":"LAM FACETECTOMY and FORAMOT 1 VRT SGM EA ADDL SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY and FORAMTOMY 1 SGM EA CRV THRC/LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63048","description":"LAM FACETECTOMY and FORAMTOMY 1 SGM EA CRV THRC/LMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63655","description":"LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63655","description":"LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/CORDOTOMY SCTJ SPINOTHALAMIC TRC 1STG THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63197","description":"LAM W/CORDOTOMY SCTJ SPINOTHALAMIC TRC 1STG THRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/CORDOTOMY SCTJ SPINOTHALAMIC TRC 1STG THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63197","description":"LAM W/CORDOTOMY SCTJ SPINOTHALAMIC TRC 1STG THRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63172","description":"LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63172","description":"LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63173","description":"LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63173","description":"LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63170","description":"LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63170","description":"LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63001","description":"LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63001","description":"LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT SEG CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63001","description":"LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT SEG CRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMBSWOOL SHEEPSKIN PAD ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0189","description":"LAMBSWOOL SHEEPSKIN PAD ANY SIZE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63275","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63275","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63277","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63277","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63278","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63278","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63276","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63276","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63200","description":"LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63200","description":"LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD GT 2 VERT SEG CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63015","description":"LAMINECTOMY W/O FFD GT 2 VERT SEG CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD GT 2 VERT SEG CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63015","description":"LAMINECTOMY W/O FFD GT 2 VERT SEG CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD GT 2 VERT SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63017","description":"LAMINECTOMY W/O FFD GT 2 VERT SEG LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD GT 2 VERT SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63017","description":"LAMINECTOMY W/O FFD GT 2 VERT SEG LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD GT 2 VERT SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63016","description":"LAMINECTOMY W/O FFD GT 2 VERT SEG THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD GT 2 VERT SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63016","description":"LAMINECTOMY W/O FFD GT 2 VERT SEG THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63005","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63005","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63011","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63011","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63003","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63003","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RHIZOTOMY GT 2 SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63190","description":"LAMINECTOMY W/RHIZOTOMY GT 2 SEGMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RHIZOTOMY GT 2 SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63190","description":"LAMINECTOMY W/RHIZOTOMY GT 2 SEGMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63185","description":"LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63185","description":"LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63012","description":"LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63012","description":"LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63191","description":"LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63191","description":"LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63020","description":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63020","description":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63030","description":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63030","description":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC CERVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63020","description":"LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC CERVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63030","description":"LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63035","description":"LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOP CERVICAL W/DCMPRN SPI CORD 2 OR GT VERT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63050","description":"LAMOP CERVICAL W/DCMPRN SPI CORD 2 OR GT VERT SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOP CERVICAL W/DCMPRN SPI CORD 2 OR GT VERT SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63050","description":"LAMOP CERVICAL W/DCMPRN SPI CORD 2 OR GT VERT SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOPLASTY CERVICAL DCMPRN CORD 2 OR GT SEG RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63051","description":"LAMOPLASTY CERVICAL DCMPRN CORD 2 OR GT SEG RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOPLASTY CERVICAL DCMPRN CORD 2 OR GT SEG RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63051","description":"LAMOPLASTY CERVICAL DCMPRN CORD 2 OR GT SEG RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63040","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63040","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63043","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63043","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63042","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63042","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT W/DCMPRN NRV RT EA ADDL NTRSPC CRV/LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63035","description":"LAMOT W/DCMPRN NRV RT EA ADDL NTRSPC CRV/LMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT W/DCMPRN NRV RT EA ADDL NTRSPC CRV/LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63035","description":"LAMOT W/DCMPRN NRV RT EA ADDL NTRSPC CRV/LMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63044","description":"LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63044","description":"LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LANCETS PER BOX OF 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4259","description":"LANCETS PER BOX OF 100","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LANCETS PER BOX OF 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4259","description":"LANCETS PER BOX OF 100","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC APPENDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44970","description":"LAPAROSCOPIC APPENDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC APPENDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44970","description":"LAPAROSCOPIC APPENDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC SURGICAL SPLENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38120","description":"LAPAROSCOPIC SURGICAL SPLENECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC SURGICAL SPLENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38120","description":"LAPAROSCOPIC SURGICAL SPLENECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60650","description":"LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60650","description":"LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44204","description":"LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44204","description":"LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57425","description":"LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57425","description":"LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50547","description":"LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50547","description":"LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44180","description":"LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44180","description":"LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY FIMBRIOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58672","description":"LAPAROSCOPY FIMBRIOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY FIMBRIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58672","description":"LAPAROSCOPY FIMBRIOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY FULGURATION OVIDUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58670","description":"LAPAROSCOPY FULGURATION OVIDUCTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY FULGURATION OVIDUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58670","description":"LAPAROSCOPY FULGURATION OVIDUCTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50546","description":"LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50546","description":"LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50548","description":"LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50548","description":"LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY PROCTOPEXY PROLAPSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45400","description":"LAPAROSCOPY PROCTOPEXY PROLAPSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY PROCTOPEXY PROLAPSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45400","description":"LAPAROSCOPY PROCTOPEXY PROLAPSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45402","description":"LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45402","description":"LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY RADICAL NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50545","description":"LAPAROSCOPY RADICAL NEPHRECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY RADICAL NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50545","description":"LAPAROSCOPY RADICAL NEPHRECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SALPINGOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58673","description":"LAPAROSCOPY SALPINGOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SALPINGOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58673","description":"LAPAROSCOPY SALPINGOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SLING OPERATION STRESS INCONT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51992","description":"LAPAROSCOPY SLING OPERATION STRESS INCONT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SLING OPERATION STRESS INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51992","description":"LAPAROSCOPY SLING OPERATION STRESS INCONT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SMALL INTESTINE RESCJ AND ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44203","description":"LAPAROSCOPY SMALL INTESTINE RESCJ AND ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SMALL INTESTINE RESCJ AND ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44203","description":"LAPAROSCOPY SMALL INTESTINE RESCJ AND ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58541","description":"LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58541","description":"LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG ABLATION RENAL CYSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50541","description":"LAPAROSCOPY SURG ABLATION RENAL CYSTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG ABLATION RENAL CYSTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50541","description":"LAPAROSCOPY SURG ABLATION RENAL CYSTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG CHOLECYSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47562","description":"LAPAROSCOPY SURG CHOLECYSTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG CHOLECYSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47562","description":"LAPAROSCOPY SURG CHOLECYSTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47570","description":"LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47570","description":"LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44188","description":"LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44188","description":"LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44187","description":"LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44187","description":"LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG PARTIAL NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50543","description":"LAPAROSCOPY SURG PARTIAL NEPHRECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG PARTIAL NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50543","description":"LAPAROSCOPY SURG PARTIAL NEPHRECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG PYELOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50544","description":"LAPAROSCOPY SURG PYELOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG PYELOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50544","description":"LAPAROSCOPY SURG PYELOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49650","description":"LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49650","description":"LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49321","description":"LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49321","description":"LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURGICAL JEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44186","description":"LAPAROSCOPY SURGICAL JEJUNOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURGICAL JEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44186","description":"LAPAROSCOPY SURGICAL JEJUNOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY TOT HYSTERECTOMY GT 250 G W/TUBE/OVAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58573","description":"LAPAROSCOPY TOT HYSTERECTOMY GT 250 G W/TUBE/OVAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY TOT HYSTERECTOMY GT 250 G W/TUBE/OVAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58573","description":"LAPAROSCOPY TOT HYSTERECTOMY GT 250 G W/TUBE/OVAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS GT 250 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58572","description":"LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS GT 250 GM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS GT 250 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58572","description":"LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS GT 250 GM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51990","description":"LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51990","description":"LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY URTROLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50945","description":"LAPAROSCOPY URTROLITHOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY URTROLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50945","description":"LAPAROSCOPY URTROLITHOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58570","description":"LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58570","description":"LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/LYSIS OF ADHESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58660","description":"LAPAROSCOPY W/LYSIS OF ADHESIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/LYSIS OF ADHESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58660","description":"LAPAROSCOPY W/LYSIS OF ADHESIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58671","description":"LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58671","description":"LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58661","description":"LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58661","description":"LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ABD PRTM and OMENTUM DX W/WO SPEC BR/WA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49320","description":"LAPS ABD PRTM and OMENTUM DX W/WO SPEC BR/WA SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ABD PRTM and OMENTUM DX W/WO SPEC BR/WA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49320","description":"LAPS ABD PRTM and OMENTUM DX W/WO SPEC BR/WA SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ABLTJ RENAL MASS LESION W/INTRAOP US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50542","description":"LAPS ABLTJ RENAL MASS LESION W/INTRAOP US","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ABLTJ RENAL MASS LESION W/INTRAOP US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50542","description":"LAPS ABLTJ RENAL MASS LESION W/INTRAOP US","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS BI TOT PEL LMPHADEC AND PRI-AORTIC LYMPH BX 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38572","description":"LAPS BI TOT PEL LMPHADEC AND PRI-AORTIC LYMPH BX 1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS BI TOT PEL LMPHADEC AND PRI-AORTIC LYMPH BX 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38572","description":"LAPS BI TOT PEL LMPHADEC AND PRI-AORTIC LYMPH BX 1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS CLSR NTRSTM LG/SM INT W/RESCJ and ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44227","description":"LAPS CLSR NTRSTM LG/SM INT W/RESCJ and ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS CLSR NTRSTM LG/SM INT W/RESCJ and ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44227","description":"LAPS CLSR NTRSTM LG/SM INT W/RESCJ and ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44211","description":"LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44211","description":"LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44208","description":"LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44208","description":"LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44212","description":"LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44212","description":"LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44207","description":"LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44207","description":"LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/END CLST and CLSR DSTL SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44206","description":"LAPS COLECTOMY PRTL W/END CLST and CLSR DSTL SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/END CLST and CLSR DSTL SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44206","description":"LAPS COLECTOMY PRTL W/END CLST and CLSR DSTL SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44205","description":"LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44205","description":"LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44210","description":"LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44210","description":"LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ AND ANA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44202","description":"LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ AND ANA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ AND ANA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44202","description":"LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ AND ANA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHAGEAL LENGTHENING ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43283","description":"LAPS ESOPHAGEAL LENGTHENING ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHAGEAL LENGTHENING ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43283","description":"LAPS ESOPHAGEAL LENGTHENING ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43279","description":"LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43279","description":"LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58662","description":"LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58662","description":"LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43770","description":"LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43770","description":"LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE AND RPLCMT DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43773","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE AND RPLCMT DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE AND RPLCMT DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43773","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE AND RPLCMT DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43772","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43772","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE AND PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43774","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE AND PORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE AND PORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43774","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE AND PORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43771","description":"LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43771","description":"LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB LT 150 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43644","description":"LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB LT 150 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB LT 150 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43644","description":"LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB LT 150 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GSTR RSTCV PX W/BYP and SM INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43645","description":"LAPS GSTR RSTCV PX W/BYP and SM INT RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GSTR RSTCV PX W/BYP and SM INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43645","description":"LAPS GSTR RSTCV PX W/BYP and SM INT RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43647","description":"LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43647","description":"LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49324","description":"LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49324","description":"LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44213","description":"LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44213","description":"LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58545","description":"LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58545","description":"LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MYOMECTOMY EXC 5 OR GT MYOMAS GT 250 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58546","description":"LAPS MYOMECTOMY EXC 5 OR GT MYOMAS GT 250 GRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MYOMECTOMY EXC 5 OR GT MYOMAS GT 250 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58546","description":"LAPS MYOMECTOMY EXC 5 OR GT MYOMAS GT 250 GRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45395","description":"LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45395","description":"LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45397","description":"LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45397","description":"LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43282","description":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43282","description":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43281","description":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43281","description":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SUPRACRV HYSTERECT 250 GM OR LT RMVL TUBE/OVAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58542","description":"LAPS SUPRACRV HYSTERECT 250 GM OR LT RMVL TUBE/OVAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SUPRACRV HYSTERECT 250 GM OR LT RMVL TUBE/OVAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58542","description":"LAPS SUPRACRV HYSTERECT 250 GM OR LT RMVL TUBE/OVAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ABLTJ 1 GT LVR TUM CRYOSURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47371","description":"LAPS SURG ABLTJ 1 GT LVR TUM CRYOSURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ABLTJ 1 GT LVR TUM CRYOSURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47371","description":"LAPS SURG ABLTJ 1 GT LVR TUM CRYOSURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ABLTJ 1 OR GT LVR TUM RF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47370","description":"LAPS SURG ABLTJ 1 OR GT LVR TUM RF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ABLTJ 1 OR GT LVR TUM RF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47370","description":"LAPS SURG ABLTJ 1 OR GT LVR TUM RF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38571","description":"LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38571","description":"LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG CHOLECSTC W/EXPL COMMON DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47564","description":"LAPS SURG CHOLECSTC W/EXPL COMMON DUCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG CHOLECSTC W/EXPL COMMON DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47564","description":"LAPS SURG CHOLECSTC W/EXPL COMMON DUCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47563","description":"LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47563","description":"LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ESOPG/GSTR FUNDOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43280","description":"LAPS SURG ESOPG/GSTR FUNDOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ESOPG/GSTR FUNDOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43280","description":"LAPS SURG ESOPG/GSTR FUNDOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43653","description":"LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43653","description":"LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38570","description":"LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38570","description":"LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG RPR RECURRENT INGUINAL HERNIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49651","description":"LAPS SURG RPR RECURRENT INGUINAL HERNIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG RPR RECURRENT INGUINAL HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49651","description":"LAPS SURG RPR RECURRENT INGUINAL HERNIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43652","description":"LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43652","description":"LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG TRNSXJ VAGUS NRV TRUNCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43651","description":"LAPS SURG TRNSXJ VAGUS NRV TRUNCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG TRNSXJ VAGUS NRV TRUNCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43651","description":"LAPS SURG TRNSXJ VAGUS NRV TRUNCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49322","description":"LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49322","description":"LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49323","description":"LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49323","description":"LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TOTAL HYSTERECT 250 GM OR LT W/RMVL TUBE/OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58571","description":"LAPS TOTAL HYSTERECT 250 GM OR LT W/RMVL TUBE/OVARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TOTAL HYSTERECT 250 GM OR LT W/RMVL TUBE/OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58571","description":"LAPS TOTAL HYSTERECT 250 GM OR LT W/RMVL TUBE/OVARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TX ECTOPIC PREG W/O SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59150","description":"LAPS TX ECTOPIC PREG W/O SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TX ECTOPIC PREG W/O SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59150","description":"LAPS TX ECTOPIC PREG W/O SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TX ECTOPIC PREG W/SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59151","description":"LAPS TX ECTOPIC PREG W/SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TX ECTOPIC PREG W/SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59151","description":"LAPS TX ECTOPIC PREG W/SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS URTRONEOCSTOST W/CSTSC and URTRL STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50947","description":"LAPS URTRONEOCSTOST W/CSTSC and URTRL STENT PLMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS URTRONEOCSTOST W/CSTSC and URTRL STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50947","description":"LAPS URTRONEOCSTOST W/CSTSC and URTRL STENT PLMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS URTRONEOCSTOST W/O CSTSC and URTRL STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50948","description":"LAPS URTRONEOCSTOST W/O CSTSC and URTRL STENT PLMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS URTRONEOCSTOST W/O CSTSC and URTRL STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50948","description":"LAPS URTRONEOCSTOST W/O CSTSC and URTRL STENT PLMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS VAGINAL HYSTERECT GT 250 GM RMVL TUBE and /OVAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58554","description":"LAPS VAGINAL HYSTERECT GT 250 GM RMVL TUBE and /OVAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS VAGINAL HYSTERECT GT 250 GM RMVL TUBE and /OVAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58554","description":"LAPS VAGINAL HYSTERECT GT 250 GM RMVL TUBE and /OVAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58550","description":"LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58550","description":"LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49327","description":"LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49327","description":"LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58548","description":"LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58548","description":"LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/VAG HYSTERECT 250 GM/ and RMVL TUBE and /OVARIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58552","description":"LAPS W/VAG HYSTERECT 250 GM/ and RMVL TUBE and /OVARIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/VAG HYSTERECT 250 GM/ and RMVL TUBE and /OVARIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58552","description":"LAPS W/VAG HYSTERECT 250 GM/ and RMVL TUBE and /OVARIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/VAGINAL HYSTERECTOMY GT 250 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58553","description":"LAPS W/VAGINAL HYSTERECTOMY GT 250 GRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/VAGINAL HYSTERECTOMY GT 250 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58553","description":"LAPS W/VAGINAL HYSTERECTOMY GT 250 GRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPT RPR PARAESOPH HIATAL HERNIA W/MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43333","description":"LAPT RPR PARAESOPH HIATAL HERNIA W/MESH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPT RPR PARAESOPH HIATAL HERNIA W/MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43333","description":"LAPT RPR PARAESOPH HIATAL HERNIA W/MESH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58960","description":"LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58960","description":"LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPT W/ASPIR and /NJX HEPATC PARASITIC CYST/ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47015","description":"LAPT W/ASPIR and /NJX HEPATC PARASITIC CYST/ABSCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPT W/ASPIR and /NJX HEPATC PARASITIC CYST/ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47015","description":"LAPT W/ASPIR and /NJX HEPATC PARASITIC CYST/ABSCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31561","description":"LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31561","description":"LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC EXC TUM and /STRPG CORDS/EPIGL MCRSCP/TLSCP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31541","description":"LARGSC EXC TUM and /STRPG CORDS/EPIGL MCRSCP/TLSCP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC EXC TUM and /STRPG CORDS/EPIGL MCRSCP/TLSCP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31541","description":"LARGSC EXC TUM and /STRPG CORDS/EPIGL MCRSCP/TLSCP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31545","description":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31545","description":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31546","description":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31546","description":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31571","description":"LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31571","description":"LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGEAL FUNCTION STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92520","description":"LARYNGEAL FUNCTION STUDIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31590","description":"LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31590","description":"LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31367","description":"LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31367","description":"LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31368","description":"LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31368","description":"LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31360","description":"LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31360","description":"LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31365","description":"LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31365","description":"LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31587","description":"LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31587","description":"LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31580","description":"LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31580","description":"LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31584","description":"LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31584","description":"LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31570","description":"LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31570","description":"LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31560","description":"LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31560","description":"LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31535","description":"LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31535","description":"LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY EXC TUM and /STRIPPING CORDS/EPIGLOTT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31540","description":"LARYNGOSCOPY EXC TUM and /STRIPPING CORDS/EPIGLOTT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY EXC TUM and /STRIPPING CORDS/EPIGLOTT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31540","description":"LARYNGOSCOPY EXC TUM and /STRIPPING CORDS/EPIGLOTT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31575","description":"LARYNGOSCOPY FLEXIBLE DIAGNOSTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31575","description":"LARYNGOSCOPY FLEXIBLE DIAGNOSTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31578","description":"LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31578","description":"LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31576","description":"LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31576","description":"LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31577","description":"LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31577","description":"LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31579","description":"LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31579","description":"LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31531","description":"LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31531","description":"LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31505","description":"LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31505","description":"LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31510","description":"LARYNGOSCOPY INDIRECT W/BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31510","description":"LARYNGOSCOPY INDIRECT W/BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31511","description":"LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31511","description":"LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/REMOVAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31512","description":"LARYNGOSCOPY INDIRECT W/REMOVAL LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/REMOVAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31512","description":"LARYNGOSCOPY INDIRECT W/REMOVAL LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31513","description":"LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31513","description":"LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31536","description":"LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31536","description":"LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31530","description":"LARYNGOSCOPY W/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31530","description":"LARYNGOSCOPY W/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31515","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31515","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31529","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31529","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31525","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31525","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31520","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31520","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31527","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31527","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31528","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31528","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31526","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31526","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31300","description":"LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31300","description":"LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LASER ENUCLEATION PROSTATE W/MORCELLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52649","description":"LASER ENUCLEATION PROSTATE W/MORCELLATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LASER ENUCLEATION PROSTATE W/MORCELLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52649","description":"LASER ENUCLEATION PROSTATE W/MORCELLATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LASER SKIN DISEASE PSORIASIS GT 500 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96922","description":"LASER SKIN DISEASE PSORIASIS GT 500 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LASER SKIN DISEASE PSORIASIS 250-500 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96921","description":"LASER SKIN DISEASE PSORIASIS 250-500 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LASER SKIN DISEASE PSORIASIS TOT AREA LT 250 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96920","description":"LASER SKIN DISEASE PSORIASIS TOT AREA LT 250 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LASER VAPORIZATION OF PROSTATE FOR URINE FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52648","description":"LASER VAPORIZATION OF PROSTATE FOR URINE FLOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LASER VAPORIZATION OF PROSTATE FOR URINE FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52648","description":"LASER VAPORIZATION OF PROSTATE FOR URINE FLOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LATERAL CANTHOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21282","description":"LATERAL CANTHOPEXY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LATERAL CANTHOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21282","description":"LATERAL CANTHOPEXY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LATERAL RETINACULAR RELEASE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27425","description":"LATERAL RETINACULAR RELEASE OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LATERAL RETINACULAR RELEASE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27425","description":"LATERAL RETINACULAR RELEASE OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAVAGE CANNULATION MAXILLARY SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31000","description":"LAVAGE CANNULATION MAXILLARY SINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAVAGE CANNULATION MAXILLARY SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31000","description":"LAVAGE CANNULATION MAXILLARY SINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAVAGE CANNULATION SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31002","description":"LAVAGE CANNULATION SPHENOID SINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LAVAGE CANNULATION SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31002","description":"LAVAGE CANNULATION SPHENOID SINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LDCT LUNG CANCER SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8032","description":"LDCT LUNG CANCER SCREENING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEAD WIRES PER PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4557","description":"LEAD WIRES PER PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEAD WIRES PER PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4557","description":"LEAD WIRES PER PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEADS FOR ANY TYPE ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0487","description":"LEADS FOR ANY TYPE ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEADS FOR ANY TYPE ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0487","description":"LEADS FOR ANY TYPE ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEFT HEART CATH BY TRANSEPTAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93462","description":"LEFT HEART CATH BY TRANSEPTAL PUNCTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEFT HEART CATH BY TRANSEPTAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93462","description":"LEFT HEART CATH BY TRANSEPTAL PUNCTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM/DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8396","description":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM/DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM/DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8396","description":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM/DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION GT EQUAL 40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3022F","description":"LEFT VENTRICULAR EJECTION FRACTION GT EQUAL 40 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION GT or equal to 40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3022F","description":"LEFT VENTRICULAR EJECTION FRACTION GT or equal to 40 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION GT or equal to 40 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3022F","description":"LEFT VENTRICULAR EJECTION FRACTION GT or equal to 40 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION LT 40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8694","description":"LEFT VENTRICULAR EJECTION FRACTION LT 40 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION LT 40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3021F","description":"LEFT VENTRICULAR EJECTION FRACTION LT 40 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION LT 40 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3021F","description":"LEFT VENTRICULAR EJECTION FRACTION LT 40 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR FUNCTION ASSESSMENT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3020F","description":"LEFT VENTRICULAR FUNCTION ASSESSMENT DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR FUNCTION ASSESSMENT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3020F","description":"LEFT VENTRICULAR FUNCTION ASSESSMENT DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG EXTENSIONS FOR WALKER PER SET OF FOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0158","description":"LEG EXTENSIONS FOR WALKER PER SET OF FOUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN NOT MEAS BY THE VAS/NPS AT 3 MO POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9949","description":"LEG PAIN NOT MEAS BY THE VAS/NPS AT 3 MO POSTOP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN NOT MEAS BY THE VAS/NPS AT 3 MO POSTOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9949","description":"LEG PAIN NOT MEAS BY THE VAS/NPS AT 3 MO POSTOP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN NOT MEASURED BY THE VAS AT 3 MO POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9949","description":"LEG PAIN NOT MEASURED BY THE VAS AT 3 MO POSTOP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN WAS NOT MSR VAS AT 1 YEAR POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1052","description":"LEG PAIN WAS NOT MSR VAS AT 1 YEAR POSTOP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN WAS NOT MSR VAS OR NPS AT 1 YEAR POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1052","description":"LEG PAIN WAS NOT MSR VAS OR NPS AT 1 YEAR POSTOP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN WAS NOT MSR VAS OR NPS AT 1 YEAR POSTOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1052","description":"LEG PAIN WAS NOT MSR VAS OR NPS AT 1 YEAR POSTOP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP; FOAM/FABRIC REPLACEMENT ONLY PER SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5114","description":"LEG STRAP; FOAM/FABRIC REPLACEMENT ONLY PER SET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP; FOAM/FABRIC REPLACEMENT ONLY PER SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5114","description":"LEG STRAP; FOAM/FABRIC REPLACEMENT ONLY PER SET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP; LATEX REPLACEMENT ONLY PER SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5113","description":"LEG STRAP; LATEX REPLACEMENT ONLY PER SET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP; LATEX REPLACEMENT ONLY PER SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5113","description":"LEG STRAP; LATEX REPLACEMENT ONLY PER SET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEGG PERTHES ORTHOSIS NEWINGTON CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1710","description":"LEGG PERTHES ORTHOSIS NEWINGTON CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEGG PERTHES ORTHOSIS PATTEN BOTTOM CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1755","description":"LEGG PERTHES ORTHOSIS PATTEN BOTTOM CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEGG PERTHES ORTHOSIS SCOTTISH RITE CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1730","description":"LEGG PERTHES ORTHOSIS SCOTTISH RITE CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEGG PERTHES ORTHOSIS TORONTO CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1700","description":"LEGG PERTHES ORTHOSIS TORONTO CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEGG PERTHES ORTHOSIS TRILAT TACHDIJAN CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1720","description":"LEGG PERTHES ORTHOSIS TRILAT TACHDIJAN CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27394","description":"LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27394","description":"LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27395","description":"LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27395","description":"LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27393","description":"LENGTHENING HAMSTRING TENDON SINGLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27393","description":"LENGTHENING HAMSTRING TENDON SINGLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING PALATE AND PHARYNGEAL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42226","description":"LENGTHENING PALATE AND PHARYNGEAL FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING PALATE AND PHARYNGEAL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42226","description":"LENGTHENING PALATE AND PHARYNGEAL FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING PALATE W/ISLAND FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42227","description":"LENGTHENING PALATE W/ISLAND FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING PALATE W/ISLAND FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42227","description":"LENGTHENING PALATE W/ISLAND FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING TENDON EXTENSOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26476","description":"LENGTHENING TENDON EXTENSOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING TENDON EXTENSOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26476","description":"LENGTHENING TENDON EXTENSOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING TENDON FLEXOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26478","description":"LENGTHENING TENDON FLEXOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING TENDON FLEXOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26478","description":"LENGTHENING TENDON FLEXOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEUCINE AMINOPEPTIDASE LAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83670","description":"LEUCINE AMINOPEPTIDASE LAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE ASSMT FECAL QUAL/SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89055","description":"LEUKOCYTE ASSMT FECAL QUAL/SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE HISTAMINE RELEASE TEST LHR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86343","description":"LEUKOCYTE HISTAMINE RELEASE TEST LHR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE PHAGOCYTOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86344","description":"LEUKOCYTE PHAGOCYTOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE 7.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9217","description":"LEUPROLIDE ACETATE 7.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE 7.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9217","description":"LEUPROLIDE ACETATE 7.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE IMPLANT 65 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9219","description":"LEUPROLIDE ACETATE IMPLANT 65 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE IMPLANT 65 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9219","description":"LEUPROLIDE ACETATE IMPLANT 65 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9218","description":"LEUPROLIDE ACETATE PER 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9218","description":"LEUPROLIDE ACETATE PER 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVALBUTEROL INHAL CP PROD THRU DME CONC 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7607","description":"LEVALBUTEROL INHAL CP PROD THRU DME CONC 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVALBUTEROL INHAL CP PROD THRU DME CONC 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7607","description":"LEVALBUTEROL INHAL CP PROD THRU DME CONC 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVALBUTEROL INHAL NON-CP THRU DME CONC 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7612","description":"LEVALBUTEROL INHAL NON-CP THRU DME CONC 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVALBUTEROL INHAL NON-CP THRU DME CONC 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7612","description":"LEVALBUTEROL INHAL NON-CP THRU DME CONC 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVALBUTEROL INHAL NON-CP THRU DME U DOSE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7614","description":"LEVALBUTEROL INHAL NON-CP THRU DME U DOSE 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVALBUTEROL INHAL NON-CP THRU DME U DOSE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7614","description":"LEVALBUTEROL INHAL NON-CP THRU DME U DOSE 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVALBUTEROL INHAL SOL THRU DME UNIT DOSE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7615","description":"LEVALBUTEROL INHAL SOL THRU DME UNIT DOSE 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVALBUTEROL INHAL SOL THRU DME UNIT DOSE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7615","description":"LEVALBUTEROL INHAL SOL THRU DME UNIT DOSE 0.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 1 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0380","description":"LEVEL 1 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 1 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0380","description":"LEVEL 1 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 1 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0380","description":"LEVEL 1 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 2 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0381","description":"LEVEL 2 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 2 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0381","description":"LEVEL 2 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 2 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0381","description":"LEVEL 2 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 3 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0382","description":"LEVEL 3 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 3 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0382","description":"LEVEL 3 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 3 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0382","description":"LEVEL 3 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 4 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0383","description":"LEVEL 4 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 4 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0383","description":"LEVEL 4 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 4 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0383","description":"LEVEL 4 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 5 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0384","description":"LEVEL 5 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 5 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0384","description":"LEVEL 5 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 5 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0384","description":"LEVEL 5 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL ACTIVITY ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1003F","description":"LEVEL ACTIVITY ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL ACTIVITY ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1003F","description":"LEVEL ACTIVITY ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL I SURG PATHOLOGY GROSS EXAMINATION ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88300","description":"LEVEL I SURG PATHOLOGY GROSS EXAMINATION ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL II SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88302","description":"LEVEL II SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL III SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88304","description":"LEVEL III SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL IV SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88305","description":"LEVEL IV SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL V SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88307","description":"LEVEL V SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL VI SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88309","description":"LEVEL VI SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LG VOL NEBULIZR DISPBL PREFIL W/AROSL COMPRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7008","description":"LG VOL NEBULIZR DISPBL PREFIL W/AROSL COMPRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LG VOL NEBULIZR DISPBL PREFIL W/AROSL COMPRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7008","description":"LG VOL NEBULIZR DISPBL PREFIL W/AROSL COMPRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LG VOL NEBULIZR DISPBL UNFIL USED W/AROSL COMPRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7007","description":"LG VOL NEBULIZR DISPBL UNFIL USED W/AROSL COMPRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LG VOL NEBULIZR DISPBL UNFIL USED W/AROSL COMPRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7007","description":"LG VOL NEBULIZR DISPBL UNFIL USED W/AROSL COMPRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; DTACHBLE ARMS DTACHBLE LEGREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1240","description":"LGHTWT WHLCHAIR; DTACHBLE ARMS DTACHBLE LEGREST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; DTACHBLE ARMS DTACHBLE LEGREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1240","description":"LGHTWT WHLCHAIR; DTACHBLE ARMS DTACHBLE LEGREST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; FIX ARMS DTACHBLE ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1270","description":"LGHTWT WHLCHAIR; FIX ARMS DTACHBLE ELEV LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; FIX ARMS DTACHBLE ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1270","description":"LGHTWT WHLCHAIR; FIX ARMS DTACHBLE ELEV LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIB CI/AUD OSSEOINTEG DEVC SP EAR LEVEL REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8624","description":"LIB CI/AUD OSSEOINTEG DEVC SP EAR LEVEL REPL EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEV INSIDE SHOE TAPERED UP ONE-HALF INCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3332","description":"LIFT ELEV INSIDE SHOE TAPERED UP ONE-HALF INCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL AND SOLE NEOPRENE PER INCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3310","description":"LIFT ELEVATION HEEL AND SOLE NEOPRENE PER INCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL PER INCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3334","description":"LIFT ELEVATION HEEL PER INCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL TAPERED METATARSALS PER INCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3300","description":"LIFT ELEVATION HEEL TAPERED METATARSALS PER INCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION METAL EXTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3330","description":"LIFT ELEVATION METAL EXTENSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG DIV and STRIPPING SHORT SAPHENOUS VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37718","description":"LIG DIV and STRIPPING SHORT SAPHENOUS VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG DIV and STRIPPING SHORT SAPHENOUS VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37718","description":"LIG DIV and STRIPPING SHORT SAPHENOUS VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG DIV and STRPG LONG SAPH SAPHFEM JUNCT KNE/BELW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37722","description":"LIG DIV and STRPG LONG SAPH SAPHFEM JUNCT KNE/BELW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG DIV and STRPG LONG SAPH SAPHFEM JUNCT KNE/BELW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37722","description":"LIG DIV and STRPG LONG SAPH SAPHFEM JUNCT KNE/BELW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37606","description":"LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37606","description":"LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37761","description":"LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37761","description":"LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG PRFRATR VEIN SUBFSCAL RAD INCL SKN GRF 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37760","description":"LIG PRFRATR VEIN SUBFSCAL RAD INCL SKN GRF 1 LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG PRFRATR VEINS SUBF RAD W/SKN GRAFT OPN 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37760","description":"LIG PRFRATR VEINS SUBF RAD W/SKN GRAFT OPN 1 LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG PRFRATR VEINS SUBF RAD W/SKN GRAFT OPN 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37760","description":"LIG PRFRATR VEINS SUBF RAD W/SKN GRAFT OPN 1 LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG and DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37700","description":"LIG and DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG and DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37700","description":"LIG and DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG and DIV and COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37735","description":"LIG and DIV and COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG and DIV and COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37735","description":"LIG and DIV and COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG and TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33924","description":"LIG and TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG and TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33924","description":"LIG and TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37607","description":"LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37607","description":"LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43405","description":"LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43405","description":"LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58611","description":"LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58611","description":"LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58600","description":"LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58600","description":"LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58605","description":"LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58605","description":"LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27427","description":"LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27427","description":"LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27428","description":"LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27428","description":"LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION ARTERIES ETHMOIDAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30915","description":"LIGATION ARTERIES ETHMOIDAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION ARTERIES ETHMOIDAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30915","description":"LIGATION ARTERIES ETHMOIDAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION ARTERIES INT MAXILLARY TRANSANTRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30920","description":"LIGATION ARTERIES INT MAXILLARY TRANSANTRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION ARTERIES INT MAXILLARY TRANSANTRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30920","description":"LIGATION ARTERIES INT MAXILLARY TRANSANTRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION DIRECT ESOPHAGEAL VARICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43400","description":"LIGATION DIRECT ESOPHAGEAL VARICES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION DIRECT ESOPHAGEAL VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43400","description":"LIGATION DIRECT ESOPHAGEAL VARICES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION EXTERNAL CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37600","description":"LIGATION EXTERNAL CAROTID ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION EXTERNAL CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37600","description":"LIGATION EXTERNAL CAROTID ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION INTERNAL JUGULAR VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37565","description":"LIGATION INTERNAL JUGULAR VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION INTERNAL JUGULAR VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37565","description":"LIGATION INTERNAL JUGULAR VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION INTERNAL/COMMON CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37605","description":"LIGATION INTERNAL/COMMON CAROTID ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION INTERNAL/COMMON CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37605","description":"LIGATION INTERNAL/COMMON CAROTID ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37617","description":"LIGATION MAJOR ARTERY ABDOMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37617","description":"LIGATION MAJOR ARTERY ABDOMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY CHEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37616","description":"LIGATION MAJOR ARTERY CHEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY CHEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37616","description":"LIGATION MAJOR ARTERY CHEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37618","description":"LIGATION MAJOR ARTERY EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37618","description":"LIGATION MAJOR ARTERY EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37615","description":"LIGATION MAJOR ARTERY NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37615","description":"LIGATION MAJOR ARTERY NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF COMMON ILIAC VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37660","description":"LIGATION OF COMMON ILIAC VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF COMMON ILIAC VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37660","description":"LIGATION OF COMMON ILIAC VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF FEMORAL VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37650","description":"LIGATION OF FEMORAL VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF FEMORAL VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37650","description":"LIGATION OF FEMORAL VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF INFERIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37619","description":"LIGATION OF INFERIOR VENA CAVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF INFERIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37619","description":"LIGATION OF INFERIOR VENA CAVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49428","description":"LIGATION PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49428","description":"LIGATION PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION SALIVARY DUCT INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42665","description":"LIGATION SALIVARY DUCT INTRAORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION SALIVARY DUCT INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42665","description":"LIGATION SALIVARY DUCT INTRAORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION/BIOPSY TEMPORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37609","description":"LIGATION/BIOPSY TEMPORAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION/BIOPSY TEMPORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37609","description":"LIGATION/BIOPSY TEMPORAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGHTWEIGHT PORTABLE MOTORIZED/POWER WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0012","description":"LIGHTWEIGHT PORTABLE MOTORIZED/POWER WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGHTWEIGHT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0003","description":"LIGHTWEIGHT WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ AND DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37780","description":"LIGJ AND DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ AND DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37780","description":"LIGJ AND DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ and DIVJ RADICAL STRIP LONG/SHORT SAPHENOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37735","description":"LIGJ and DIVJ RADICAL STRIP LONG/SHORT SAPHENOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ DIVJ AND STRIPPING SHORT SAPHENOUS VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37718","description":"LIGJ DIVJ AND STRIPPING SHORT SAPHENOUS VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ DIVJ and /EXCJ VARICOSE VEIN CLUSTER 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37785","description":"LIGJ DIVJ and /EXCJ VARICOSE VEIN CLUSTER 1 LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ DIVJ and /EXCJ VARICOSE VEIN CLUSTER 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37785","description":"LIGJ DIVJ and /EXCJ VARICOSE VEIN CLUSTER 1 LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ DIVJ and STRIP LONG SAPH SAPHFEM JUNCT KNE/BELW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37722","description":"LIGJ DIVJ and STRIP LONG SAPH SAPHFEM JUNCT KNE/BELW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27429","description":"LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27429","description":"LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIMA GRAFT USED IN 1ST ISOLATED CABG PXD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4110F","description":"LIMA GRAFT USED IN 1ST ISOLATED CABG PXD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMA GRAFT USED IN 1ST ISOLATED CABG PXD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4110F","description":"LIMA GRAFT USED IN 1ST ISOLATED CABG PXD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED PHARYNGECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42890","description":"LIMITED PHARYNGECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED PHARYNGECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42890","description":"LIMITED PHARYNGECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92081","description":"LIMITED VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92081","description":"LIMITED VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIPID PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80061","description":"LIPID PANEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIPID PANEL RESULTS DOCUMENTED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3011F","description":"LIPID PANEL RESULTS DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPID PANEL RESULTS DOCUMENTED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3011F","description":"LIPID PANEL RESULTS DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN (A)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83695","description":"LIPOPROTEIN (A)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN BLOOD ELECTROPHORECTIC SEP AND QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83700","description":"LIPOPROTEIN BLOOD ELECTROPHORECTIC SEP AND QUAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN BLOOD HIGH RESOLTJ AND QUANTJ SUBCLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83701","description":"LIPOPROTEIN BLOOD HIGH RESOLTJ AND QUANTJ SUBCLASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN BLOOD QUAN NUMBERS AND SUBCLASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83704","description":"LIPOPROTEIN BLOOD QUAN NUMBERS AND SUBCLASSES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83718","description":"LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83721","description":"LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN DIRECT MEASUREMENT VLDL CHOLESTEROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83719","description":"LIPOPROTEIN DIRECT MEASUREMENT VLDL CHOLESTEROL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83698","description":"LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LITHIUM ION BATTERY CHARGER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7368","description":"LITHIUM ION BATTERY CHARGER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LITHIUM ION BATTERY OTH THAN EAR LEVEL REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8623","description":"LITHIUM ION BATTERY OTH THAN EAR LEVEL REPL EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LITHIUM ION BATTERY RECHARGEABLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7367","description":"LITHIUM ION BATTERY RECHARGEABLE REPLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LITHOLAPAXY COMP/LG GT 2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52318","description":"LITHOLAPAXY COMP/LG GT 2.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LITHOLAPAXY COMP/LG GT 2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52318","description":"LITHOLAPAXY COMP/LG GT 2.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LITHOLAPAXY SMPL/SM LT 2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52317","description":"LITHOLAPAXY SMPL/SM LT 2.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LITHOLAPAXY SMPL/SM LT 2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52317","description":"LITHOLAPAXY SMPL/SM LT 2.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LITHOTRIPSY XTRCORP SHOCK WAVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50590","description":"LITHOTRIPSY XTRCORP SHOCK WAVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LITHOTRIPSY XTRCORP SHOCK WAVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50590","description":"LITHOTRIPSY XTRCORP SHOCK WAVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIVER AND SPLEEN IMAGING STATIC ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78215","description":"LIVER AND SPLEEN IMAGING STATIC ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIVER AND SPLEEN IMAGING STATIC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78215","description":"LIVER AND SPLEEN IMAGING STATIC ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIVER and SPLEEN IMAGING W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78216","description":"LIVER and SPLEEN IMAGING W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIVER and SPLEEN IMAGING W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78216","description":"LIVER and SPLEEN IMAGING W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIVER IMAGING STATIC ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78201","description":"LIVER IMAGING STATIC ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIVER IMAGING STATIC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78201","description":"LIVER IMAGING STATIC ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIVER IMAGING W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78202","description":"LIVER IMAGING W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LIVER IMAGING W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78202","description":"LIVER IMAGING W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LMPHOCYTOTOXICITY ASSAY VIS CROSSMTCH W/O TITRAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86806","description":"LMPHOCYTOTOXICITY ASSAY VIS CROSSMTCH W/O TITRAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LMTD LMPHADEC STAGING SPX PEL AND PARA-AORTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38562","description":"LMTD LMPHADEC STAGING SPX PEL AND PARA-AORTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LMTD LMPHADEC STAGING SPX PEL AND PARA-AORTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38562","description":"LMTD LMPHADEC STAGING SPX PEL AND PARA-AORTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LMTD LMPHADEC STAGING SPX RPR AORTIC and /SPLENIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38564","description":"LMTD LMPHADEC STAGING SPX RPR AORTIC and /SPLENIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LMTD LMPHADEC STAGING SPX RPR AORTIC and /SPLENIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38564","description":"LMTD LMPHADEC STAGING SPX RPR AORTIC and /SPLENIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LMTD OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92019","description":"LMTD OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LMTD OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92019","description":"LMTD OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT FLXR/XTNSR TDN F/ARM and /WRIST 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25280","description":"LNGTH/SHRT FLXR/XTNSR TDN F/ARM and /WRIST 1 EA TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT FLXR/XTNSR TDN F/ARM and /WRIST 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25280","description":"LNGTH/SHRT FLXR/XTNSR TDN F/ARM and /WRIST 1 EA TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27686","description":"LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27686","description":"LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27685","description":"LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27685","description":"LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LOCM 300-399 MG/ML IODINE CONCENTRATION PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9967","description":"LOCM 300-399 MG/ML IODINE CONCENTRATION PER ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LOCM 300-399 MG/ML IODINE CONCENTRATION PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9967","description":"LOCM 300-399 MG/ML IODINE CONCENTRATION PER ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LONG-ACTING INHAL BRONCHODILATR NOT PRSC RSN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9699","description":"LONG-ACTING INHAL BRONCHODILATR NOT PRSC RSN NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-ACTING INHAL BRONCHODILATR NOT PRSC RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9699","description":"LONG-ACTING INHAL BRONCHODILATR NOT PRSC RSN NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-ACTING INHALED BRONCHODILATOR PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9695","description":"LONG-ACTING INHALED BRONCHODILATOR PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-ACTING INHALED BRONCHODILATOR PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9695","description":"LONG-ACTING INHALED BRONCHODILATOR PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-TERM OXYGEN THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4030F","description":"LONG-TERM OXYGEN THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-TERM OXYGEN THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4030F","description":"LONG-TERM OXYGEN THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOUDNESS BALANCE BINAURAL/MONAURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92562","description":"LOUDNESS BALANCE BINAURAL/MONAURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LOUDNESS BALANCE BINAURAL/MONAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92562","description":"LOUDNESS BALANCE BINAURAL/MONAURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LOW DOSE CT SCAN FOR LUNG CANCER SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0297","description":"LOW DOSE CT SCAN FOR LUNG CANCER SCREENING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20979","description":"LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20979","description":"LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK FOR RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3072F","description":"LOW RISK FOR RETINOPATHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK FOR RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3072F","description":"LOW RISK FOR RETINOPATHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3550F","description":"LOW RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3550F","description":"LOW RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3271F","description":"LOW RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9706","description":"LOW RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3271F","description":"LOW RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9706","description":"LOW RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER EXTREM NEUROLOGICAL EXAM NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8405","description":"LOWER EXTREM NEUROLOGICAL EXAM NOT PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER EXTREM NEUROLOGICAL EXAM NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8405","description":"LOWER EXTREM NEUROLOGICAL EXAM NOT PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER EXTREMITY NEUROLOGICAL EXAM PERFORMED AND DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8404","description":"LOWER EXTREMITY NEUROLOGICAL EXAM PERFORMED AND DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER EXTREMITY NEUROLOGICAL EXAM PERFORMED AND DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8404","description":"LOWER EXTREMITY NEUROLOGICAL EXAM PERFORMED AND DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL CONTROL RIGD ANT POST PANELS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0648","description":"LSO SAGITTAL CONTROL RIGD ANT POST PANELS PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL CONTROL RIGID POST PANELS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0643","description":"LSO SAGITTAL CONTROL RIGID POST PANELS PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL CONTRL RIGD ANT POST PANELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0650","description":"LSO SAGITTAL-CORONAL CONTRL RIGD ANT POST PANELS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL CONTROL RIGD POST PANELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0649","description":"LSO SAGITTAL-CORONAL CONTROL RIGD POST PANELS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL CONTROL RIGD SHELLS/PANELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0651","description":"LSO SAGITTAL-CORONAL CONTROL RIGD SHELLS/PANELS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL RIGID SHELL/PANEL CUSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0640","description":"LSO SAGITTAL-CORONAL RIGID SHELL/PANEL CUSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0636","description":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST CUSTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0635","description":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LT 50 PCT OF TOT NUMBER OF A PT O/P RA ENC ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1008","description":"LT 50 PCT OF TOT NUMBER OF A PT O/P RA ENC ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LT 50 PCT OF TOT NUMBER OF A PT O/P RA ENC ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1008","description":"LT 50 PCT OF TOT NUMBER OF A PT O/P RA ENC ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LT COMPRS BANDGE ELAST WDTH GT or equal to 3 and LT 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6449","description":"LT COMPRS BANDGE ELAST WDTH GT or equal to 3 and LT 5","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LT COMPRS BANDGE ELAST WDTH GT or equal to 3 and LT 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6449","description":"LT COMPRS BANDGE ELAST WDTH GT or equal to 3 and LT 5","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LT COMPRS BANDGE ELAST WDTH GT or equal to 5 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6450","description":"LT COMPRS BANDGE ELAST WDTH GT or equal to 5 IN PER YARD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LT COMPRS BANDGE ELAST WDTH GT or equal to 5 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6450","description":"LT COMPRS BANDGE ELAST WDTH GT or equal to 5 IN PER YARD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LT COMPRS BANDGE ELAST WDTH LT 3 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6448","description":"LT COMPRS BANDGE ELAST WDTH LT 3 IN PER YARD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LT COMPRS BANDGE ELAST WDTH LT 3 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6448","description":"LT COMPRS BANDGE ELAST WDTH LT 3 IN PER YARD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUBRICANT INDIVIDUAL STERILE PACKET EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4332","description":"LUBRICANT INDIVIDUAL STERILE PACKET EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUBRICANT INDIVIDUAL STERILE PACKET EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4332","description":"LUBRICANT INDIVIDUAL STERILE PACKET EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUBRICANT PER OUNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4402","description":"LUBRICANT PER OUNCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUMB ORTHOS SAGITTAL CTRL RIGD ANT POST PANELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0642","description":"LUMB ORTHOS SAGITTAL CTRL RIGD ANT POST PANELS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUMB ORTHOS SAGITTAL CTRL RIGD POST PANLS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0641","description":"LUMB ORTHOS SAGITTAL CTRL RIGD POST PANLS PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUMB ORTHOSIS SAGIT CNTRL RIGID A AND P PANEL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0627","description":"LUMB ORTHOSIS SAGIT CNTRL RIGID A AND P PANEL PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUMB ORTHOSIS SAGIT CNTRL RIGID POST PANL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0626","description":"LUMB ORTHOSIS SAGIT CNTRL RIGID POST PANL PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAG-COR CNTRL RIGID SHELL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0639","description":"LUMB-SAC ORTHOS SAG-COR CNTRL RIGID SHELL PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0634","description":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST CUSTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0633","description":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0638","description":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P CUSTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0637","description":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0632","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P CUSTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0631","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID POST PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0630","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID POST PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUMBAR ORTHOSIS FLEXIBLE PREFABRICATED OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0625","description":"LUMBAR ORTHOSIS FLEXIBLE PREFABRICATED OFF SHELF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0629","description":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE CUSTOM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0628","description":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32852","description":"LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32852","description":"LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32851","description":"LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32851","description":"LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32854","description":"LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32854","description":"LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32853","description":"LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32853","description":"LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LUTEINIZING RELEASING FACTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83727","description":"LUTEINIZING RELEASING FACTOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LVEF GT or equal to 40 PCT OR DOC NORMAL/MILD DEPRESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8395","description":"LVEF GT or equal to 40 PCT OR DOC NORMAL/MILD DEPRESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF GT or equal to 40 PCT OR DOC NORMAL/MILD DEPRESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8395","description":"LVEF GT or equal to 40 PCT OR DOC NORMAL/MILD DEPRESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF LT or equal to 40 PCT OR DOCUMENTATION OF MOD/SEVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8694","description":"LVEF LT or equal to 40 PCT OR DOCUMENTATION OF MOD/SEVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF LT or equal to 40 PCT OR DOCUMENTATION OF MOD/SEVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8694","description":"LVEF LT or equal to 40 PCT OR DOCUMENTATION OF MOD/SEVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF ASSESSMENT PLANNED POST DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3019F","description":"LVEF ASSESSMENT PLANNED POST DISCHARGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF ASSESSMENT PLANNED POST DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3019F","description":"LVEF ASSESSMENT PLANNED POST DISCHARGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF GREATER THAN 35 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3056F","description":"LVEF GREATER THAN 35 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF GREATER THAN 35 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3056F","description":"LVEF GREATER THAN 35 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF LESS THAN OR EQUAL TO 35 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3055F","description":"LVEF LESS THAN OR EQUAL TO 35 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF LESS THAN OR EQUAL TO 35 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3055F","description":"LVEF LESS THAN OR EQUAL TO 35 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF LT 40 PCT /DOC MOD/SEV DPRSD LT VENT SYSTOLIC FCN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8923","description":"LVEF LT 40 PCT /DOC MOD/SEV DPRSD LT VENT SYSTOLIC FCN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF LT 40 PCT /DOC MOD/SEV DPRSD LT VENT SYSTOLIC FCN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8934","description":"LVEF LT 40 PCT /DOC MOD/SEV DPRSD LT VENT SYSTOLIC FCN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47135","description":"LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47135","description":"LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75803","description":"LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75803","description":"LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75801","description":"LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75801","description":"LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75807","description":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75807","description":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75805","description":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75805","description":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38308","description":"LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38308","description":"LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHATICS AND LYMPH NODES IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78195","description":"LYMPHATICS AND LYMPH NODES IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHATICS AND LYMPH NODES IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78195","description":"LYMPHATICS AND LYMPH NODES IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7504","description":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7504","description":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHCYT IMMUN GLOB RABBIT PARENTERAL 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7511","description":"LYMPHCYT IMMUN GLOB RABBIT PARENTERAL 25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHCYT IMMUN GLOB RABBIT PARENTERAL 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7511","description":"LYMPHCYT IMMUN GLOB RABBIT PARENTERAL 25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHOCYTE TR MITOGEN/AG INDUCED BLASTOGENESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86353","description":"LYMPHOCYTE TR MITOGEN/AG INDUCED BLASTOGENESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHOCYTOTOXICITY ASSAY VIS CROSSMATCH TITRATJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86805","description":"LYMPHOCYTOTOXICITY ASSAY VIS CROSSMATCH TITRATJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS INTRANASAL SYNECHIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30560","description":"LYSIS INTRANASAL SYNECHIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS INTRANASAL SYNECHIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30560","description":"LYSIS INTRANASAL SYNECHIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS LABIAL ADHESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56441","description":"LYSIS LABIAL ADHESIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS LABIAL ADHESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56441","description":"LYSIS LABIAL ADHESIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS OF ADHESIONS SALPINX/OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58740","description":"LYSIS OF ADHESIONS SALPINX/OVARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS OF ADHESIONS SALPINX/OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58740","description":"LYSIS OF ADHESIONS SALPINX/OVARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Large size footplate each","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0041","description":"Large size footplate each","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Laryngeal function studies","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92520","description":"Laryngeal function studies","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Laryngeal function studies","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92520","description":"Laryngeal function studies","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Leg strap each","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0038","description":"Leg strap each","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Leg strap h style each","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0039","description":"Leg strap h style each","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Leukocyte phagocytosis","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86344","description":"Leukocyte phagocytosis","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Lightweight wheelchair","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0003","description":"Lightweight wheelchair","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Lightweight wheelchair","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0003","description":"Lightweight wheelchair","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Lipid panel","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80061","description":"Lipid panel","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Lso corset front","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0972","description":"Lso corset front","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Lso full corset","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0976","description":"Lso full corset","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Lubricant per ounce","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4402","description":"Lubricant per ounce","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Lubricant per ounce","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4402","description":"Lubricant per ounce","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS IN SITU HYBRIDIZATION EA PROBE MNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88368","description":"M/PHMTRC ALYS IN SITU HYBRIDIZATION EA PROBE MNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH CPTR-ASST TECH 1ST PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88367","description":"M/PHMTRC ALYS ISH CPTR-ASST TECH 1ST PROBE STAIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS TUMOR IMHCHEM EA ANTBDY CMPTR ASST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88361","description":"M/PHMTRC ALYS TUMOR IMHCHEM EA ANTBDY CMPTR ASST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88360","description":"M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MACRO EXAM DISSECT AND PREP TISS NONMICRO STD EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88387","description":"MACRO EXAM DISSECT AND PREP TISS NONMICRO STD EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MACROSCOPIC EXAMINATION ARTHROPOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87168","description":"MACROSCOPIC EXAMINATION ARTHROPOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MACROSCOPIC EXAMINATION PARASITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87169","description":"MACROSCOPIC EXAMINATION PARASITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MACROSCOPIC XM DSJ and PREPJ TISS NONMCRSCP STD EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88387","description":"MACROSCOPIC XM DSJ and PREPJ TISS NONMCRSCP STD EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETIC RESONANCE ELASTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76391","description":"MAGNETIC RESONANCE ELASTOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETIC RESONANCE ELASTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76391","description":"MAGNETIC RESONANCE ELASTOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER MILD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3088F","description":"MAJOR DEPRESSIVE DISORDER MILD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER MILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3088F","description":"MAJOR DEPRESSIVE DISORDER MILD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER MODERATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3089F","description":"MAJOR DEPRESSIVE DISORDER MODERATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER MODERATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3089F","description":"MAJOR DEPRESSIVE DISORDER MODERATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER REMISSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3092F","description":"MAJOR DEPRESSIVE DISORDER REMISSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER REMISSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3092F","description":"MAJOR DEPRESSIVE DISORDER REMISSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DESPRESV DISORDER SEVERE W/PSYCHOT FEATURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3091F","description":"MAJOR DESPRESV DISORDER SEVERE W/PSYCHOT FEATURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DESPRESV DISORDER SEVERE W/PSYCHOT FEATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3091F","description":"MAJOR DESPRESV DISORDER SEVERE W/PSYCHOT FEATURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32820","description":"MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32820","description":"MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MALAR AUGMENTATION PROSTHETIC MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21270","description":"MALAR AUGMENTATION PROSTHETIC MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MALAR AUGMENTATION PROSTHETIC MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21270","description":"MALAR AUGMENTATION PROSTHETIC MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MALE EXT CATH W/INTEGRAL CLCT CHAMB ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4326","description":"MALE EXT CATH W/INTEGRAL CLCT CHAMB ANY TYPE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MALE EXT CATH W/INTEGRAL CLCT CHAMB ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4326","description":"MALE EXT CATH W/INTEGRAL CLCT CHAMB ANY TYPE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MALE EXTERNAL CATHETER W/WO ADHES DISPOSABLE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4349","description":"MALE EXTERNAL CATHETER W/WO ADHES DISPOSABLE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MALE EXTERNAL CATHETER W/WO ADHES DISPOSABLE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4349","description":"MALE EXTERNAL CATHETER W/WO ADHES DISPOSABLE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MALE VACUUM ERECTION SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7900","description":"MALE VACUUM ERECTION SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAMMAPLASTY AUGMENTATION W/PROSTHETIC IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19325","description":"MAMMAPLASTY AUGMENTATION W/PROSTHETIC IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77054","description":"MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77054","description":"MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77053","description":"MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77053","description":"MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT BENIGN DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3342F","description":"MAMMO ASSESSMENT CAT BENIGN DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT BENIGN DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3342F","description":"MAMMO ASSESSMENT CAT BENIGN DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT BIOPSY PROVEN MALIG DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3350F","description":"MAMMO ASSESSMENT CAT BIOPSY PROVEN MALIG DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT BIOPSY PROVEN MALIG DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3350F","description":"MAMMO ASSESSMENT CAT BIOPSY PROVEN MALIG DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT HIGH CHANCE MALIG DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3345F","description":"MAMMO ASSESSMENT CAT HIGH CHANCE MALIG DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT HIGH CHANCE MALIG DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3345F","description":"MAMMO ASSESSMENT CAT HIGH CHANCE MALIG DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT IN DATABASE FOR RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"7020F","description":"MAMMO ASSESSMENT CAT IN DATABASE FOR RATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT IN DATABASE FOR RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"7020F","description":"MAMMO ASSESSMENT CAT IN DATABASE FOR RATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT INCOMP ADDTNL IMAGE DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3340F","description":"MAMMO ASSESSMENT CAT INCOMP ADDTNL IMAGE DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT INCOMP ADDTNL IMAGE DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3340F","description":"MAMMO ASSESSMENT CAT INCOMP ADDTNL IMAGE DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT NEGATIVE DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3341F","description":"MAMMO ASSESSMENT CAT NEGATIVE DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT NEGATIVE DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3341F","description":"MAMMO ASSESSMENT CAT NEGATIVE DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT PROB BENIGN DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3343F","description":"MAMMO ASSESSMENT CAT PROB BENIGN DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT PROB BENIGN DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3343F","description":"MAMMO ASSESSMENT CAT PROB BENIGN DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT SUSPICIOUS DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3344F","description":"MAMMO ASSESSMENT CAT SUSPICIOUS DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT SUSPICIOUS DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3344F","description":"MAMMO ASSESSMENT CAT SUSPICIOUS DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26341","description":"MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26341","description":"MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION ANKLE UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27860","description":"MANIPULATION ANKLE UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION ANKLE UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27860","description":"MANIPULATION ANKLE UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION CHEST WALL 1ST DEMONSTRATION and /EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94667","description":"MANIPULATION CHEST WALL 1ST DEMONSTRATION and /EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION CHEST WALL 1ST DEMONSTRATION and /EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94667","description":"MANIPULATION CHEST WALL 1ST DEMONSTRATION and /EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION CHEST WALL SUBSEQUENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94668","description":"MANIPULATION CHEST WALL SUBSEQUENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION CHEST WALL SUBSEQUENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94668","description":"MANIPULATION CHEST WALL SUBSEQUENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION ELBOW UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24300","description":"MANIPULATION ELBOW UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION ELBOW UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24300","description":"MANIPULATION ELBOW UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION FINGER JOINT UNDER ANES EACH JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26340","description":"MANIPULATION FINGER JOINT UNDER ANES EACH JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION FINGER JOINT UNDER ANES EACH JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26340","description":"MANIPULATION FINGER JOINT UNDER ANES EACH JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION HIP JOINT GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27275","description":"MANIPULATION HIP JOINT GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION HIP JOINT GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27275","description":"MANIPULATION HIP JOINT GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27570","description":"MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27570","description":"MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION SPINE REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22505","description":"MANIPULATION SPINE REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION SPINE REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22505","description":"MANIPULATION SPINE REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21073","description":"MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21073","description":"MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION WRIST UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25259","description":"MANIPULATION WRIST UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION WRIST UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25259","description":"MANIPULATION WRIST UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO and /EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94667","description":"MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO and /EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANJ CHEST WALL FACILITATE LUNG FUNCTION SUBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94668","description":"MANJ CHEST WALL FACILITATE LUNG FUNCTION SUBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23700","description":"MANJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50396","description":"MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50396","description":"MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50686","description":"MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50686","description":"MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1161","description":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1161","description":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL APPL STRESS PFRMD PHYS/QHP JOINT FILMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77071","description":"MANUAL APPL STRESS PFRMD PHYS/QHP JOINT FILMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL APPL STRESS PHYS/QHP JOINT RADIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77071","description":"MANUAL APPL STRESS PHYS/QHP JOINT RADIOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL APPL STRESS PHYS/QHP JOINT RADIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77071","description":"MANUAL APPL STRESS PHYS/QHP JOINT RADIOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL THERAPY TQS 1 OR GT REGIONS EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97140","description":"MANUAL THERAPY TQS 1 OR GT REGIONS EACH 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL THERAPY TQS 1 OR GT REGIONS EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97140","description":"MANUAL THERAPY TQS 1 OR GT REGIONS EACH 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACCESS GEAR REDUCTION DRIVE WHEEL EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2227","description":"MANUAL WC ACCESS GEAR REDUCTION DRIVE WHEEL EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACCESS GEAR REDUCTION DRIVE WHEEL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2227","description":"MANUAL WC ACCESS GEAR REDUCTION DRIVE WHEEL EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACCESS HANDRIM W/O PROJ REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2205","description":"MANUAL WC ACCESS HANDRIM W/O PROJ REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACCESSORY LEVR-ACTIVATD WHL DRIVE PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0988","description":"MANUAL WC ACCESSORY LEVR-ACTIVATD WHL DRIVE PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACCESSORY LEVR-ACTIVATD WHL DRIVE PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0988","description":"MANUAL WC ACCESSORY LEVR-ACTIVATD WHL DRIVE PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 20 LT 22 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2203","description":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 20 LT 22 IN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2204","description":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2202","description":"MANUAL WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR AC WL ASM CMPL REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2206","description":"MANUAL WHEELCHAIR AC WL ASM CMPL REPL ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS ADAPTER FOR AMPUTEE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0959","description":"MANUAL WHEELCHAIR ACCESS ADAPTER FOR AMPUTEE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS ANTI-ROLLBACK DEVICE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0974","description":"MANUAL WHEELCHAIR ACCESS ANTI-ROLLBACK DEVICE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS HEADREST EXTENSION EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0966","description":"MANUAL WHEELCHAIR ACCESS HEADREST EXTENSION EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS WHEEL LOCK BRAKE EXT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0961","description":"MANUAL WHEELCHAIR ACCESS WHEEL LOCK BRAKE EXT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESSORY POWER ASSIST SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0986","description":"MANUAL WHEELCHAIR ACCESSORY POWER ASSIST SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESSORY POWER ASSIST SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0986","description":"MANUAL WHEELCHAIR ACCESSORY POWER ASSIST SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESSORY SOLID SEAT INSERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0992","description":"MANUAL WHEELCHAIR ACCESSORY SOLID SEAT INSERT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0958","description":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0958","description":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9151","description":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9151","description":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9152","description":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9152","description":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9153","description":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9153","description":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION BARTHOLINS GLAND CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56440","description":"MARSUPIALIZATION BARTHOLINS GLAND CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION BARTHOLINS GLAND CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56440","description":"MARSUPIALIZATION BARTHOLINS GLAND CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION CST/ABSC LVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47300","description":"MARSUPIALIZATION CST/ABSC LVR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION CST/ABSC LVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47300","description":"MARSUPIALIZATION CST/ABSC LVR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION PANCREATIC CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48500","description":"MARSUPIALIZATION PANCREATIC CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION PANCREATIC CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48500","description":"MARSUPIALIZATION PANCREATIC CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42409","description":"MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42409","description":"MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53240","description":"MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53240","description":"MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASS SPECT AND TANDEM MASS SPECT NONDRG ANAL NES EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83789","description":"MASS SPECT AND TANDEM MASS SPECT NONDRG ANAL NES EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19307","description":"MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19307","description":"MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19306","description":"MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19306","description":"MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19305","description":"MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19305","description":"MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY FOR GYNECOMASTIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19300","description":"MASTECTOMY FOR GYNECOMASTIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY FOR GYNECOMASTIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19300","description":"MASTECTOMY FOR GYNECOMASTIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY GYNECOMASTIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19300","description":"MASTECTOMY GYNECOMASTIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19301","description":"MASTECTOMY PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19301","description":"MASTECTOMY PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19302","description":"MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19302","description":"MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY SIMPLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19303","description":"MASTECTOMY SIMPLE COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY SIMPLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19303","description":"MASTECTOMY SIMPLE COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOID OBLITERATION SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69670","description":"MASTOID OBLITERATION SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOID OBLITERATION SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69670","description":"MASTOID OBLITERATION SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69502","description":"MASTOIDECTOMY COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69502","description":"MASTOIDECTOMY COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY MODIFIED RADICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69505","description":"MASTOIDECTOMY MODIFIED RADICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY MODIFIED RADICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69505","description":"MASTOIDECTOMY MODIFIED RADICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY RADICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69511","description":"MASTOIDECTOMY RADICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY RADICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69511","description":"MASTOIDECTOMY RADICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19316","description":"MASTOPEXY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19316","description":"MASTOPEXY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19020","description":"MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19020","description":"MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MATTRESS INNER SPRING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0271","description":"MATTRESS INNER SPRING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94200","description":"MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94200","description":"MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLARY IMPRESJ PALATAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42280","description":"MAXILLARY IMPRESJ PALATAL PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLARY IMPRESJ PALATAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42280","description":"MAXILLARY IMPRESJ PALATAL PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLECTOMY W/O ORBITAL EXENTERATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31225","description":"MAXILLECTOMY W/O ORBITAL EXENTERATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLECTOMY W/O ORBITAL EXENTERATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31225","description":"MAXILLECTOMY W/O ORBITAL EXENTERATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLECTOMY W/ORBITAL EXENTERATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31230","description":"MAXILLECTOMY W/ORBITAL EXENTERATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLECTOMY W/ORBITAL EXENTERATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31230","description":"MAXILLECTOMY W/ORBITAL EXENTERATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36596","description":"MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36596","description":"MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36595","description":"MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36595","description":"MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MDD SEVERE WITHOUT PSYCHOTIC FEATURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3090F","description":"MDD SEVERE WITHOUT PSYCHOTIC FEATURES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MDD SEVERE WITHOUT PSYCHOTIC FEATURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3090F","description":"MDD SEVERE WITHOUT PSYCHOTIC FEATURES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS POST-VOIDING RESIDUAL URINE and /BLADDER CAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51798","description":"MEAS POST-VOIDING RESIDUAL URINE and /BLADDER CAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEAS POST-VOIDING RESIDUAL URINE and /BLADDER CAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51798","description":"MEAS POST-VOIDING RESIDUAL URINE and /BLADDER CAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEAS SPIRO FRCD EXP FLO PRE and POST BRONCH INF/2YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94012","description":"MEAS SPIRO FRCD EXP FLO PRE and POST BRONCH INF/2YRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEAS SPIRO FRCD EXP FLO PRE and POST BRONCH INF/2YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94012","description":"MEAS SPIRO FRCD EXP FLO PRE and POST BRONCH INF/2YRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT and /2 Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94011","description":"MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT and /2 Y","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT and /2 Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94011","description":"MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT and /2 Y","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90710","description":"MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90710","description":"MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90707","description":"MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90707","description":"MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94013","description":"MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94013","description":"MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEAT FIBERS FECES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89160","description":"MEAT FIBERS FECES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53020","description":"MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53020","description":"MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEATOTOMY CUTTING MEATUS SPX INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53025","description":"MEATOTOMY CUTTING MEATUS SPX INFANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEATOTOMY CUTTING MEATUS SPX INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53025","description":"MEATOTOMY CUTTING MEATUS SPX INFANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL FRAGILITY RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85547","description":"MECHANICAL FRAGILITY RBC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75902","description":"MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75902","description":"MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL RMVL PERICATHETER OBSTR MATRL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75901","description":"MECHANICAL RMVL PERICATHETER OBSTR MATRL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL RMVL PERICATHETER OBSTR MATRL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75901","description":"MECHANICAL RMVL PERICATHETER OBSTR MATRL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MED NUT TX REASSESS FLW 2 REF YR GRP EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0271","description":"MED NUT TX REASSESS FLW 2 REF YR GRP EA 30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MED NUT TX REASSESS FLW 2 REF YR GRP EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0271","description":"MED NUT TX REASSESS FLW 2 REF YR GRP EA 30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MED NUT TX; REASSESS FLW 2 REF YR W/PT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0270","description":"MED NUT TX; REASSESS FLW 2 REF YR W/PT EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MED NUT TX; REASSESS FLW 2 REF YR W/PT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0270","description":"MED NUT TX; REASSESS FLW 2 REF YR W/PT EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAL CANTHOPEXY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21280","description":"MEDIAL CANTHOPEXY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAL CANTHOPEXY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21280","description":"MEDIAL CANTHOPEXY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39000","description":"MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39000","description":"MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39010","description":"MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39010","description":"MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39402","description":"MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39402","description":"MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL and SURGICAL TREATMENT OPTION REVIEW W/P","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4325F","description":"MEDICAL and SURGICAL TREATMENT OPTION REVIEW W/P","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL and SURGICAL TREATMENT OPTION REVIEW W/P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4325F","description":"MEDICAL and SURGICAL TREATMENT OPTION REVIEW W/P","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL INDICATION FOR DELIV C/S OR INDUCT LABOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9361","description":"MEDICAL INDICATION FOR DELIV C/S OR INDUCT LABOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL INDICATION FOR DELIV C/S OR INDUCT LABOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9361","description":"MEDICAL INDICATION FOR DELIV C/S OR INDUCT LABOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL INDICATION FOR INDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9361","description":"MEDICAL INDICATION FOR INDUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION ASSMT AND IVNTJ INDIV EACH 15 MI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97802","description":"MEDICAL NUTRITION ASSMT AND IVNTJ INDIV EACH 15 MI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION ASSMT AND IVNTJ INDIV EACH 15 MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97802","description":"MEDICAL NUTRITION ASSMT AND IVNTJ INDIV EACH 15 MI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION RE-ASSMT AND IVNTJ INDIV EA 15 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97803","description":"MEDICAL NUTRITION RE-ASSMT AND IVNTJ INDIV EA 15 M","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION RE-ASSMT AND IVNTJ INDIV EA 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97803","description":"MEDICAL NUTRITION RE-ASSMT AND IVNTJ INDIV EA 15 M","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97804","description":"MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97804","description":"MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL PHYSICS DOSE EVAL RADIATION EXPOS W/RPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76145","description":"MEDICAL PHYSICS DOSE EVAL RADIATION EXPOS W/RPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL PHYSICS DOSE EVAL RADIATION EXPOS W/RPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76145","description":"MEDICAL PHYSICS DOSE EVAL RADIATION EXPOS W/RPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION ADMIN AND HEMODYNAMIC MEASURMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93463","description":"MEDICATION ADMIN AND HEMODYNAMIC MEASURMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION ADMIN AND HEMODYNAMIC MEASURMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93463","description":"MEDICATION ADMIN AND HEMODYNAMIC MEASURMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION LIST DOCUMENTED IN MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1159F","description":"MEDICATION LIST DOCUMENTED IN MEDICAL RECORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION LIST DOCUMENTED IN MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1159F","description":"MEDICATION LIST DOCUMENTED IN MEDICAL RECORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION THERAPY EACH ADDITIONAL 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99607","description":"MEDICATION THERAPY EACH ADDITIONAL 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION THERAPY EACH ADDITIONAL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99607","description":"MEDICATION THERAPY EACH ADDITIONAL 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION THERAPY INITIAL 15 MIN ESTABLISHED PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99606","description":"MEDICATION THERAPY INITIAL 15 MIN ESTABLISHED PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION THERAPY INITIAL 15 MIN ESTABLISHED PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99606","description":"MEDICATION THERAPY INITIAL 15 MIN ESTABLISHED PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION THERAPY INITIAL 15 MIN NEW PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99605","description":"MEDICATION THERAPY INITIAL 15 MIN NEW PATIENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION THERAPY INITIAL 15 MIN NEW PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99605","description":"MEDICATION THERAPY INITIAL 15 MIN NEW PATIENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MELANOMA FOLLOW UP COMPLETED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0015F","description":"MELANOMA FOLLOW UP COMPLETED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELANOMA FOLLOW UP COMPLETED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0015F","description":"MELANOMA FOLLOW UP COMPLETED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELANOMA THAN AJCC STAGE 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3322F","description":"MELANOMA THAN AJCC STAGE 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELANOMA THAN AJCC STAGE 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3322F","description":"MELANOMA THAN AJCC STAGE 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELPHALAN ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8600","description":"MELPHALAN ORAL 2 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MELPHALAN ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8600","description":"MELPHALAN ORAL 2 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90734","description":"MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90734","description":"MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MENB-4C RECOMBNT PROT AND OUTER MEMB VESIC VACC IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90620","description":"MENB-4C RECOMBNT PROT AND OUTER MEMB VESIC VACC IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MENB-4C RECOMBNT PRTN and OUTER MEMB VESIC VACC IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90620","description":"MENB-4C RECOMBNT PRTN and OUTER MEMB VESIC VACC IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MENB-4C RECOMBNT PRTN and OUTER MEMB VESIC VACC IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90620","description":"MENB-4C RECOMBNT PRTN and OUTER MEMB VESIC VACC IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90621","description":"MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90621","description":"MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21060","description":"MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21060","description":"MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MENTAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2014F","description":"MENTAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENTAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2014F","description":"MENTAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METACARPOPHALANGEAL JOINT IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8630","description":"METACARPOPHALANGEAL JOINT IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"METANEPHRINES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83835","description":"METANEPHRINES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"METAPROTERENOL SULF INHAL NON-CP UNIT DOSE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7669","description":"METAPROTERENOL SULF INHAL NON-CP UNIT DOSE 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"METAPROTERENOL SULF INHAL NON-CP UNIT DOSE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7669","description":"METAPROTERENOL SULF INHAL NON-CP UNIT DOSE 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"METAPROTERENOL SULFATE INHAL CP PROD CONC 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7667","description":"METAPROTERENOL SULFATE INHAL CP PROD CONC 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"METAPROTERENOL SULFATE INHAL CP PROD CONC 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7667","description":"METAPROTERENOL SULFATE INHAL CP PROD CONC 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"METAPROTERENOL SULFATE INHAL THRU DME PER 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7670","description":"METAPROTERENOL SULFATE INHAL THRU DME PER 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"METAPROTERENOL SULFATE INHAL THRU DME PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7670","description":"METAPROTERENOL SULFATE INHAL THRU DME PER 10 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"METATARSAL BAR WEDGE BETWEEN SOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3410","description":"METATARSAL BAR WEDGE BETWEEN SOLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"METATARSAL BAR WEDGE ROCKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3400","description":"METATARSAL BAR WEDGE ROCKER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"METATARSECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28140","description":"METATARSECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"METATARSECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28140","description":"METATARSECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"METHACHOLINE CHLORID INHAL SOL THRU NEB PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7674","description":"METHACHOLINE CHLORID INHAL SOL THRU NEB PER 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"METHACHOLINE CHLORID INHAL SOL THRU NEB PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7674","description":"METHACHOLINE CHLORID INHAL SOL THRU NEB PER 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"METHEMALBUMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83857","description":"METHEMALBUMIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE ORAL 2.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8610","description":"METHOTREXATE ORAL 2.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE SODIUM 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9260","description":"METHOTREXATE SODIUM 50 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"METHYLPREDNISOLONE ORAL PER 4 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7509","description":"METHYLPREDNISOLONE ORAL PER 4 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"METHYLPREDNISOLONE ORAL PER 4 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7509","description":"METHYLPREDNISOLONE ORAL PER 4 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"METYRAPONE PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80436","description":"METYRAPONE PANEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG CPLX SUTR WND/INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47360","description":"MGMT LVR HEMRRG CPLX SUTR WND/INJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG CPLX SUTR WND/INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47360","description":"MGMT LVR HEMRRG CPLX SUTR WND/INJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47361","description":"MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47361","description":"MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47362","description":"MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47362","description":"MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47350","description":"MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47350","description":"MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MICRODISSECTION PREP IDENTIFIED TARGET LASER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88380","description":"MICRODISSECTION PREP IDENTIFIED TARGET LASER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MICRODISSECTION PREP IDENTIFIED TARGET MANUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88381","description":"MICRODISSECTION PREP IDENTIFIED TARGET MANUAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MICROFLUIDIC ANALYSIS TEAR OSMOLARITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83861","description":"MICROFLUIDIC ANALYSIS TEAR OSMOLARITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MICROPHONE COCHLEAR IMPLANT DEVICE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8616","description":"MICROPHONE COCHLEAR IMPLANT DEVICE REPLACEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MICROPROCESSOR CNTRL UNIT FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0481","description":"MICROPROCESSOR CNTRL UNIT FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MICROPROCESSOR CNTRL UNIT FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0481","description":"MICROPROCESSOR CNTRL UNIT FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MICROPROCESSOR CU FOR ELEC/PNEUMAT VAD REPL ONL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0482","description":"MICROPROCESSOR CU FOR ELEC/PNEUMAT VAD REPL ONL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MICROPROCESSOR CU FOR ELEC/PNEUMAT VAD REPL ONL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0482","description":"MICROPROCESSOR CU FOR ELEC/PNEUMAT VAD REPL ONL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MICROSOMAL ANTIBODIES EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86376","description":"MICROSOMAL ANTIBODIES EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MICROSURG TQS REQ USE OPERATING MICROSCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69990","description":"MICROSURG TQS REQ USE OPERATING MICROSCOPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MICROSURG TQS REQ USE OPERATING MICROSCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69990","description":"MICROSURG TQS REQ USE OPERATING MICROSCOPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93025","description":"MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93025","description":"MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MICRPRROCSS CNTRL FEATUR ADD UP LIMB PROSTH DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6882","description":"MICRPRROCSS CNTRL FEATUR ADD UP LIMB PROSTH DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69440","description":"MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69440","description":"MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MIDFACIAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8041","description":"MIDFACIAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MILD TO MOD DEP SYMP BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3353F","description":"MILD TO MOD DEP SYMP BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MILD TO MOD DEP SYMP BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3353F","description":"MILD TO MOD DEP SYMP BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MINIMALLY INVASV BX METH ATMPT BUT NOT DX BR CA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8946","description":"MINIMALLY INVASV BX METH ATMPT BUT NOT DX BR CA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MINIMALLY INVASV BX METH ATMPT BUT NOT DX BR CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8946","description":"MINIMALLY INVASV BX METH ATMPT BUT NOT DX BR CA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLC IMRT DESIGN AND CONSTRUCTION PER IMRT PLAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77338","description":"MLC IMRT DESIGN AND CONSTRUCTION PER IMRT PLAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MLC IMRT DESIGN AND CONSTRUCTION PER IMRT PLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77338","description":"MLC IMRT DESIGN AND CONSTRUCTION PER IMRT PLAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24410","description":"MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24410","description":"MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25375","description":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS and ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25375","description":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS and ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25370","description":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25370","description":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95805","description":"MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95805","description":"MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC AC SLD C TIRE I WHL SZ RPL E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2222","description":"MNL WC AC SLD C TIRE I WHL SZ RPL E","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC AC SOLID CASTER TIRE ANY SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2221","description":"MNL WC AC SOLID CASTER TIRE ANY SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACCESS SOLID SEAT SUPP BASE INCL HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2231","description":"MNL WC ACCESS SOLID SEAT SUPP BASE INCL HARDWARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACCESS WHEEL BRAKING SYS AND LOCK COMPLETE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2228","description":"MNL WC ACCESS WHEEL BRAKING SYS AND LOCK COMPLETE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACCESS WHEEL BRAKING SYS AND LOCK COMPLETE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2228","description":"MNL WC ACCESS WHEEL BRAKING SYS AND LOCK COMPLETE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACESS FOAM FILL PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2216","description":"MNL WC ACESS FOAM FILL PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACESS TUBE PNEUMAT PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2212","description":"MNL WC ACESS TUBE PNEUMAT PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS INSRT PNEUMAT PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2213","description":"MNL WC ACSS INSRT PNEUMAT PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS NONSTD SEAT WDTH GT or equal to 20 IN and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2201","description":"MNL WC ACSS NONSTD SEAT WDTH GT or equal to 20 IN and","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PROP WHL EXCLD TIRE SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2224","description":"MNL WC ACSS PROP WHL EXCLD TIRE SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0983","description":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0984","description":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR AO CVT MNL WC MTR WC JS CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0983","description":"MNL WC ACSS PWR AO CVT MNL WC MTR WC JS CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR AO CVT MNL WC MTR WC JS CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0983","description":"MNL WC ACSS PWR AO CVT MNL WC MTR WC JS CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR AO CVT MNL WC MTR WC TILLR CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0984","description":"MNL WC ACSS PWR AO CVT MNL WC MTR WC TILLR CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR AO CVT MNL WC MTR WC TILLR CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0984","description":"MNL WC ACSS PWR AO CVT MNL WC MTR WC TILLR CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS SOLD PROPULSION TIRE SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2220","description":"MNL WC ACSS SOLD PROPULSION TIRE SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC CASTER WHL EXCLD TIRE ANY SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2225","description":"MNL WC CASTER WHL EXCLD TIRE ANY SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHEELCHAIR ACCESSORY ANTI-TIPPING DEVC EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0971","description":"MNL WHEELCHAIR ACCESSORY ANTI-TIPPING DEVC EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHEELCHAIR ACSS PUSH-RIM ACT PWR ASSIST SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0986","description":"MNL WHEELCHAIR ACSS PUSH-RIM ACT PWR ASSIST SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACCESS FOAM CASTER TIRE ANY SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2219","description":"MNL WHLCHAIR ACCESS FOAM CASTER TIRE ANY SIZE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACCESS PNEUMAT CASTER TIRE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2214","description":"MNL WHLCHAIR ACCESS PNEUMAT CASTER TIRE ANY SIZE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACCSS FOAM FILL CASTR TIRE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2217","description":"MNL WHLCHAIR ACCSS FOAM FILL CASTR TIRE ANY SIZE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACCSS FOAM PROPULSION TIRE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2218","description":"MNL WHLCHAIR ACCSS FOAM PROPULSION TIRE ANY SIZE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACSS CASTR FORK ANY SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2226","description":"MNL WHLCHAIR ACSS CASTR FORK ANY SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACSS PNEUMAT PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2211","description":"MNL WHLCHAIR ACSS PNEUMAT PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACSS TUBE PNEUMAT CASTR TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2215","description":"MNL WHLCHAIR ACSS TUBE PNEUMAT CASTR TIRE ANY SZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHR AC HND RIM PROJ ANY TYP REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0967","description":"MNL WHLCHR AC HND RIM PROJ ANY TYP REPL ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNPJ W/ANES SHOULDER JT APPL FIXATION APPARATUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23700","description":"MNPJ W/ANES SHOULDER JT APPL FIXATION APPARATUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNPJ W/ANES SHOULDER JT APPL FIXATION APPARATUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23700","description":"MNPJ W/ANES SHOULDER JT APPL FIXATION APPARATUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20950","description":"MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20950","description":"MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOBILITY CART FOR PNEUMATIC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0502","description":"MOBILITY CART FOR PNEUMATIC VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOBILITY CART FOR PNEUMATIC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0502","description":"MOBILITY CART FOR PNEUMATIC VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44139","description":"MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44139","description":"MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOD COMPRS BANDGE LOAD RESIST WDTH GT or equal to 3 and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6451","description":"MOD COMPRS BANDGE LOAD RESIST WDTH GT or equal to 3 and","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOD COMPRS BANDGE LOAD RESIST WDTH GT or equal to 3 and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6451","description":"MOD COMPRS BANDGE LOAD RESIST WDTH GT or equal to 3 and","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOD PEDIATRIC SIZE WC WIDTH ADJUSTMENT PACKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1011","description":"MOD PEDIATRIC SIZE WC WIDTH ADJUSTMENT PACKAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8846","description":"MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8846","description":"MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODIFICAJ CONTACT LENS SPX SUPVJ ADAPTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92325","description":"MODIFICAJ CONTACT LENS SPX SUPVJ ADAPTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MODIFICAJ CONTACT LENS SPX SUPVJ ADAPTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92325","description":"MODIFICAJ CONTACT LENS SPX SUPVJ ADAPTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MODIFICAJ CONTACT LENX SPX SUPVJ ADAPTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92325","description":"MODIFICAJ CONTACT LENX SPX SUPVJ ADAPTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65125","description":"MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65125","description":"MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17311","description":"MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17311","description":"MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17312","description":"MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17312","description":"MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17313","description":"MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17313","description":"MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17315","description":"MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17315","description":"MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17314","description":"MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17314","description":"MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOISTR EXCHGR DISPBL USE W/INVASV MECH VENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4483","description":"MOISTR EXCHGR DISPBL USE W/INVASV MECH VENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOISTR EXCHGR DISPBL USE W/INVASV MECH VENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4483","description":"MOISTR EXCHGR DISPBL USE W/INVASV MECH VENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88275","description":"MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CLL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR CYTOGENETICS CHRMOML ISH 10-30 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88273","description":"MOLECULAR CYTOGENETICS CHRMOML ISH 10-30 CLL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR CYTOGENETICS CHRMOML ISH 3-5 CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88272","description":"MOLECULAR CYTOGENETICS CHRMOML ISH 3-5 CELLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR CYTOGENETICS DNA PROBE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88271","description":"MOLECULAR CYTOGENETICS DNA PROBE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR CYTOGENETICS INTERPHASE ISH 25-99 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88274","description":"MOLECULAR CYTOGENETICS INTERPHASE ISH 25-99 CLL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MON CNTRL CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0486","description":"MON CNTRL CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MON CNTRL CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0486","description":"MON CNTRL CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR CONTROL CABLE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0485","description":"MONITOR CONTROL CABLE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR CONTROL CABLE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0485","description":"MONITOR CONTROL CABLE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0484","description":"MONITOR FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0484","description":"MONITOR FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR/DISPLAY MODULE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0483","description":"MONITOR/DISPLAY MODULE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR/DISPLAY MODULE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0483","description":"MONITOR/DISPLAY MODULE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MONITORED ANESTHESIA CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9654","description":"MONITORED ANESTHESIA CARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITORED ANESTHESIA CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9654","description":"MONITORED ANESTHESIA CARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86356","description":"MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX DOC RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9353","description":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX DOC RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX DOC RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9353","description":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX DOC RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9352","description":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX NO RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9352","description":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX NO RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS ORD/REC 90 DAY AFTR DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9351","description":"MORE 1 CT PARANASAL SINUS ORD/REC 90 DAY AFTR DX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS ORD/REC 90 DAY AFTR DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9351","description":"MORE 1 CT PARANASAL SINUS ORD/REC 90 DAY AFTR DX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORPHOMETRIC ANALYSIS NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88356","description":"MORPHOMETRIC ANALYSIS NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MORPHOMETRIC ANALYSIS SKELETAL MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88355","description":"MORPHOMETRIC ANALYSIS SKELETAL MUSCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MORPHOMETRIC ANALYSIS TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88358","description":"MORPHOMETRIC ANALYSIS TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8955","description":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8955","description":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP LESS THAN/EQUAL TO 130/80 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9788","description":"MOST RECENT BP LESS THAN/EQUAL TO 130/80 MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP LESS THAN/EQUAL TO 130/80 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9788","description":"MOST RECENT BP LESS THAN/EQUAL TO 130/80 MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP LESS THAN/EQUAL TO 140/90 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9788","description":"MOST RECENT BP LESS THAN/EQUAL TO 140/90 MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP SYST LT 140 MM HG and DIAS LT 90 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8476","description":"MOST RECENT BP SYST LT 140 MM HG and DIAS LT 90 MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP SYST LT 140 MM HG and DIAS LT 90 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8476","description":"MOST RECENT BP SYST LT 140 MM HG and DIAS LT 90 MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP SYST GT or equal to 140 MM HG and / DIAS G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8477","description":"MOST RECENT BP SYST GT or equal to 140 MM HG and / DIAS G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP SYST GT or equal to 140 MM HG and / DIAS G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8477","description":"MOST RECENT BP SYST GT or equal to 140 MM HG and / DIAS G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOL BLOOD PRES GT EQUAL 90 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3080F","description":"MOST RECENT DIASTOL BLOOD PRES GT EQUAL 90 MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOL BLOOD PRES GT or equal to 90 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3080F","description":"MOST RECENT DIASTOL BLOOD PRES GT or equal to 90 MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOL BLOOD PRES GT or equal to 90 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3080F","description":"MOST RECENT DIASTOL BLOOD PRES GT or equal to 90 MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE GT or equal to 90MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8755","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE GT or equal to 90MM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE GT or equal to 90MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8755","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE GT or equal to 90MM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE LT 80 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3078F","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE LT 80 MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE LT 80 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3078F","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE LT 80 MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE LT 90MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8754","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE LT 90MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE LT 90MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8754","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE LT 90MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3079F","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3079F","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HEMOGLOBIN A1C LEVEL GT 9.0 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3046F","description":"MOST RECENT HEMOGLOBIN A1C LEVEL GT 9.0 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HEMOGLOBIN A1C LEVEL GT 9.0 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3046F","description":"MOST RECENT HEMOGLOBIN A1C LEVEL GT 9.0 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HEMOGLOBIN A1C LEVEL LT 7.0 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3044F","description":"MOST RECENT HEMOGLOBIN A1C LEVEL LT 7.0 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HEMOGLOBIN A1C LEVEL LT 7.0 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3044F","description":"MOST RECENT HEMOGLOBIN A1C LEVEL LT 7.0 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HG A1C GT EQUAL TO 7.0 PCT and LT 8.0 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3051F","description":"MOST RECENT HG A1C GT EQUAL TO 7.0 PCT and LT 8.0 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HG A1C GT EQUAL TO 7.0 PCT and LT 8.0 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3051F","description":"MOST RECENT HG A1C GT EQUAL TO 7.0 PCT and LT 8.0 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HG A1C GT EQUAL TO 8.0 PCT and LT EQUAL TO 9","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3052F","description":"MOST RECENT HG A1C GT EQUAL TO 8.0 PCT and LT EQUAL TO 9","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HG A1C GT EQUAL TO 8.0 PCT and LT EQUAL TO 9","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3052F","description":"MOST RECENT HG A1C GT EQUAL TO 8.0 PCT and LT EQUAL TO 9","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C GT EQUAL 130 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3050F","description":"MOST RECENT LDL-C GT EQUAL 130 MG/DL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C GT or equal to 130 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3050F","description":"MOST RECENT LDL-C GT or equal to 130 MG/DL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C GT or equal to 130 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3050F","description":"MOST RECENT LDL-C GT or equal to 130 MG/DL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C LT 100 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3048F","description":"MOST RECENT LDL-C LT 100 MG/DL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C LT 100 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3048F","description":"MOST RECENT LDL-C LT 100 MG/DL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C 100-129 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3049F","description":"MOST RECENT LDL-C 100-129 MG/DL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C 100-129 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3049F","description":"MOST RECENT LDL-C 100-129 MG/DL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRES GT EQUAL 140 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3077F","description":"MOST RECENT SYSTOLIC BLOOD PRES GT EQUAL 140 MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRES GT or equal to 140 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3077F","description":"MOST RECENT SYSTOLIC BLOOD PRES GT or equal to 140 MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRES GT or equal to 140 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3077F","description":"MOST RECENT SYSTOLIC BLOOD PRES GT or equal to 140 MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESS 130-139MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3075F","description":"MOST RECENT SYSTOLIC BLOOD PRESS 130-139MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESS 130-139MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3075F","description":"MOST RECENT SYSTOLIC BLOOD PRESS 130-139MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE GT or equal to 140MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8753","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE GT or equal to 140MM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE GT or equal to 140MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8753","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE GT or equal to 140MM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE LT 140MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8752","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE LT 140MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE LT 140MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8752","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE LT 140MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE LT 130 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3074F","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE LT 130 MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE LT 130 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3074F","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE LT 130 MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT TOBACCO STATUS IS NOT TOBACCO FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9792","description":"MOST RECENT TOBACCO STATUS IS NOT TOBACCO FREE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT TOBACCO STATUS IS NOT TOBACCO FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9792","description":"MOST RECENT TOBACCO STATUS IS NOT TOBACCO FREE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT TOBACCO STATUS IS TOBACCO FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9791","description":"MOST RECENT TOBACCO STATUS IS TOBACCO FREE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT TOBACCO STATUS IS TOBACCO FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9791","description":"MOST RECENT TOBACCO STATUS IS TOBACCO FREE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECNT BP IS GT 130/80 MM HG/BR NOT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9790","description":"MOST RECNT BP IS GT 130/80 MM HG/BR NOT DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECNT BP IS GT 130/80 MM HG/BR NOT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9790","description":"MOST RECNT BP IS GT 130/80 MM HG/BR NOT DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECNT BP IS GT 140/90 MM HG/BR NOT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9790","description":"MOST RECNT BP IS GT 140/90 MM HG/BR NOT DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOTION FLUOR EVAL SWLNG FUNCJ C/V REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92611","description":"MOTION FLUOR EVAL SWLNG FUNCJ C/V REC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOTION FLUOR EVAL SWLNG FUNCJ C/V REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92611","description":"MOTION FLUOR EVAL SWLNG FUNCJ C/V REC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOTOR and /SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95905","description":"MOTOR and /SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOTOR and /SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95905","description":"MOTOR and /SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOUTHPIECE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4617","description":"MOUTHPIECE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MOUTHPIECE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4617","description":"MOUTHPIECE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MPJ REPLCMT TWO/MORE PECES METL CERAM-LIKE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8631","description":"MPJ REPLCMT TWO/MORE PECES METL CERAM-LIKE MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MPSV4 VACCINE GROUPS ACYW-135 SUBQ USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90733","description":"MPSV4 VACCINE GROUPS ACYW-135 SUBQ USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MPSV4 VACCINE GROUPS ACYW-135 SUBQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90733","description":"MPSV4 VACCINE GROUPS ACYW-135 SUBQ USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA ABDOMEN W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74185","description":"MRA ABDOMEN W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA ABDOMEN W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74185","description":"MRA ABDOMEN W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA CHEST W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71555","description":"MRA CHEST W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA CHEST W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71555","description":"MRA CHEST W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70545","description":"MRA HEAD W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70545","description":"MRA HEAD W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70546","description":"MRA HEAD W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70546","description":"MRA HEAD W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/O CONTRST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70544","description":"MRA HEAD W/O CONTRST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/O CONTRST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70544","description":"MRA HEAD W/O CONTRST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73725","description":"MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73725","description":"MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70548","description":"MRA NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70548","description":"MRA NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70549","description":"MRA NECK W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70549","description":"MRA NECK W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/O CONTRST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70547","description":"MRA NECK W/O CONTRST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/O CONTRST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70547","description":"MRA NECK W/O CONTRST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA PELVIS W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72198","description":"MRA PELVIS W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA PELVIS W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72198","description":"MRA PELVIS W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA SPINAL CANAL W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72159","description":"MRA SPINAL CANAL W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA SPINAL CANAL W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72159","description":"MRA SPINAL CANAL W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73225","description":"MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73225","description":"MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74182","description":"MRI ABDOMEN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74182","description":"MRI ABDOMEN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74183","description":"MRI ABDOMEN W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74183","description":"MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74183","description":"MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74181","description":"MRI ABDOMEN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74181","description":"MRI ABDOMEN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73722","description":"MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73722","description":"MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/O and W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73723","description":"MRI ANY JT LOWER EXTREM W/O and W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/O and W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73723","description":"MRI ANY JT LOWER EXTREM W/O and W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73721","description":"MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73721","description":"MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73222","description":"MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73222","description":"MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/O and W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73223","description":"MRI ANY JT UPPER EXTREMITY W/O and W/CONTR MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/O and W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73223","description":"MRI ANY JT UPPER EXTREMITY W/O and W/CONTR MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73221","description":"MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73221","description":"MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BONE MARROW BLOOD SUPPLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77084","description":"MRI BONE MARROW BLOOD SUPPLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BONE MARROW BLOOD SUPPLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77084","description":"MRI BONE MARROW BLOOD SUPPLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70552","description":"MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70552","description":"MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70551","description":"MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70551","description":"MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70553","description":"MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70553","description":"MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70554","description":"MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70554","description":"MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70555","description":"MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70555","description":"MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70558","description":"MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70558","description":"MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/O and W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70559","description":"MRI BRAIN OPEN INTRACRANIAL PX W/O and W/CONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/O and W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70559","description":"MRI BRAIN OPEN INTRACRANIAL PX W/O and W/CONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70557","description":"MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70557","description":"MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST W/OUT and WITH CONTRAST W/CAD UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77048","description":"MRI BREAST W/OUT and WITH CONTRAST W/CAD UNILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST W/OUT and WITH CONTRAST W/CAD UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77048","description":"MRI BREAST W/OUT and WITH CONTRAST W/CAD UNILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77047","description":"MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77047","description":"MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77046","description":"MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77046","description":"MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT and WITH CONTRAST W/CAD BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77049","description":"MRI BREAST WITHOUT and WITH CONTRAST W/CAD BILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT and WITH CONTRAST W/CAD BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77049","description":"MRI BREAST WITHOUT and WITH CONTRAST W/CAD BILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71551","description":"MRI CHEST W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71551","description":"MRI CHEST W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71552","description":"MRI CHEST W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71552","description":"MRI CHEST W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71550","description":"MRI CHEST W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71550","description":"MRI CHEST W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI CT SCAN ORDERED REVIEWED/REQUESTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3324F","description":"MRI CT SCAN ORDERED REVIEWED/REQUESTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CT SCAN ORDERED REVIEWED/REQUESTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3324F","description":"MRI CT SCAN ORDERED REVIEWED/REQUESTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77022","description":"MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77022","description":"MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI GUIDANCE NEEDLE PLACEMENT RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77021","description":"MRI GUIDANCE NEEDLE PLACEMENT RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI GUIDANCE NEEDLE PLACEMENT RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77021","description":"MRI GUIDANCE NEEDLE PLACEMENT RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73719","description":"MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73719","description":"MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/O and W/CONTR MATR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73720","description":"MRI LOWER EXTREM OTH/THN JT W/O and W/CONTR MATR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/O and W/CONTR MATR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73720","description":"MRI LOWER EXTREM OTH/THN JT W/O and W/CONTR MATR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73718","description":"MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73718","description":"MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE and NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70542","description":"MRI ORBIT FACE and NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE and NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70542","description":"MRI ORBIT FACE and NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE and NECK W/O and W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70543","description":"MRI ORBIT FACE and NECK W/O and W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE and NECK W/O and W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70543","description":"MRI ORBIT FACE and NECK W/O and W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE and /NECK W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70540","description":"MRI ORBIT FACE and /NECK W/O CONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE and /NECK W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70540","description":"MRI ORBIT FACE and /NECK W/O CONTRAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72196","description":"MRI PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72196","description":"MRI PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72197","description":"MRI PELVIS W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/O and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72197","description":"MRI PELVIS W/O and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72195","description":"MRI PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72195","description":"MRI PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPECTROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76390","description":"MRI SPECTROSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPECTROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76390","description":"MRI SPECTROSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72142","description":"MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72142","description":"MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/O and W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72156","description":"MRI SPINAL CANAL CERVICAL W/O and W/CONTR MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/O and W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72156","description":"MRI SPINAL CANAL CERVICAL W/O and W/CONTR MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72141","description":"MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72141","description":"MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72149","description":"MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72149","description":"MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/O and W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72158","description":"MRI SPINAL CANAL LUMBAR W/O and W/CONTR MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/O and W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72158","description":"MRI SPINAL CANAL LUMBAR W/O and W/CONTR MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72148","description":"MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72148","description":"MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72147","description":"MRI SPINAL CANAL THORACIC W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72147","description":"MRI SPINAL CANAL THORACIC W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/O and W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72157","description":"MRI SPINAL CANAL THORACIC W/O and W/CONTR MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/O and W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72157","description":"MRI SPINAL CANAL THORACIC W/O and W/CONTR MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72146","description":"MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72146","description":"MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI TEMPOROMANDIBULAR JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70336","description":"MRI TEMPOROMANDIBULAR JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI TEMPOROMANDIBULAR JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70336","description":"MRI TEMPOROMANDIBULAR JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREM OTHER THAN JT W/O and W/CONTRAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73220","description":"MRI UPPER EXTREM OTHER THAN JT W/O and W/CONTRAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREM OTHER THAN JT W/O and W/CONTRAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73220","description":"MRI UPPER EXTREM OTHER THAN JT W/O and W/CONTRAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73219","description":"MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73219","description":"MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73218","description":"MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73218","description":"MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MUCIN SYNOVIAL FLUID ROPES TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83872","description":"MUCIN SYNOVIAL FLUID ROPES TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MUCOPOLYSACCHARIDES ACID QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83864","description":"MUCOPOLYSACCHARIDES ACID QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MULTI-PSTN PT TRNSF SYS EXTRA WIDE PT GT 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1036","description":"MULTI-PSTN PT TRNSF SYS EXTRA WIDE PT GT 300 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MULTI-PSTN PT TRNSF SYS W/SEAT PT WT LT or equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1035","description":"MULTI-PSTN PT TRNSF SYS W/SEAT PT WT LT or equal to 300","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MULTI-PSTN PT TRNSF SYS W/SEAT PT WT LT or equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1035","description":"MULTI-PSTN PT TRNSF SYS W/SEAT PT WT LT or equal to 300","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MULTIFETAL PREGNANCY REDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59866","description":"MULTIFETAL PREGNANCY REDUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MULTIFETAL PREGNANCY REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59866","description":"MULTIFETAL PREGNANCY REDUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MULTIPLE FAMILY GROUP PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90849","description":"MULTIPLE FAMILY GROUP PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MULTIPLE FAMILY GROUP PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90849","description":"MULTIPLE FAMILY GROUP PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MULTIPLE PUNCTURES ANTERIOR CORNEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65600","description":"MULTIPLE PUNCTURES ANTERIOR CORNEA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MULTIPLE PUNCTURES ANTERIOR CORNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65600","description":"MULTIPLE PUNCTURES ANTERIOR CORNEA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MURAMIDASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85549","description":"MURAMIDASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15738","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15738","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15734","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15734","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15736","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15736","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23397","description":"MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23397","description":"MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23395","description":"MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23395","description":"MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24301","description":"MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24301","description":"MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLES FACE TO FACE ONE ON ONE EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0237","description":"MUSCLES FACE TO FACE ONE ON ONE EACH 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLES FACE TO FACE ONE ON ONE EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0237","description":"MUSCLES FACE TO FACE ONE ON ONE EACH 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MX PSTN PT SUPP SYS INTGR LIFT PT ACSSIBLE CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0636","description":"MX PSTN PT SUPP SYS INTGR LIFT PT ACSSIBLE CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MX PSTN PT SUPP SYS INTGR LIFT PT ACSSIBLE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0636","description":"MX PSTN PT SUPP SYS INTGR LIFT PT ACSSIBLE CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLATE MOFETIL ORAL 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7517","description":"MYCOPHENOLATE MOFETIL ORAL 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLATE MOFETIL ORAL 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7517","description":"MYCOPHENOLATE MOFETIL ORAL 250 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLIC ACID ORAL 180 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7518","description":"MYCOPHENOLIC ACID ORAL 180 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLIC ACID ORAL 180 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7518","description":"MYCOPHENOLIC ACID ORAL 180 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYELIN BASIC PROTEIN CEREBROSPINAL FLUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83873","description":"MYELIN BASIC PROTEIN CEREBROSPINAL FLUID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY CERVICAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72240","description":"MYELOGRAPHY CERVICAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY CERVICAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72240","description":"MYELOGRAPHY CERVICAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY THORACIC RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72255","description":"MYELOGRAPHY THORACIC RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY THORACIC RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72255","description":"MYELOGRAPHY THORACIC RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY 2/MORE REGIONS RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72270","description":"MYELOGRAPY 2/MORE REGIONS RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY 2/MORE REGIONS RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72270","description":"MYELOGRAPY 2/MORE REGIONS RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY LUMBOSACRAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72265","description":"MYELOGRAPY LUMBOSACRAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY LUMBOSACRAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72265","description":"MYELOGRAPY LUMBOSACRAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY POST FOSSA RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70010","description":"MYELOGRAPY POST FOSSA RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY POST FOSSA RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70010","description":"MYELOGRAPY POST FOSSA RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYELOPEROXIDASE MPO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83876","description":"MYELOPEROXIDASE MPO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78466","description":"MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78466","description":"MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78453","description":"MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78453","description":"MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78454","description":"MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78454","description":"MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33542","description":"MYOCARDIAL RESECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33542","description":"MYOCARDIAL RESECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL SPECT MULTIPLE STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78452","description":"MYOCARDIAL SPECT MULTIPLE STUDIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL SPECT MULTIPLE STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78452","description":"MYOCARDIAL SPECT MULTIPLE STUDIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78451","description":"MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78451","description":"MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78468","description":"MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78468","description":"MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET METAB EVAL SINGLE STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78459","description":"MYOCRD IMG PET METAB EVAL SINGLE STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET METAB EVAL SINGLE STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78459","description":"MYOCRD IMG PET METAB EVAL SINGLE STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET METAB EVAL SINGLE STUDY CNCRNT CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78429","description":"MYOCRD IMG PET METAB EVAL SINGLE STUDY CNCRNT CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET METAB EVAL SINGLE STUDY CNCRNT CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78429","description":"MYOCRD IMG PET METAB EVAL SINGLE STUDY CNCRNT CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ 1STD REST/STRESS CNCRNT CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78430","description":"MYOCRD IMG PET PRFUJ 1STD REST/STRESS CNCRNT CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ 1STD REST/STRESS CNCRNT CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78430","description":"MYOCRD IMG PET PRFUJ 1STD REST/STRESS CNCRNT CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ MLT STD RST AND STRS CNCRNT CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78431","description":"MYOCRD IMG PET PRFUJ MLT STD RST AND STRS CNCRNT CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ MLT STD RST AND STRS CNCRNT CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78431","description":"MYOCRD IMG PET PRFUJ MLT STD RST AND STRS CNCRNT CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ MULTIPLE STUDY REST AND STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78492","description":"MYOCRD IMG PET PRFUJ MULTIPLE STUDY REST AND STRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ MULTIPLE STUDY REST AND STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78492","description":"MYOCRD IMG PET PRFUJ MULTIPLE STUDY REST AND STRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78491","description":"MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78491","description":"MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ W/METAB 2RTRACER CNCRNT CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78433","description":"MYOCRD IMG PET PRFUJ W/METAB 2RTRACER CNCRNT CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ W/METAB 2RTRACER CNCRNT CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78433","description":"MYOCRD IMG PET PRFUJ W/METAB 2RTRACER CNCRNT CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ W/METAB DUAL RADIOTRACER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78432","description":"MYOCRD IMG PET PRFUJ W/METAB DUAL RADIOTRACER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ W/METAB DUAL RADIOTRACER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78432","description":"MYOCRD IMG PET PRFUJ W/METAB DUAL RADIOTRACER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78469","description":"MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78469","description":"MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93356","description":"MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93356","description":"MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOGLOBIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83874","description":"MYOGLOBIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 1-4 MYOMAS 250 GM OR LT VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58145","description":"MYOMECTOMY 1-4 MYOMAS 250 GM OR LT VAGINAL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 1-4 MYOMAS 250 GM OR LT VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58145","description":"MYOMECTOMY 1-4 MYOMAS 250 GM OR LT VAGINAL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 1-4 MYOMAS W/250 GM OR LT ABDOMINAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58140","description":"MYOMECTOMY 1-4 MYOMAS W/250 GM OR LT ABDOMINAL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 1-4 MYOMAS W/250 GM OR LT ABDOMINAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58140","description":"MYOMECTOMY 1-4 MYOMAS W/250 GM OR LT ABDOMINAL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 5 OR GT MYOMAS and OR GT 250 GM ABDOMINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58146","description":"MYOMECTOMY 5 OR GT MYOMAS and OR GT 250 GM ABDOMINA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 5 OR GT MYOMAS and OR GT 250 GM ABDOMINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58146","description":"MYOMECTOMY 5 OR GT MYOMAS and OR GT 250 GM ABDOMINA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69620","description":"MYRINGOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69620","description":"MYRINGOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69420","description":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69420","description":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69421","description":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69421","description":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Mattress foam rubber","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0272","description":"Mattress foam rubber","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices - Other Implants","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0278","description":"Med/Surg Supplies &Devices (also see 062x, extension of 027x","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Metatarsal joint implant","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8641","description":"Metatarsal joint implant","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Methotrexate oral 2.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8610","description":"Methotrexate oral 2.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Methotrexate oral 2.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8610","description":"Methotrexate oral 2.5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Metyrapone panel","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80436","description":"Metyrapone panel","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Muramidase","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85549","description":"Muramidase","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93924","description":"N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93924","description":"N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NARCOSYNTHESIS PSYC DX AND THER PURPOSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90865","description":"NARCOSYNTHESIS PSYC DX AND THER PURPOSES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NARCOSYNTHESIS PSYC DX AND THER PURPOSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90865","description":"NARCOSYNTHESIS PSYC DX AND THER PURPOSES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NARROWING DEVICE WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0969","description":"NARROWING DEVICE WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31231","description":"NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31231","description":"NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL FUNCTION STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92512","description":"NASAL FUNCTION STUDIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL PILLOWS COMB ORAL/NASL MASK REPL ONLY PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7029","description":"NASAL PILLOWS COMB ORAL/NASL MASK REPL ONLY PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL PILLOWS COMB ORAL/NASL MASK REPL ONLY PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7029","description":"NASAL PILLOWS COMB ORAL/NASL MASK REPL ONLY PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8040","description":"NASAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL SEPTAL PROSTHESIS PROVIDED A NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8047","description":"NASAL SEPTAL PROSTHESIS PROVIDED A NON-PHYSICIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL SMEAR EOSINOPHILS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89190","description":"NASAL SMEAR EOSINOPHILS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31233","description":"NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31233","description":"NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31235","description":"NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31235","description":"NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31256","description":"NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31256","description":"NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31287","description":"NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31287","description":"NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31290","description":"NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31290","description":"NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31291","description":"NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31291","description":"NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG MEDIAL and INF ORB WALL DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31293","description":"NASAL/SINUS NDSC SURG MEDIAL and INF ORB WALL DCMPRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG MEDIAL and INF ORB WALL DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31293","description":"NASAL/SINUS NDSC SURG MEDIAL and INF ORB WALL DCMPRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31292","description":"NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31292","description":"NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/BX POLYPC/DBRDMT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31237","description":"NASAL/SINUS NDSC SURG W/BX POLYPC/DBRDMT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/BX POLYPC/DBRDMT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31237","description":"NASAL/SINUS NDSC SURG W/BX POLYPC/DBRDMT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/BX POLYPECT/DBRDMT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31237","description":"NASAL/SINUS NDSC SURG W/BX POLYPECT/DBRDMT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31240","description":"NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31240","description":"NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31238","description":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMORRHAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31238","description":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMORRHAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMRRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31238","description":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMRRG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DACRYOCSTORHINOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31239","description":"NASAL/SINUS NDSC SURG W/DACRYOCSTORHINOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DACRYOCYSTORHINOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31239","description":"NASAL/SINUS NDSC SURG W/DACRYOCYSTORHINOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DACRYOCYSTORHINOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31239","description":"NASAL/SINUS NDSC SURG W/DACRYOCYSTORHINOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31296","description":"NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31296","description":"NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31295","description":"NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31295","description":"NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31297","description":"NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31297","description":"NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31294","description":"NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31294","description":"NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31253","description":"NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31253","description":"NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31254","description":"NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31254","description":"NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31276","description":"NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31276","description":"NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31255","description":"NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31255","description":"NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASL INTRFCE POS ARWAY PRSS DEVC W/WO HEAD STRAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7034","description":"NASL INTRFCE POS ARWAY PRSS DEVC W/WO HEAD STRAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASL INTRFCE POS ARWAY PRSS DEVC W/WO HEAD STRAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7034","description":"NASL INTRFCE POS ARWAY PRSS DEVC W/WO HEAD STRAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASO/ORO-GASTRIC TUBE PLMT REQ PHYS and FLUOR GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43752","description":"NASO/ORO-GASTRIC TUBE PLMT REQ PHYS and FLUOR GDNCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASO/ORO-GASTRIC TUBE PLMT REQ PHYS and FLUOR GDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43752","description":"NASO/ORO-GASTRIC TUBE PLMT REQ PHYS and FLUOR GDNCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASOPHARYNGOSCOPY W/ENDOSCOPE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92511","description":"NASOPHARYNGOSCOPY W/ENDOSCOPE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NASOPHARYNGOSCOPY W/ENDOSCOPE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92511","description":"NASOPHARYNGOSCOPY W/ENDOSCOPE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9148","description":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9148","description":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9149","description":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9149","description":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9150","description":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9150","description":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATRIURETIC PEPTIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83880","description":"NATRIURETIC PEPTIDE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NATURAL KILLER CELLS TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86357","description":"NATURAL KILLER CELLS TOTAL COUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95860","description":"NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95860","description":"NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95861","description":"NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95861","description":"NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95863","description":"NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95863","description":"NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95864","description":"NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95864","description":"NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51785","description":"NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51785","description":"NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDL OCULOELECTROMYOGRAPHY 1 Plus EO MUSC 1/BOTH EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92265","description":"NDL OCULOELECTROMYOGRAPHY 1 Plus EO MUSC 1/BOTH EYE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDL OCULOELECTROMYOGRAPHY 1 Plus EO MUSC 1/BOTH EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92265","description":"NDL OCULOELECTROMYOGRAPHY 1 Plus EO MUSC 1/BOTH EYE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC ABLATION and RCNSTJ ATRIA LIMITED W/O BYPAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33265","description":"NDSC ABLATION and RCNSTJ ATRIA LIMITED W/O BYPAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC ABLATION and RCNSTJ ATRIA LIMITED W/O BYPAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33265","description":"NDSC ABLATION and RCNSTJ ATRIA LIMITED W/O BYPAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44385","description":"NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44385","description":"NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44386","description":"NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44386","description":"NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC NJX IMPLT MATRL URT and /BLDR NCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51715","description":"NDSC NJX IMPLT MATRL URT and /BLDR NCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC NJX IMPLT MATRL URT and /BLDR NCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51715","description":"NDSC NJX IMPLT MATRL URT and /BLDR NCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33508","description":"NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33508","description":"NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC URETEROTOMY RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50980","description":"NDSC URETEROTOMY RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC URETEROTOMY RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50980","description":"NDSC URETEROTOMY RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50972","description":"NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50972","description":"NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29848","description":"NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29848","description":"NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEB GLASS/AUTOCLAV NOT USE W/O2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7017","description":"NEB GLASS/AUTOCLAV NOT USE W/O2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEB GLASS/AUTOCLAV NOT USE W/O2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7017","description":"NEB GLASS/AUTOCLAV NOT USE W/O2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZER ULTRASONIC LARGE VOLUME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0575","description":"NEBULIZER ULTRASONIC LARGE VOLUME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZER WITH COMPRESSOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0570","description":"NEBULIZER WITH COMPRESSOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZER WITH COMPRESSOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0570","description":"NEBULIZER WITH COMPRESSOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZER WITH COMPRESSOR AND HEATER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0585","description":"NEBULIZER WITH COMPRESSOR AND HEATER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZER WITH COMPRESSOR AND HEATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0585","description":"NEBULIZER WITH COMPRESSOR AND HEATER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZR DURABLE GLASS/AUTOCLAVABLE PLSTC BOTTLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0580","description":"NEBULIZR DURABLE GLASS/AUTOCLAVABLE PLSTC BOTTLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95868","description":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95868","description":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95867","description":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95867","description":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95866","description":"NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95866","description":"NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY LARYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95865","description":"NEEDLE ELECTROMYOGRAPHY LARYNX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY LARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95865","description":"NEEDLE ELECTROMYOGRAPHY LARYNX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95885","description":"NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95885","description":"NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95886","description":"NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95886","description":"NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG GUID W/CHEMODENERVATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95874","description":"NEEDLE EMG GUID W/CHEMODENERVATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG GUID W/CHEMODENERVATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95874","description":"NEEDLE EMG GUID W/CHEMODENERVATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95870","description":"NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95870","description":"NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95887","description":"NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95887","description":"NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95869","description":"NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95869","description":"NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95872","description":"NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95872","description":"NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE OCULOGRAPHY 1/ XOC MUSC 1/BOTH EYE W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92265","description":"NEEDLE OCULOGRAPHY 1/ XOC MUSC 1/BOTH EYE W/I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEG DEP SYMP CAT USING STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3351F","description":"NEG DEP SYMP CAT USING STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG DEP SYMP CAT USING STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3351F","description":"NEG DEP SYMP CAT USING STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG PRESS WOUND THERAPY ELEC PUMP STATION/PRTBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2402","description":"NEG PRESS WOUND THERAPY ELEC PUMP STATION/PRTBLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE MICROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3061F","description":"NEGATIVE MICROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE MICROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3061F","description":"NEGATIVE MICROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE PRESSURE WOUND THERAPY DME GT 50 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97606","description":"NEGATIVE PRESSURE WOUND THERAPY DME GT 50 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE PRESSURE WOUND THERAPY DME GT 50 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97606","description":"NEGATIVE PRESSURE WOUND THERAPY DME GT 50 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE PRESSURE WOUND THERAPY DME LT or equal to 50 SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97605","description":"NEGATIVE PRESSURE WOUND THERAPY DME LT or equal to 50 SQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE PRESSURE WOUND THERAPY DME LT or equal to 50 SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97605","description":"NEGATIVE PRESSURE WOUND THERAPY DME LT or equal to 50 SQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50240","description":"NEPHRECTOMY PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50240","description":"NEPHRECTOMY PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY TOT URETEREC AND BLDR CUFF SEPAR INCISN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50236","description":"NEPHRECTOMY TOT URETEREC AND BLDR CUFF SEPAR INCISN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY TOT URETEREC AND BLDR CUFF SEPAR INCISN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50236","description":"NEPHRECTOMY TOT URETEREC AND BLDR CUFF SEPAR INCISN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50230","description":"NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50230","description":"NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50225","description":"NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50225","description":"NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50220","description":"NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50220","description":"NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/TOT URETERECT and BLDR CUFF SAME INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50234","description":"NEPHRECTOMY W/TOT URETERECT and BLDR CUFF SAME INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/TOT URETERECT and BLDR CUFF SAME INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50234","description":"NEPHRECTOMY W/TOT URETERECT and BLDR CUFF SAME INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50070","description":"NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50070","description":"NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY REMOVAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50060","description":"NEPHROLITHOTOMY REMOVAL CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY REMOVAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50060","description":"NEPHROLITHOTOMY REMOVAL CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY REMOVAL STAGE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50060","description":"NEPHROLITHOTOMY REMOVAL STAGE 1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50075","description":"NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50075","description":"NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY RMVL LG STAGHORN STAGE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50075","description":"NEPHROLITHOTOMY RMVL LG STAGHORN STAGE 1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY SECONDARY FOR CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50065","description":"NEPHROLITHOTOMY SECONDARY FOR CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY SECONDARY SURG OPERJ CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50065","description":"NEPHROLITHOTOMY SECONDARY SURG OPERJ CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY SECONDARY SURG OPERJ CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50065","description":"NEPHROLITHOTOMY SECONDARY SURG OPERJ CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50500","description":"NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50500","description":"NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROSTOMY NEPHROTOMY W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50040","description":"NEPHROSTOMY NEPHROTOMY W/DRAINAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROSTOMY NEPHROTOMY W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50040","description":"NEPHROSTOMY NEPHROTOMY W/DRAINAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROSTOMY/NEPHROTOMY W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50040","description":"NEPHROSTOMY/NEPHROTOMY W/DRAINAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50045","description":"NEPHROTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50045","description":"NEPHROTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND ARM/LEG GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64893","description":"NERVE GRAFT 1 STRAND ARM/LEG GT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND ARM/LEG GT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64893","description":"NERVE GRAFT 1 STRAND ARM/LEG GT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND ARM/LEG LT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64892","description":"NERVE GRAFT 1 STRAND ARM/LEG LT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND ARM/LEG LT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64892","description":"NERVE GRAFT 1 STRAND ARM/LEG LT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND HAND/FOOT GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64891","description":"NERVE GRAFT 1 STRAND HAND/FOOT GT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND HAND/FOOT GT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64891","description":"NERVE GRAFT 1 STRAND HAND/FOOT GT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND HAND/FOOT LT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64890","description":"NERVE GRAFT 1 STRAND HAND/FOOT LT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND HAND/FOOT LT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64890","description":"NERVE GRAFT 1 STRAND HAND/FOOT LT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT EACH NERVE 1 STRAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64901","description":"NERVE GRAFT EACH NERVE 1 STRAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT EACH NERVE 1 STRAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64901","description":"NERVE GRAFT EACH NERVE 1 STRAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT EACH NERVE MULTIPLE STRANDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64902","description":"NERVE GRAFT EACH NERVE MULTIPLE STRANDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT EACH NERVE MULTIPLE STRANDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64902","description":"NERVE GRAFT EACH NERVE MULTIPLE STRANDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT HEAD/NECK GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64886","description":"NERVE GRAFT HEAD/NECK GT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT HEAD/NECK GT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64886","description":"NERVE GRAFT HEAD/NECK GT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT HEAD/NECK LT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64885","description":"NERVE GRAFT HEAD/NECK LT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT HEAD/NECK LT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64885","description":"NERVE GRAFT HEAD/NECK LT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS ARM/LEG GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64898","description":"NERVE GRAFT MLT STRANDS ARM/LEG GT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS ARM/LEG GT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64898","description":"NERVE GRAFT MLT STRANDS ARM/LEG GT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS ARM/LEG LT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64897","description":"NERVE GRAFT MLT STRANDS ARM/LEG LT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS ARM/LEG LT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64897","description":"NERVE GRAFT MLT STRANDS ARM/LEG LT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS HAND/FOOT GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64896","description":"NERVE GRAFT MLT STRANDS HAND/FOOT GT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS HAND/FOOT GT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64896","description":"NERVE GRAFT MLT STRANDS HAND/FOOT GT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS HAND/FOOT LT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64895","description":"NERVE GRAFT MLT STRANDS HAND/FOOT LT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS HAND/FOOT LT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64895","description":"NERVE GRAFT MLT STRANDS HAND/FOOT LT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE PEDICAL TRANSFER SECOND STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64907","description":"NERVE PEDICAL TRANSFER SECOND STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE PEDICAL TRANSFER SECOND STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64907","description":"NERVE PEDICAL TRANSFER SECOND STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE PEDICLE TRANSFER FIRST STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64905","description":"NERVE PEDICLE TRANSFER FIRST STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE PEDICLE TRANSFER FIRST STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64905","description":"NERVE PEDICLE TRANSFER FIRST STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64911","description":"NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64911","description":"NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/CONDUIT EACH NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64910","description":"NERVE REPAIR W/CONDUIT EACH NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/CONDUIT EACH NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64910","description":"NERVE REPAIR W/CONDUIT EACH NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE TEASING PREPARATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88362","description":"NERVE TEASING PREPARATIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01967","description":"NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01967","description":"NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURECTOMY INTRINSIC MUSCULATURE OF FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28055","description":"NEURECTOMY INTRINSIC MUSCULATURE OF FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURECTOMY INTRINSIC MUSCULATURE OF FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28055","description":"NEURECTOMY INTRINSIC MUSCULATURE OF FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96116","description":"NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96116","description":"NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62164","description":"NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62164","description":"NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95937","description":"NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95937","description":"NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMUSCULAR STIMULATOR ELECTRONIC SHOCK UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0745","description":"NEUROMUSCULAR STIMULATOR ELECTRONIC SHOCK UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMUSCULAR STIMULATOR ELECTRONIC SHOCK UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0745","description":"NEUROMUSCULAR STIMULATOR ELECTRONIC SHOCK UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMUSCULAR STIMULATOR FOR SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0744","description":"NEUROMUSCULAR STIMULATOR FOR SCOLIOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMUSCULAR STIMULATOR FOR SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0744","description":"NEUROMUSCULAR STIMULATOR FOR SCOLIOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY and /TRANSPOS MEDIAN NRV CARPAL TUNNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64721","description":"NEUROPLASTY and /TRANSPOS MEDIAN NRV CARPAL TUNNE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY and /TRANSPOS MEDIAN NRV CARPAL TUNNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64721","description":"NEUROPLASTY and /TRANSPOS MEDIAN NRV CARPAL TUNNE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY and /TRANSPOSITION CRANIAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64716","description":"NEUROPLASTY and /TRANSPOSITION CRANIAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY and /TRANSPOSITION CRANIAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64716","description":"NEUROPLASTY and /TRANSPOSITION CRANIAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY and /TRANSPOSITION ULNAR NERVE ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64718","description":"NEUROPLASTY and /TRANSPOSITION ULNAR NERVE ELBOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY and /TRANSPOSITION ULNAR NERVE ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64718","description":"NEUROPLASTY and /TRANSPOSITION ULNAR NERVE ELBOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY and /TRANSPOSITION ULNAR NERVE WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64719","description":"NEUROPLASTY and /TRANSPOSITION ULNAR NERVE WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY and /TRANSPOSITION ULNAR NERVE WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64719","description":"NEUROPLASTY and /TRANSPOSITION ULNAR NERVE WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64702","description":"NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64702","description":"NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY NERVE HAND/FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64704","description":"NEUROPLASTY NERVE HAND/FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY NERVE HAND/FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64704","description":"NEUROPLASTY NERVE HAND/FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC INTERVENTION ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4525F","description":"NEUROPSYCHIATRIC INTERVENTION ORDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC INTERVENTION ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4525F","description":"NEUROPSYCHIATRIC INTERVENTION ORDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC INTERVENTION RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4526F","description":"NEUROPSYCHIATRIC INTERVENTION RECEIVED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC INTERVENTION RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4526F","description":"NEUROPSYCHIATRIC INTERVENTION RECEIVED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTOMS ABSENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1183F","description":"NEUROPSYCHIATRIC SYMPTOMS ABSENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTOMS ABSENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1183F","description":"NEUROPSYCHIATRIC SYMPTOMS ABSENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTOMS ONE OR MORE PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1182F","description":"NEUROPSYCHIATRIC SYMPTOMS ONE OR MORE PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTOMS ONE OR MORE PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1182F","description":"NEUROPSYCHIATRIC SYMPTOMS ONE OR MORE PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTS ASSESSED RESULTS REVIEWD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1181F","description":"NEUROPSYCHIATRIC SYMPTS ASSESSED RESULTS REVIEWD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTS ASSESSED RESULTS REVIEWD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1181F","description":"NEUROPSYCHIATRIC SYMPTS ASSESSED RESULTS REVIEWD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64708","description":"NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64708","description":"NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64713","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64713","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64714","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64714","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64712","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64712","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUTRALIZATION TEST VIRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86382","description":"NEUTRALIZATION TEST VIRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NEW EPISODE FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1127F","description":"NEW EPISODE FOR CONDITION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEW EPISODE FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1127F","description":"NEW EPISODE FOR CONDITION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEW YORK HEART ASSOCIATION (NYHA) CLASS DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3118F","description":"NEW YORK HEART ASSOCIATION (NYHA) CLASS DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEW YORK HEART ASSOCIATION (NYHA) CLASS DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3118F","description":"NEW YORK HEART ASSOCIATION (NYHA) CLASS DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT DNA/RNA INFLUENZA GT 2 TYPES EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87503","description":"NFCT AGENT DNA/RNA INFLUENZA GT 2 TYPES EA ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACD HEP C VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87902","description":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACD HEP C VIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGNT GENOTYP NUCLEIC ACID HEPATITIS C VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87902","description":"NFCT AGNT GENOTYP NUCLEIC ACID HEPATITIS C VIRUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT DRUG SUSCEPT PHENOTYPE PREDICTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87900","description":"NFCT AGT DRUG SUSCEPT PHENOTYPE PREDICTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 OTHER REGION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87906","description":"NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 OTHER REGION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 REV TRNSCRPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87901","description":"NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 REV TRNSCRPT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NFCT GEXYP DNA/RNA HIV 1 OTHER REGION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87906","description":"NFCT GEXYP DNA/RNA HIV 1 OTHER REGION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NFCT GEXYP NUCLEIC ACID HIV REV TRNSCR AND PROTEAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87901","description":"NFCT GEXYP NUCLEIC ACID HIV REV TRNSCR AND PROTEAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87904","description":"NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NFCT PHEXYP RESIST TISS CUL HIV FIRST 1-10 DRUGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87903","description":"NFCT PHEXYP RESIST TISS CUL HIV FIRST 1-10 DRUGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77750","description":"NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77750","description":"NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NIPPLE EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19110","description":"NIPPLE EXPLORATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NIPPLE EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19110","description":"NIPPLE EXPLORATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NIPPLE PROSTHESIS PREFAB REUSABLE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8032","description":"NIPPLE PROSTHESIS PREFAB REUSABLE ANY TYPE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NIPPLE/AREOLA RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19350","description":"NIPPLE/AREOLA RECONSTRUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NIPPLE/AREOLA RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19350","description":"NIPPLE/AREOLA RECONSTRUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NITRIC OXIDE EXPIRED GAS DETERMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95012","description":"NITRIC OXIDE EXPIRED GAS DETERMINATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NITRIC OXIDE EXPIRED GAS DETERMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95012","description":"NITRIC OXIDE EXPIRED GAS DETERMINATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NITROBLUE TETRAZOLIUM DYE TEST NTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86384","description":"NITROBLUE TETRAZOLIUM DYE TEST NTD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX and PLACEMENT CHAIN CONTRAST and /URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51605","description":"NJX and PLACEMENT CHAIN CONTRAST and /URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX and PLACEMENT CHAIN CONTRAST and /URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51605","description":"NJX and PLACEMENT CHAIN CONTRAST and /URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD PLANTAR COMMON DIGITAL NERVES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64455","description":"NJX AA and /STRD PLANTAR COMMON DIGITAL NERVES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD PLANTAR COMMON DIGITAL NERVES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64455","description":"NJX AA and /STRD PLANTAR COMMON DIGITAL NERVES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64479","description":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64479","description":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64480","description":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC EA ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64480","description":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC EA ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64483","description":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64483","description":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64484","description":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL EA ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64484","description":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL EA ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES STELLATE GANGLION CRV SYMPATHETIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64510","description":"NJX ANES STELLATE GANGLION CRV SYMPATHETIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES STELLATE GANGLION CRV SYMPATHETIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64510","description":"NJX ANES STELLATE GANGLION CRV SYMPATHETIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STEROID PLANTAR COMMON DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64455","description":"NJX ANES and /STEROID PLANTAR COMMON DIGITAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STRD W/IMG TFRML EDRL CRV/THRC 1 LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64479","description":"NJX ANES and /STRD W/IMG TFRML EDRL CRV/THRC 1 LVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STRD W/IMG TFRML EDRL CRV/THRC EA LV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64480","description":"NJX ANES and /STRD W/IMG TFRML EDRL CRV/THRC EA LV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64483","description":"NJX ANES and /STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STRD W/IMG TFRML EDRL LMBR/SAC EA LV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64484","description":"NJX ANES and /STRD W/IMG TFRML EDRL LMBR/SAC EA LV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62294","description":"NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62294","description":"NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX CHOLANGIO PRQ W/IMG GID RS and I EXISTING ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47531","description":"NJX CHOLANGIO PRQ W/IMG GID RS and I EXISTING ACCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX CHOLANGIO PRQ W/IMG GID RS and I EXISTING ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47531","description":"NJX CHOLANGIO PRQ W/IMG GID RS and I EXISTING ACCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51600","description":"NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51600","description":"NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ NSLCTV P-ART ANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93568","description":"NJX DRG C-CATHJ NSLCTV P-ART ANGIOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ NSLCTV P-ART ANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93568","description":"NJX DRG C-CATHJ NSLCTV P-ART ANGIOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV L VNTRC/L ATRIAL ANGRPHS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93565","description":"NJX DRG C-CATHJ SLCTV L VNTRC/L ATRIAL ANGRPHS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV L VNTRC/L ATRIAL ANGRPHS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93565","description":"NJX DRG C-CATHJ SLCTV L VNTRC/L ATRIAL ANGRPHS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV L VNTRC/R ATRIAL ANGRPHS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93565","description":"NJX DRG C-CATHJ SLCTV L VNTRC/R ATRIAL ANGRPHS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV R VNTRC/R ATRIAL ANGRPHS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93566","description":"NJX DRG C-CATHJ SLCTV R VNTRC/R ATRIAL ANGRPHS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV R VNTRC/R ATRIAL ANGRPHS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93566","description":"NJX DRG C-CATHJ SLCTV R VNTRC/R ATRIAL ANGRPHS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SUPRAVALVULAR AORTOGRAPHY S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93567","description":"NJX DRG C-CATHJ SUPRAVALVULAR AORTOGRAPHY S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SUPRAVALVULAR AORTOGRAPHY S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93567","description":"NJX DRG C-CATHJ SUPRAVALVULAR AORTOGRAPHY S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG CGEN C-CATHJ SLCTV CORONARY ANGRPH S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93563","description":"NJX DRG CGEN C-CATHJ SLCTV CORONARY ANGRPH S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG CGEN C-CATHJ SLCTV CORONARY ANGRPH S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93563","description":"NJX DRG CGEN C-CATHJ SLCTV CORONARY ANGRPH S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG CGEN C-CATHJ SLCTV OPACIFICATION S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93564","description":"NJX DRG CGEN C-CATHJ SLCTV OPACIFICATION S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG CGEN C-CATHJ SLCTV OPACIFICATION S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93564","description":"NJX DRG CGEN C-CATHJ SLCTV OPACIFICATION S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64490","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64490","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64491","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64491","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 3 Plus LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64492","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 3 Plus LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 3 Plus LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64492","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 3 Plus LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64493","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64493","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64494","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64494","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3 Plus LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64495","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3 Plus LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3 Plus LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64495","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3 Plus LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PULMONARY ANGIO HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93568","description":"NJX PULMONARY ANGIO HRT CATH W/S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX ANTEGRDE NFROSGRM and /URTRGRM NEW ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50430","description":"NJX PX ANTEGRDE NFROSGRM and /URTRGRM NEW ACCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX ANTEGRDE NFROSGRM and /URTRGRM NEW ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50430","description":"NJX PX ANTEGRDE NFROSGRM and /URTRGRM NEW ACCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36005","description":"NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36005","description":"NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX RETROGRADE URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51610","description":"NJX RETROGRADE URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX RETROGRADE URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51610","description":"NJX RETROGRADE URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78808","description":"NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78808","description":"NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX SEL HRT ART CONGENITAL HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93563","description":"NJX SEL HRT ART CONGENITAL HRT CATH W/S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX SEL HRT ART/GRFT CONGENITAL HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93564","description":"NJX SEL HRT ART/GRFT CONGENITAL HRT CATH W/S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX SEL L VENT/ATRIAL ANGIO HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93565","description":"NJX SEL L VENT/ATRIAL ANGIO HRT CATH W/S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX SEL R VENT/ATRIAL ANGIO HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93566","description":"NJX SEL R VENT/ATRIAL ANGIO HRT CATH W/S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX SUPRAVALV AORTOG HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93567","description":"NJX SUPRAVALV AORTOG HRT CATH W/S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX VISUALIZATION ILEAL CONDUIT and /URETEROPYELOG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50690","description":"NJX VISUALIZATION ILEAL CONDUIT and /URETEROPYELOG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX VISUALIZATION ILEAL CONDUIT and /URETEROPYELOG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50690","description":"NJX VISUALIZATION ILEAL CONDUIT and /URETEROPYELOG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NO CONTIN 12MON THXPY W/PPI OR H2 H2RA RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4186F","description":"NO CONTIN 12MON THXPY W/PPI OR H2 H2RA RCVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO CONTIN 12MON THXPY W/PPI OR H2 H2RA RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4186F","description":"NO CONTIN 12MON THXPY W/PPI OR H2 H2RA RCVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO CURRENT HEPATITIS C ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4151F","description":"NO CURRENT HEPATITIS C ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO CURRENT HEPATITIS C ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4151F","description":"NO CURRENT HEPATITIS C ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC BLOOD PRESSURE MSR REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8756","description":"NO DOC BLOOD PRESSURE MSR REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC BLOOD PRESSURE MSR REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8756","description":"NO DOC BLOOD PRESSURE MSR REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC ELDER MALTREATMNT SCREEN REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8536","description":"NO DOC ELDER MALTREATMNT SCREEN REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC ELDER MALTREATMNT SCREEN REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8536","description":"NO DOC ELDER MALTREATMNT SCREEN REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOCUMENTATION CHLAMYDIA SCR TEST PROPER F/U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9821","description":"NO DOCUMENTATION CHLAMYDIA SCR TEST PROPER F/U","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOCUMENTATION CHLAMYDIA SCR TEST PROPER F/U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9821","description":"NO DOCUMENTATION CHLAMYDIA SCR TEST PROPER F/U","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO EVAL LEVEL OF ACTIVITY OR CLINICAL SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3119F","description":"NO EVAL LEVEL OF ACTIVITY OR CLINICAL SYMPTOMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO EVAL LEVEL OF ACTIVITY OR CLINICAL SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3119F","description":"NO EVAL LEVEL OF ACTIVITY OR CLINICAL SYMPTOMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO HIST NADIR CD4 Plus CELL CNT LT 350 and AIDS CONDITIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3493F","description":"NO HIST NADIR CD4 Plus CELL CNT LT 350 and AIDS CONDITIO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO HIST NADIR CD4 Plus CELL CNT LT 350 and AIDS CONDITIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3493F","description":"NO HIST NADIR CD4 Plus CELL CNT LT 350 and AIDS CONDITIO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO POSTOP RENAL FAILURE/DIALYSIS NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8576","description":"NO POSTOP RENAL FAILURE/DIALYSIS NOT REQUIRED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO POSTOP RENAL FAILURE/DIALYSIS NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8576","description":"NO POSTOP RENAL FAILURE/DIALYSIS NOT REQUIRED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO QUAL CARD EVENT/DIAG IN PREVIOUS 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1461F","description":"NO QUAL CARD EVENT/DIAG IN PREVIOUS 12 MONTHS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO QUAL CARD EVENT/DIAG IN PREVIOUS 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1461F","description":"NO QUAL CARD EVENT/DIAG IN PREVIOUS 12 MONTHS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RECORD OF HBV RESULTS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9915","description":"NO RECORD OF HBV RESULTS DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RECORD OF HBV RESULTS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9915","description":"NO RECORD OF HBV RESULTS DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RETURN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9307","description":"NO RETURN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RETURN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9307","description":"NO RETURN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RISK FACTOR/1 MOD RISK FACTOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8970","description":"NO RISK FACTOR/1 MOD RISK FACTOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RISK FACTOR/1 MOD RISK FACTOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8970","description":"NO RISK FACTOR/1 MOD RISK FACTOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO SIGNIF DEP SYMP CAT BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3352F","description":"NO SIGNIF DEP SYMP CAT BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO SIGNIF DEP SYMP CAT BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3352F","description":"NO SIGNIF DEP SYMP CAT BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO SURGICAL SITE INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9311","description":"NO SURGICAL SITE INFECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO SURGICAL SITE INFECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9311","description":"NO SURGICAL SITE INFECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO UNPLANNED HOSP RDM W/I 30 DAY PRINCIPAL PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9309","description":"NO UNPLANNED HOSP RDM W/I 30 DAY PRINCIPAL PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO UNPLANNED HOSP RDM W/I 30 DAY PRINCIPAL PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9309","description":"NO UNPLANNED HOSP RDM W/I 30 DAY PRINCIPAL PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOC DRUGS INHALATION SOLUTION ADMINED THRU DME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7699","description":"NOC DRUGS INHALATION SOLUTION ADMINED THRU DME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NOC DRUGS INHALATION SOLUTION ADMINED THRU DME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7699","description":"NOC DRUGS INHALATION SOLUTION ADMINED THRU DME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NOC RX OTH THAN INHALATION RX ADMINED THRU DME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7799","description":"NOC RX OTH THAN INHALATION RX ADMINED THRU DME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NOC RX OTH THAN INHALATION RX ADMINED THRU DME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7799","description":"NOC RX OTH THAN INHALATION RX ADMINED THRU DME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0740","description":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0740","description":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93922","description":"NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93922","description":"NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93923","description":"NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93923","description":"NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NON-SMALL CELL LUNG CANCER BX AND CYT SPEC RPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9422","description":"NON-SMALL CELL LUNG CANCER BX AND CYT SPEC RPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONCARDIAC VASCULAR FLOW IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78445","description":"NONCARDIAC VASCULAR FLOW IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NONCARDIAC VASCULAR FLOW IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78445","description":"NONCARDIAC VASCULAR FLOW IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94762","description":"NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94762","description":"NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94760","description":"NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94760","description":"NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NONPOWERED ADVANCED PRESSURE REDUCING MATTRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0373","description":"NONPOWERED ADVANCED PRESSURE REDUCING MATTRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NONPOWERED ADVANCED PRESSURE REDUCING MATTRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0373","description":"NONPOWERED ADVANCED PRESSURE REDUCING MATTRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NONPRIM ANATOMIC LOCATION OF SPECIMEN SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3250F","description":"NONPRIM ANATOMIC LOCATION OF SPECIMEN SITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPRIM ANATOMIC LOCATION OF SPECIMEN SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3250F","description":"NONPRIM ANATOMIC LOCATION OF SPECIMEN SITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPWR ADV PRSS RDUC OVRLAY MATTRSS STD LEN AND WDTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0371","description":"NONPWR ADV PRSS RDUC OVRLAY MATTRSS STD LEN AND WDTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NONPWR ADV PRSS RDUC OVRLAY MATTRSS STD LEN AND WDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0371","description":"NONPWR ADV PRSS RDUC OVRLAY MATTRSS STD LEN AND WDTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0665","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL ARM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0660","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0655","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF ARM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0666","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NONSTOP 12MON THXPY W/PPI OR H2 H2RA RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4185F","description":"NONSTOP 12MON THXPY W/PPI OR H2 H2RA RCVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSTOP 12MON THXPY W/PPI OR H2 H2RA RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4185F","description":"NONSTOP 12MON THXPY W/PPI OR H2 H2RA RCVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NORMAL BLOOD PRESS READING DOC F/U NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8783","description":"NORMAL BLOOD PRESS READING DOC F/U NOT REQUIRED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NORMAL BLOOD PRESS READING DOC F/U NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8783","description":"NORMAL BLOOD PRESS READING DOC F/U NOT REQUIRED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NORMAL LOW AND HIGH CALIBRATOR SOLUTION/CHIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4256","description":"NORMAL LOW AND HIGH CALIBRATOR SOLUTION/CHIPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NORMAL LOW AND HIGH CALIBRATOR SOLUTION/CHIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4256","description":"NORMAL LOW AND HIGH CALIBRATOR SOLUTION/CHIPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NOTHING BY MOUTH ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6020F","description":"NOTHING BY MOUTH ORDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOTHING BY MOUTH ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6020F","description":"NOTHING BY MOUTH ORDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NRV GRF 1 STRAND HAND/FOOT GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64891","description":"NRV GRF 1 STRAND HAND/FOOT GT 4 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX AND CY SPC NOT DOC CLASS NSCLC-NOS EXPLAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9425","description":"NSCLC BX AND CY SPC NOT DOC CLASS NSCLC-NOS EXPLAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPRT DOC CLASS H TYP/NSCLC-NOS W/E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9283","description":"NSCLC BX CYT RPRT DOC CLASS H TYP/NSCLC-NOS W/E","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPRT DOC CLASS H TYP/NSCLC-NOS W/E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9283","description":"NSCLC BX CYT RPRT DOC CLASS H TYP/NSCLC-NOS W/E","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPRT NOT DOC H TYP/NSCLC-NOS W/E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9284","description":"NSCLC BX CYT RPRT NOT DOC H TYP/NSCLC-NOS W/E","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPRT NOT DOC H TYP/NSCLC-NOS W/E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9284","description":"NSCLC BX CYT RPRT NOT DOC H TYP/NSCLC-NOS W/E","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPT NOT DOC H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9290","description":"NSCLC BX CYT RPT NOT DOC H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPT NOT DOC H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9290","description":"NSCLC BX CYT RPT NOT DOC H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYTOLOGY RPT DOC H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9289","description":"NSCLC BX CYTOLOGY RPT DOC H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYTOLOGY RPT DOC H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9289","description":"NSCLC BX CYTOLOGY RPT DOC H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31267","description":"NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31267","description":"NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31288","description":"NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31288","description":"NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77301","description":"NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77301","description":"NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NUCLEAR MATRIX PROTEIN 22 NMP22 QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86386","description":"NUCLEAR MATRIX PROTEIN 22 NMP22 QUALITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62161","description":"NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62161","description":"NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62165","description":"NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62165","description":"NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62162","description":"NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62162","description":"NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62160","description":"NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62160","description":"NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99315","description":"NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99316","description":"NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DSCHRG MGMT 30 MIN OR LT TOT TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99315","description":"NURSING FACILITY DSCHRG MGMT 30 MIN OR LT TOT TIME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DSCHRG MGMT 30 MIN OR LT TOT TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99315","description":"NURSING FACILITY DSCHRG MGMT 30 MIN OR LT TOT TIME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DSCHRG MGMT 30 MIN Plus TOT TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99316","description":"NURSING FACILITY DSCHRG MGMT 30 MIN Plus TOT TIME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DSCHRG MGMT 30 MIN Plus TOT TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99316","description":"NURSING FACILITY DSCHRG MGMT 30 MIN Plus TOT TIME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITIONAL SUPPORT OFFERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4551F","description":"NUTRITIONAL SUPPORT OFFERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITIONAL SUPPORT OFFERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4551F","description":"NUTRITIONAL SUPPORT OFFERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NZYM ACTIV BLD CELLS/TISS NONRADACT SUBSTRATE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82657","description":"NZYM ACTIV BLD CELLS/TISS NONRADACT SUBSTRATE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"NZYM ACTV BLOOD CELLS/TISS RADACT SUBSTRATE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82658","description":"NZYM ACTV BLOOD CELLS/TISS RADACT SUBSTRATE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Nasal function studies","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92512","description":"Nasal function studies","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Nasal function studies","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92512","description":"Nasal function studies","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Nerve teasing preparations","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88362","description":"Nerve teasing preparations","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"O2 CONC 1 DEL PORT 85 PCT OR GT 02 CONC AT PRSC FLW RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1390","description":"O2 CONC 1 DEL PORT 85 PCT OR GT 02 CONC AT PRSC FLW RATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"O2 CONC 1 DEL PORT 85 PCT OR GT 02 CONC AT PRSC FLW RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1390","description":"O2 CONC 1 DEL PORT 85 PCT OR GT 02 CONC AT PRSC FLW RATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"O2 CONC 2 DEL PORT 85 PCT OR GT O2 CONC PRSC FLW RATE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1391","description":"O2 CONC 2 DEL PORT 85 PCT OR GT O2 CONC PRSC FLW RATE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"O2 CONC 2 DEL PORT 85 PCT OR GT O2 CONC PRSC FLW RATE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1391","description":"O2 CONC 2 DEL PORT 85 PCT OR GT O2 CONC PRSC FLW RATE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94690","description":"O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94690","description":"O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTK EXP GAS ALYS W/CO2 OUTPUT PCT O2 XTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94681","description":"O2 UPTK EXP GAS ALYS W/CO2 OUTPUT PCT O2 XTRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTK EXP GAS ALYS W/CO2 OUTPUT PCT O2 XTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94681","description":"O2 UPTK EXP GAS ALYS W/CO2 OUTPUT PCT O2 XTRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTK EXP GAS ANALYSIS REST AND XERS DIRECT SIMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94680","description":"O2 UPTK EXP GAS ANALYSIS REST AND XERS DIRECT SIMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTK EXP GAS ANALYSIS REST and XERS DIRECT SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94680","description":"O2 UPTK EXP GAS ANALYSIS REST and XERS DIRECT SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTK EXP GAS ANALYSIS REST and XERS DIRECT SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94680","description":"O2 UPTK EXP GAS ANALYSIS REST and XERS DIRECT SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OB ANTEPARTUM CARE CESAREAN DLVR AND POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59510","description":"OB ANTEPARTUM CARE CESAREAN DLVR AND POSTPARTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OB ANTEPARTUM CARE CESAREAN DLVR AND POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59510","description":"OB ANTEPARTUM CARE CESAREAN DLVR AND POSTPARTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OB CARE ANTEPARTUM VAG DLVR AND POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59400","description":"OB CARE ANTEPARTUM VAG DLVR AND POSTPARTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OB CARE ANTEPARTUM VAG DLVR AND POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59400","description":"OB CARE ANTEPARTUM VAG DLVR AND POSTPARTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OBJ MSR ADHERENCE TO PAP TX NOT PRF RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8855","description":"OBJ MSR ADHERENCE TO PAP TX NOT PRF RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBJECTIVE MEASURE ADHERENCE PAP TX DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8851","description":"OBJECTIVE MEASURE ADHERENCE PAP TX DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBLTRJ AORTOPULMONARY SEPTAL DEFECT W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33814","description":"OBLTRJ AORTOPULMONARY SEPTAL DEFECT W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OBLTRJ AORTOPULMONARY SEPTAL DFCT W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33814","description":"OBLTRJ AORTOPULMONARY SEPTAL DFCT W/CARD BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OBLTRJ AORTOPULMONARY SEPTAL DFCT W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33814","description":"OBLTRJ AORTOPULMONARY SEPTAL DFCT W/CARD BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61613","description":"OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61613","description":"OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OBSERVATION/INPATIENT HOSPITAL CARE 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99234","description":"OBSERVATION/INPATIENT HOSPITAL CARE 40 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OBSERVATION/INPATIENT HOSPITAL CARE 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99235","description":"OBSERVATION/INPATIENT HOSPITAL CARE 50 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99236","description":"OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49460","description":"OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49460","description":"OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58615","description":"OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58615","description":"OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65782","description":"OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65782","description":"OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCUP TX REQ QUAL OCCUP THER HOSP/INT OP PER SES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0129","description":"OCCUP TX REQ QUAL OCCUP THER HOSP/INT OP PER SES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCUP TX REQ QUAL OCCUP THER HOSP/INT OP PER SES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0129","description":"OCCUP TX REQ QUAL OCCUP THER HOSP/INT OP PER SES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCUP TX REQ SKILLS QUAL OCCUP TRPST PER SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0129","description":"OCCUP TX REQ SKILLS QUAL OCCUP TRPST PER SESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97168","description":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97168","description":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97167","description":"OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97167","description":"OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97165","description":"OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97165","description":"OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97166","description":"OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97166","description":"OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65780","description":"OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65780","description":"OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65781","description":"OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65781","description":"OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99202","description":"OFFICE OUTPATIENT NEW 20 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99203","description":"OFFICE OUTPATIENT NEW 30 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99204","description":"OFFICE OUTPATIENT NEW 45 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99205","description":"OFFICE OUTPATIENT NEW 60 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99212","description":"OFFICE OUTPATIENT VISIT 10 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99213","description":"OFFICE OUTPATIENT VISIT 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99214","description":"OFFICE OUTPATIENT VISIT 25 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99215","description":"OFFICE OUTPATIENT VISIT 40 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 5 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99211","description":"OFFICE OUTPATIENT VISIT 5 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99211","description":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99211","description":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99215","description":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99215","description":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99213","description":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99213","description":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99214","description":"OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99214","description":"OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99212","description":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99212","description":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99205","description":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99205","description":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99203","description":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99203","description":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99204","description":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99204","description":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99202","description":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99202","description":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OLIGOCLONAL IMMUNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83916","description":"OLIGOCLONAL IMMUNE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OMENTAL FLAP EXTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49904","description":"OMENTAL FLAP EXTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OMENTAL FLAP EXTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49904","description":"OMENTAL FLAP EXTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OMENTAL FLAP INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49905","description":"OMENTAL FLAP INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OMENTAL FLAP INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49905","description":"OMENTAL FLAP INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49255","description":"OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49255","description":"OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ONC DS STATUS OVARIAN CA ST IA-B NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9113","description":"ONC DS STATUS OVARIAN CA ST IA-B NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC DS STATUS OVARIAN CA ST IA-B NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9113","description":"ONC DS STATUS OVARIAN CA ST IA-B NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRIM FOCUS EXP MGMT EVIDENCE CA TX FUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9053","description":"ONC PRIM FOCUS EXP MGMT EVIDENCE CA TX FUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRIM FOCUS EXP MGMT EVIDENCE CA TX FUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9053","description":"ONC PRIM FOCUS EXP MGMT EVIDENCE CA TX FUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRIM FOCUS SURVEILLANCE RECUR TX FUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9052","description":"ONC PRIM FOCUS SURVEILLANCE RECUR TX FUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRIM FOCUS SURVEILLANCE RECUR TX FUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9052","description":"ONC PRIM FOCUS SURVEILLANCE RECUR TX FUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; LTD TO MX MYELOMA SYS DZ; SMOLDERING ST I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9128","description":"ONC; LTD TO MX MYELOMA SYS DZ; SMOLDERING ST I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; LTD TO MX MYELOMA SYS DZ; SMOLDERING ST I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9128","description":"ONC; LTD TO MX MYELOMA SYS DZ; SMOLDERING ST I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML BP NOT HEMAT CYTOGENIC/MOLECULAR REMISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9125","description":"ONC; CML BP NOT HEMAT CYTOGENIC/MOLECULAR REMISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML BP NOT HEMAT CYTOGENIC/MOLECULAR REMISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9125","description":"ONC; CML BP NOT HEMAT CYTOGENIC/MOLECULAR REMISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML HEMATOLOGIC CYTOGENIC/MOLECULAR REMISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9126","description":"ONC; CML HEMATOLOGIC CYTOGENIC/MOLECULAR REMISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML HEMATOLOGIC CYTOGENIC/MOLECULAR REMISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9126","description":"ONC; CML HEMATOLOGIC CYTOGENIC/MOLECULAR REMISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML; ACCEL PHASE NOT HEMA CYT/MOL REMISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9124","description":"ONC; CML; ACCEL PHASE NOT HEMA CYT/MOL REMISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML; ACCEL PHASE NOT HEMA CYT/MOL REMISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9124","description":"ONC; CML; ACCEL PHASE NOT HEMA CYT/MOL REMISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML; CHRON PHASE NOT HEMATOL CYT/MOL REMISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9123","description":"ONC; CML; CHRON PHASE NOT HEMATOL CYT/MOL REMISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML; CHRON PHASE NOT HEMATOL CYT/MOL REMISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9123","description":"ONC; CML; CHRON PHASE NOT HEMATOL CYT/MOL REMISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; DZ STS; NHL; RELAPSED/REFRACTORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9137","description":"ONC; DZ STS; NHL; RELAPSED/REFRACTORY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; DZ STS; NHL; RELAPSED/REFRACTORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9137","description":"ONC; DZ STS; NHL; RELAPSED/REFRACTORY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST I/II; ER and PR NEG;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9072","description":"ONC; F BRST;ACA; ST I/II; ER and PR NEG;NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST I/II; ER and PR NEG;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9072","description":"ONC; F BRST;ACA; ST I/II; ER and PR NEG;NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST I/II;ER and /PR POS;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9071","description":"ONC; F BRST;ACA; ST I/II;ER and /PR POS;NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST I/II;ER and /PR POS;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9071","description":"ONC; F BRST;ACA; ST I/II;ER and /PR POS;NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST III; ER AND PR NEG; NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9074","description":"ONC; F BRST;ACA; ST III; ER AND PR NEG; NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST III; ER AND PR NEG; NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9074","description":"ONC; F BRST;ACA; ST III; ER AND PR NEG; NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST III; ER and /PR POS;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9073","description":"ONC; F BRST;ACA; ST III; ER and /PR POS;NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST III; ER and /PR POS;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9073","description":"ONC; F BRST;ACA; ST III; ER and /PR POS;NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; LTD MX MYELOMA SYS DZ EXTENT UNKN UND EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9130","description":"ONC; LTD MX MYELOMA SYS DZ EXTENT UNKN UND EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; LTD MX MYELOMA SYS DZ EXTENT UNKN UND EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9130","description":"ONC; LTD MX MYELOMA SYS DZ EXTENT UNKN UND EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; LTD TO MX MYELOMA SYS DZ ST II/HIGHER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9129","description":"ONC; LTD TO MX MYELOMA SYS DZ ST II/HIGHER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; LTD TO MX MYELOMA SYS DZ ST II/HIGHER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9129","description":"ONC; LTD TO MX MYELOMA SYS DZ ST II/HIGHER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; MGMT DIFFER PHYS DISAGREE GUIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9058","description":"ONC; PRAC GUIDE; MGMT DIFFER PHYS DISAGREE GUIDE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; MGMT DIFFER PHYS DISAGREE GUIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9058","description":"ONC; PRAC GUIDE; MGMT DIFFER PHYS DISAGREE GUIDE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9057","description":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9057","description":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9061","description":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9061","description":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9060","description":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9060","description":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9056","description":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9056","description":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9062","description":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9062","description":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9059","description":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9059","description":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9051","description":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9051","description":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS VST; WRKUP EVAL/STAG@TM DX/RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9050","description":"ONC; PRIM FOCUS VST; WRKUP EVAL/STAG@TM DX/RECUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS VST; WRKUP EVAL/STAG@TM DX/RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9050","description":"ONC; PRIM FOCUS VST; WRKUP EVAL/STAG@TM DX/RECUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; EXP MGMT EVIDENCE CA; TX FUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9053","description":"ONC; PRIM FOCUS; EXP MGMT EVIDENCE CA; TX FUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9055","description":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9055","description":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9054","description":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9054","description":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; SURVEILLANCE RECUR;TX FUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9052","description":"ONC; PRIM FOCUS; SURVEILLANCE RECUR;TX FUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PROS CA; T2/T3A GLEASON 8-10/PSA GT 20 NO METS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9078","description":"ONC; PROS CA; T2/T3A GLEASON 8-10/PSA GT 20 NO METS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PROS CA; T2/T3A GLEASON 8-10/PSA GT 20 NO METS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9078","description":"ONC; PROS CA; T2/T3A GLEASON 8-10/PSA GT 20 NO METS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9089","description":"ONC; STATUS; COLON CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9089","description":"ONC; STATUS; COLON CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; M1 MET W/CURR EVIDENCE DZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9087","description":"ONC; STATUS; COLON CA; M1 MET W/CURR EVIDENCE DZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; M1 MET W/CURR EVIDENCE DZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9087","description":"ONC; STATUS; COLON CA; M1 MET W/CURR EVIDENCE DZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T-14 N-12 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9086","description":"ONC; STATUS; COLON CA; T-14 N-12 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T-14 N-12 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9086","description":"ONC; STATUS; COLON CA; T-14 N-12 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T1-3 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9084","description":"ONC; STATUS; COLON CA; T1-3 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T1-3 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9084","description":"ONC; STATUS; COLON CA; T1-3 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T4 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9085","description":"ONC; STATUS; COLON CA; T4 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T4 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9085","description":"ONC; STATUS; COLON CA; T4 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA;M1 MET NO CURR EVIDENCE DZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9088","description":"ONC; STATUS; COLON CA;M1 MET NO CURR EVIDENCE DZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA;M1 MET NO CURR EVIDENCE DZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9088","description":"ONC; STATUS; COLON CA;M1 MET NO CURR EVIDENCE DZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA ; M1 METASTATIC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9098","description":"ONC; STATUS; ESOPH CA ; M1 METASTATIC LOC RECUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA ; M1 METASTATIC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9098","description":"ONC; STATUS; ESOPH CA ; M1 METASTATIC LOC RECUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9099","description":"ONC; STATUS; ESOPH CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9099","description":"ONC; STATUS; ESOPH CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA; T4 ANY N M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9097","description":"ONC; STATUS; ESOPH CA; T4 ANY N M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA; T4 ANY N M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9097","description":"ONC; STATUS; ESOPH CA; T4 ANY N M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA;T1-T3 N0-N1/NX NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9096","description":"ONC; STATUS; ESOPH CA;T1-T3 N0-N1/NX NO PROGRSSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA;T1-T3 N0-N1/NX NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9096","description":"ONC; STATUS; ESOPH CA;T1-T3 N0-N1/NX NO PROGRSSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; FE BRST CA; ACA; M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9075","description":"ONC; STATUS; FE BRST CA; ACA; M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; FE BRST CA; ACA; M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9075","description":"ONC; STATUS; FE BRST CA; ACA; M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTR CA ; EXTENT DZ UNK UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9104","description":"ONC; STATUS; GASTR CA ; EXTENT DZ UNK UNDER EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTR CA ; EXTENT DZ UNK UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9104","description":"ONC; STATUS; GASTR CA ; EXTENT DZ UNK UNDER EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRC CA; R1/R2 RESECT NO PRGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9101","description":"ONC; STATUS; GASTRC CA; R1/R2 RESECT NO PRGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRC CA; R1/R2 RESECT NO PRGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9101","description":"ONC; STATUS; GASTRC CA; R1/R2 RESECT NO PRGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; CLIN M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9103","description":"ONC; STATUS; GASTRIC CA; CLIN M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; CLIN M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9103","description":"ONC; STATUS; GASTRIC CA; CLIN M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; M0 UNRESECT NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9102","description":"ONC; STATUS; GASTRIC CA; M0 UNRESECT NO PROGRSSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; M0 UNRESECT NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9102","description":"ONC; STATUS; GASTRIC CA; M0 UNRESECT NO PROGRSSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; R0 RESECT NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9100","description":"ONC; STATUS; GASTRIC CA; R0 RESECT NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; R0 RESECT NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9100","description":"ONC; STATUS; GASTRIC CA; R0 RESECT NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NCK CA; M1 METASTATC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9111","description":"ONC; STATUS; HEAD AND NCK CA; M1 METASTATC LOC RECUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NCK CA; M1 METASTATC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9111","description":"ONC; STATUS; HEAD AND NCK CA; M1 METASTATC LOC RECUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NCK CA; T1-T2 AND N0 M0 NO PROGRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9109","description":"ONC; STATUS; HEAD AND NCK CA; T1-T2 AND N0 M0 NO PROGRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NCK CA; T1-T2 AND N0 M0 NO PROGRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9109","description":"ONC; STATUS; HEAD AND NCK CA; T1-T2 AND N0 M0 NO PROGRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NECK CA; EXTENT OF DZ UNKNOWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9112","description":"ONC; STATUS; HEAD AND NECK CA; EXTENT OF DZ UNKNOWN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NECK CA; EXTENT OF DZ UNKNOWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9112","description":"ONC; STATUS; HEAD AND NECK CA; EXTENT OF DZ UNKNOWN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD and NCK CA;T3-4 and /N1-3 M0 NO PROGRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9110","description":"ONC; STATUS; HEAD and NCK CA;T3-4 and /N1-3 M0 NO PROGRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD and NCK CA;T3-4 and /N1-3 M0 NO PROGRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9110","description":"ONC; STATUS; HEAD and NCK CA;T3-4 and /N1-3 M0 NO PROGRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9067","description":"ONC; STATUS; NSCLC; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9067","description":"ONC; STATUS; NSCLC; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE I NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9063","description":"ONC; STATUS; NSCLC; STAGE I NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE I NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9063","description":"ONC; STATUS; NSCLC; STAGE I NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE II NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9064","description":"ONC; STATUS; NSCLC; STAGE II NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE II NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9064","description":"ONC; STATUS; NSCLC; STAGE II NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE III A NO DZ PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9065","description":"ONC; STATUS; NSCLC; STAGE III A NO DZ PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE III A NO DZ PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9065","description":"ONC; STATUS; NSCLC; STAGE III A NO DZ PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE III B-4 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9066","description":"ONC; STATUS; NSCLC; STAGE III B-4 MET LOC RECUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE III B-4 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9066","description":"ONC; STATUS; NSCLC; STAGE III B-4 MET LOC RECUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; EXTENT UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9117","description":"ONC; STATUS; OVARIAN CA; EXTENT UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; EXTENT UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9117","description":"ONC; STATUS; OVARIAN CA; EXTENT UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; PROGRSSN and /PLATINM RSIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9116","description":"ONC; STATUS; OVARIAN CA; PROGRSSN and /PLATINM RSIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; PROGRSSN and /PLATINM RSIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9116","description":"ONC; STATUS; OVARIAN CA; PROGRSSN and /PLATINM RSIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; ST III-IV; NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9115","description":"ONC; STATUS; OVARIAN CA; ST III-IV; NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; ST III-IV; NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9115","description":"ONC; STATUS; OVARIAN CA; ST III-IV; NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9108","description":"ONC; STATUS; PAN CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9108","description":"ONC; STATUS; PAN CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; R0 RESECT NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9105","description":"ONC; STATUS; PAN CA; R0 RESECT NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; R0 RESECT NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9105","description":"ONC; STATUS; PAN CA; R0 RESECT NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; R1/R2 RESECT NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9106","description":"ONC; STATUS; PAN CA; R1/R2 RESECT NO PROGRESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; R1/R2 RESECT NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9106","description":"ONC; STATUS; PAN CA; R1/R2 RESECT NO PROGRESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; UNRESECTBL M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9107","description":"ONC; STATUS; PAN CA; UNRESECTBL M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; UNRESECTBL M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9107","description":"ONC; STATUS; PAN CA; UNRESECTBL M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA ACA; EXTENT UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9083","description":"ONC; STATUS; PROS CA ACA; EXTENT UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA ACA; EXTENT UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9083","description":"ONC; STATUS; PROS CA ACA; EXTENT UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA; T3B-T4 N; T N1 NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9079","description":"ONC; STATUS; PROS CA; T3B-T4 N; T N1 NO PROGRSSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA; T3B-T4 N; T N1 NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9079","description":"ONC; STATUS; PROS CA; T3B-T4 N; T N1 NO PROGRSSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA; TX RISING PSA/FAIL DECLINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9080","description":"ONC; STATUS; PROS CA; TX RISING PSA/FAIL DECLINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA; TX RISING PSA/FAIL DECLINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9080","description":"ONC; STATUS; PROS CA; TX RISING PSA/FAIL DECLINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; EXTENT DZ UNK UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9095","description":"ONC; STATUS; RECTAL CA; EXTENT DZ UNK UNDER EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; EXTENT DZ UNK UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9095","description":"ONC; STATUS; RECTAL CA; EXTENT DZ UNK UNDER EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; M1 METASTATIC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9094","description":"ONC; STATUS; RECTAL CA; M1 METASTATIC LOC RECUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; M1 METASTATIC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9094","description":"ONC; STATUS; RECTAL CA; M1 METASTATIC LOC RECUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T1-2 N0 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9090","description":"ONC; STATUS; RECTAL CA; T1-2 N0 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T1-2 N0 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9090","description":"ONC; STATUS; RECTAL CA; T1-2 N0 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T3 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9091","description":"ONC; STATUS; RECTAL CA; T3 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T3 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9091","description":"ONC; STATUS; RECTAL CA; T3 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T4 ANY N M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9093","description":"ONC; STATUS; RECTAL CA; T4 ANY N M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T4 ANY N M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9093","description":"ONC; STATUS; RECTAL CA; T4 ANY N M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA;T1-3 N1-2 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9092","description":"ONC; STATUS; RECTAL CA;T1-3 N1-2 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA;T1-3 N1-2 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9092","description":"ONC; STATUS; RECTAL CA;T1-3 N1-2 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SC and COMB SM/NONSM; LTD NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9068","description":"ONC; STATUS; SC and COMB SM/NONSM; LTD NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SC and COMB SM/NONSM; LTD NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9068","description":"ONC; STATUS; SC and COMB SM/NONSM; LTD NO PROGRESSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SCLC SC and COMB SM/NONSM; EXTENT UNKN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9070","description":"ONC; STATUS; SCLC SC and COMB SM/NONSM; EXTENT UNKN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SCLC SC and COMB SM/NONSM; EXTENT UNKN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9070","description":"ONC; STATUS; SCLC SC and COMB SM/NONSM; EXTENT UNKN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SCLC SM CELL and COMB SM/NONSM; EXT MET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9069","description":"ONC; STATUS; SCLC SM CELL and COMB SM/NONSM; EXT MET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SCLC SM CELL and COMB SM/NONSM; EXT MET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9069","description":"ONC; STATUS; SCLC SM CELL and COMB SM/NONSM; EXT MET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DIZ STS;NHL;STG III IV NOT RLPSD NOT RFRCTRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9135","description":"ONC;DIZ STS;NHL;STG III IV NOT RLPSD NOT RFRCTRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DIZ STS;NHL;STG III IV NOT RLPSD NOT RFRCTRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9135","description":"ONC;DIZ STS;NHL;STG III IV NOT RLPSD NOT RFRCTRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;CML; EXTENT DZ UNKN STAG NOT LISTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9139","description":"ONC;DZ STS;CML; EXTENT DZ UNKN STAG NOT LISTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;CML; EXTENT DZ UNKN STAG NOT LISTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9139","description":"ONC;DZ STS;CML; EXTENT DZ UNKN STAG NOT LISTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;F BRST CA;ADENOCA;DZ STAG NOT LISTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9131","description":"ONC;DZ STS;F BRST CA;ADENOCA;DZ STAG NOT LISTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;F BRST CA;ADENOCA;DZ STAG NOT LISTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9131","description":"ONC;DZ STS;F BRST CA;ADENOCA;DZ STAG NOT LISTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL TRNSFRM ORIG CELLR 2ND CELLR CLSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9136","description":"ONC;DZ STS;NHL TRNSFRM ORIG CELLR 2ND CELLR CLSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL TRNSFRM ORIG CELLR 2ND CELLR CLSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9136","description":"ONC;DZ STS;NHL TRNSFRM ORIG CELLR 2ND CELLR CLSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL;DIAG EVAL STAGE NOT DETERMINED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9138","description":"ONC;DZ STS;NHL;DIAG EVAL STAGE NOT DETERMINED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL;DIAG EVAL STAGE NOT DETERMINED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9138","description":"ONC;DZ STS;NHL;DIAG EVAL STAGE NOT DETERMINED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL;STAGE I II NOT RELPSD NOT RFRCTRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9134","description":"ONC;DZ STS;NHL;STAGE I II NOT RELPSD NOT RFRCTRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL;STAGE I II NOT RELPSD NOT RFRCTRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9134","description":"ONC;DZ STS;NHL;STAGE I II NOT RELPSD NOT RFRCTRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9132","description":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9132","description":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS/M1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9133","description":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS/M1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS/M1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9133","description":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS/M1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;OV CA; ST IA-B GR 2-3;ST IC;ST II; NO PROGRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9114","description":"ONC;OV CA; ST IA-B GR 2-3;ST IC;ST II; NO PROGRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;OV CA; ST IA-B GR 2-3;ST IC;ST II; NO PROGRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9114","description":"ONC;OV CA; ST IA-B GR 2-3;ST IC;ST II; NO PROGRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;PROS CA;T1-T2C and GLESN 27 and PSA LT or equal to 20","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9077","description":"ONC;PROS CA;T1-T2C and GLESN 27 and PSA LT or equal to 20","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;PROS CA;T1-T2C and GLESN 27 and PSA LT or equal to 20","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9077","description":"ONC;PROS CA;T1-T2C and GLESN 27 and PSA LT or equal to 20","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOPROTEIN DES-GAMMA-CARBOXY-PROTHROMBIN DCP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83951","description":"ONCOPROTEIN DES-GAMMA-CARBOXY-PROTHROMBIN DCP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ONCOPROTEIN HER-2/NEU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83950","description":"ONCOPROTEIN HER-2/NEU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ONE WAY CHEST DRAIN VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7040","description":"ONE WAY CHEST DRAIN VALVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ONE WAY CHEST DRAIN VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7040","description":"ONE WAY CHEST DRAIN VALVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OOPHORECTOMY PARTIAL/TOTAL UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58940","description":"OOPHORECTOMY PARTIAL/TOTAL UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OOPHORECTOMY PARTIAL/TOTAL UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58940","description":"OOPHORECTOMY PARTIAL/TOTAL UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58943","description":"OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58943","description":"OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN ABLATION 1 OR GT RENAL MASS LESION CRYOSURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50250","description":"OPEN ABLATION 1 OR GT RENAL MASS LESION CRYOSURGICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN ABLATION 1 OR GT RENAL MASS LESION CRYOSURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50250","description":"OPEN ABLATION 1 OR GT RENAL MASS LESION CRYOSURGICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN ABLATION RENAL MASS CRYOSURG ULTRASOUND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50250","description":"OPEN ABLATION RENAL MASS CRYOSURG ULTRASOUND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN CLOSURE MAJOR BRONCHIAL FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32815","description":"OPEN CLOSURE MAJOR BRONCHIAL FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN CLOSURE MAJOR BRONCHIAL FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32815","description":"OPEN CLOSURE MAJOR BRONCHIAL FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN HARVEST UPPER EXTREMITY ART 1 SEGMENT CAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35600","description":"OPEN HARVEST UPPER EXTREMITY ART 1 SEGMENT CAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN HARVEST UPPER EXTREMITY ART 1 SEGMENT CAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35600","description":"OPEN HARVEST UPPER EXTREMITY ART 1 SEGMENT CAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION CRANIAL NERVE NEA and PULSE GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64568","description":"OPEN IMPLANTATION CRANIAL NERVE NEA and PULSE GEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION CRANIAL NERVE NEA and PULSE GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64568","description":"OPEN IMPLANTATION CRANIAL NERVE NEA and PULSE GEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA NEUROMUSCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64580","description":"OPEN IMPLANTATION NEA NEUROMUSCULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA NEUROMUSCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64580","description":"OPEN IMPLANTATION NEA NEUROMUSCULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64575","description":"OPEN IMPLANTATION NEA PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64575","description":"OPEN IMPLANTATION NEA PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA SACRAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64581","description":"OPEN IMPLANTATION NEA SACRAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA SACRAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64581","description":"OPEN IMPLANTATION NEA SACRAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN OSTEOCHONDRAL AUTOGRAFT TALUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28446","description":"OPEN OSTEOCHONDRAL AUTOGRAFT TALUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN OSTEOCHONDRAL AUTOGRAFT TALUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28446","description":"OPEN OSTEOCHONDRAL AUTOGRAFT TALUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN PERIPROSTHETIC CAPSULOTOMY BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19370","description":"OPEN PERIPROSTHETIC CAPSULOTOMY BREAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN PROX HUMERAL FRACTURE PROSTHETIC RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23616","description":"OPEN PROX HUMERAL FRACTURE PROSTHETIC RPLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN RDL SHAFT FX CLOSED RAD/ULN JT DISLOCATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25525","description":"OPEN RDL SHAFT FX CLOSED RAD/ULN JT DISLOCATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN RDL SHAFT FX OPEN RAD/ULN JT DISLOCATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25526","description":"OPEN RDL SHAFT FX OPEN RAD/ULN JT DISLOCATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN REPAIR OF ROTATOR CUFF ACUTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23410","description":"OPEN REPAIR OF ROTATOR CUFF ACUTE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN REPAIR OF ROTATOR CUFF ACUTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23410","description":"OPEN REPAIR OF ROTATOR CUFF ACUTE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN REPAIR OF ROTATOR CUFF CHRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23412","description":"OPEN REPAIR OF ROTATOR CUFF CHRONIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN REPAIR OF ROTATOR CUFF CHRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23412","description":"OPEN REPAIR OF ROTATOR CUFF CHRONIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27814","description":"OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27814","description":"OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT CALCANEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28415","description":"OPEN TREATMENT CALCANEAL FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT CALCANEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28415","description":"OPEN TREATMENT CALCANEAL FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28420","description":"OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28420","description":"OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT COCCYGEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27202","description":"OPEN TREATMENT COCCYGEAL FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT COCCYGEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27202","description":"OPEN TREATMENT COCCYGEAL FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27828","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27828","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27826","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27826","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27827","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27827","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT GREATER TROCHANTERIC FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27248","description":"OPEN TREATMENT GREATER TROCHANTERIC FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT GREATER TROCHANTERIC FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27248","description":"OPEN TREATMENT GREATER TROCHANTERIC FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT GRTER HUMERAL TUBEROSITY FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23630","description":"OPEN TREATMENT GRTER HUMERAL TUBEROSITY FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT HUMERAL CONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24579","description":"OPEN TREATMENT HUMERAL CONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT HUMERAL CONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24579","description":"OPEN TREATMENT HUMERAL CONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28675","description":"OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28675","description":"OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT LUNATE DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25695","description":"OPEN TREATMENT LUNATE DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT LUNATE DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25695","description":"OPEN TREATMENT LUNATE DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21465","description":"OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21465","description":"OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27766","description":"OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27766","description":"OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26715","description":"OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26715","description":"OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT METATARSAL FRACTURE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28485","description":"OPEN TREATMENT METATARSAL FRACTURE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT METATARSAL FRACTURE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28485","description":"OPEN TREATMENT METATARSAL FRACTURE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21325","description":"OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21325","description":"OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT OF ULNAR SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25545","description":"OPEN TREATMENT OF ULNAR SHAFT FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT PALATAL/MAXILLARY FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21422","description":"OPEN TREATMENT PALATAL/MAXILLARY FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT PALATAL/MAXILLARY FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21422","description":"OPEN TREATMENT PALATAL/MAXILLARY FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27769","description":"OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27769","description":"OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27784","description":"OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27784","description":"OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT PROXIMAL HUMERAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23615","description":"OPEN TREATMENT PROXIMAL HUMERAL FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT RADIAL SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25515","description":"OPEN TREATMENT RADIAL SHAFT FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT RADIAL SHAFT FRACTURE W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25515","description":"OPEN TREATMENT RADIAL SHAFT FRACTURE W/INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT RADIAL SHAFT FRACTURE W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25515","description":"OPEN TREATMENT RADIAL SHAFT FRACTURE W/INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TALOTARSAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28585","description":"OPEN TREATMENT TALOTARSAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TALOTARSAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28585","description":"OPEN TREATMENT TALOTARSAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TALUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28445","description":"OPEN TREATMENT TALUS FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TALUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28445","description":"OPEN TREATMENT TALUS FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TARSAL BONE DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28555","description":"OPEN TREATMENT TARSAL BONE DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TARSAL BONE DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28555","description":"OPEN TREATMENT TARSAL BONE DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28615","description":"OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28615","description":"OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21490","description":"OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21490","description":"OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24685","description":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W/FIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24685","description":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W/FIX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W/FIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24685","description":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W/FIX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR SHAFT FRACTURE W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25545","description":"OPEN TREATMENT ULNAR SHAFT FRACTURE W/INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR SHAFT FRACTURE W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25545","description":"OPEN TREATMENT ULNAR SHAFT FRACTURE W/INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25652","description":"OPEN TREATMENT ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25652","description":"OPEN TREATMENT ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23550","description":"OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23550","description":"OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACUTE SHOULDER DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23660","description":"OPEN TX ACUTE SHOULDER DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACUTE SHOULDER DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23660","description":"OPEN TX ACUTE SHOULDER DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24615","description":"OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24615","description":"OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26746","description":"OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26746","description":"OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25645","description":"OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25645","description":"OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPAL SCAPHOID NAVICULAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25628","description":"OPEN TX CARPAL SCAPHOID NAVICULAR FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25628","description":"OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25628","description":"OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26685","description":"OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26685","description":"OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26665","description":"OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26665","description":"OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23515","description":"OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23515","description":"OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21366","description":"OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21366","description":"OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMP FX MALAR W/INTERNAL FX and MULT SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21365","description":"OPEN TX COMP FX MALAR W/INTERNAL FX and MULT SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMP FX MALAR W/INTERNAL FX and MULT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21365","description":"OPEN TX COMP FX MALAR W/INTERNAL FX and MULT SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMPLICATED FRONTAL SINUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21344","description":"OPEN TX COMPLICATED FRONTAL SINUS FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMPLICATED FRONTAL SINUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21344","description":"OPEN TX COMPLICATED FRONTAL SINUS FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP COMP W/INT and /XTRNL FIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21435","description":"OPEN TX CRANIOFACIAL SEP COMP W/INT and /XTRNL FIX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP COMP W/INT and /XTRNL FIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21435","description":"OPEN TX CRANIOFACIAL SEP COMP W/INT and /XTRNL FIX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21433","description":"OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21433","description":"OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP W/WIRING and /INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21432","description":"OPEN TX CRANIOFACIAL SEP W/WIRING and /INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP W/WIRING and /INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21432","description":"OPEN TX CRANIOFACIAL SEP W/WIRING and /INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED FRONTAL SINUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21343","description":"OPEN TX DEPRESSED FRONTAL SINUS FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED FRONTAL SINUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21343","description":"OPEN TX DEPRESSED FRONTAL SINUS FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED MALAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21360","description":"OPEN TX DEPRESSED MALAR FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED MALAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21360","description":"OPEN TX DEPRESSED MALAR FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21356","description":"OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21356","description":"OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27519","description":"OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27519","description":"OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27792","description":"OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27792","description":"OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL PHALANGEAL FRACTURE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26765","description":"OPEN TX DISTAL PHALANGEAL FRACTURE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL PHALANGEAL FRACTURE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26765","description":"OPEN TX DISTAL PHALANGEAL FRACTURE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25676","description":"OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25676","description":"OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27829","description":"OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27829","description":"OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27514","description":"OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27514","description":"OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27269","description":"OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27269","description":"OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27511","description":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27511","description":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27513","description":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27513","description":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28505","description":"OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28505","description":"OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28525","description":"OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28525","description":"OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21408","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21408","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21407","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21407","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21406","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21406","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX HUMERAL EPICONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24575","description":"OPEN TX HUMERAL EPICONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX HUMERAL EPICONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24575","description":"OPEN TX HUMERAL EPICONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24545","description":"OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24546","description":"OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/XTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27540","description":"OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27540","description":"OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX INTERPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26785","description":"OPEN TX INTERPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX INTERPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26785","description":"OPEN TX INTERPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27557","description":"OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27557","description":"OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27556","description":"OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27556","description":"OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27558","description":"OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27558","description":"OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21454","description":"OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21454","description":"OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21462","description":"OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21462","description":"OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21461","description":"OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21461","description":"OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX METACARPAL FRACTURE SINGLE EA BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26615","description":"OPEN TX METACARPAL FRACTURE SINGLE EA BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX METACARPAL FRACTURE SINGLE EA BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26615","description":"OPEN TX METACARPAL FRACTURE SINGLE EA BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28645","description":"OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28645","description":"OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24635","description":"OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24635","description":"OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL FX COMP W/INT and /XTRNL SKELETAL FI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21330","description":"OPEN TX NASAL FX COMP W/INT and /XTRNL SKELETAL FI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL FX COMP W/INT and /XTRNL SKELETAL FI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21330","description":"OPEN TX NASAL FX COMP W/INT and /XTRNL SKELETAL FI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21335","description":"OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21335","description":"OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21336","description":"OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21336","description":"OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21339","description":"OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21339","description":"OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21338","description":"OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21338","description":"OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21387","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21387","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21386","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21386","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21385","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21385","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21423","description":"OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21423","description":"OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26735","description":"OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26735","description":"OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27832","description":"OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27832","description":"OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIAL HEAD/NECK FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24665","description":"OPEN TX RADIAL HEAD/NECK FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIAL HEAD/NECK FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24665","description":"OPEN TX RADIAL HEAD/NECK FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24666","description":"OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIAL and ULNAR SHAFT FX W/FIXJ RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25575","description":"OPEN TX RADIAL and ULNAR SHAFT FX W/FIXJ RADIUS and ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIAL and ULNAR SHAFT FX W/FIXJ RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25574","description":"OPEN TX RADIAL and ULNAR SHAFT FX W/FIXJ RADIUS/ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1 OR GT BONES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25670","description":"OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1 OR GT BONES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1 OR GT BONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25670","description":"OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1 OR GT BONES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SCAPULAR FX W/INT FIXATION WHEN PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23585","description":"OPEN TX SCAPULAR FX W/INT FIXATION WHEN PFRMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SCAPULAR FX W/INT FIXATION WHEN PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23585","description":"OPEN TX SCAPULAR FX W/INT FIXATION WHEN PFRMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SCAPULAR FX W/INTERNAL FIXATION IF PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23585","description":"OPEN TX SCAPULAR FX W/INTERNAL FIXATION IF PFRMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28531","description":"OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28531","description":"OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SHOULDER DISLC W/HUMERAL TUBEROSITY FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23670","description":"OPEN TX SHOULDER DISLC W/HUMERAL TUBEROSITY FX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SHOULDER DISLOCATION W/NECK FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23680","description":"OPEN TX SHOULDER DISLOCATION W/NECK FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23530","description":"OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23530","description":"OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21825","description":"OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21825","description":"OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TARSAL FRACTURE XCP TALUS AND CALCANEUS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28465","description":"OPEN TX TARSAL FRACTURE XCP TALUS AND CALCANEUS EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TARSAL FRACTURE XCP TALUS AND CALCANEUS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28465","description":"OPEN TX TARSAL FRACTURE XCP TALUS AND CALCANEUS EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27535","description":"OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27535","description":"OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25685","description":"OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25685","description":"OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27823","description":"OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27823","description":"OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27822","description":"OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27822","description":"OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37238","description":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37238","description":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92136","description":"OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92136","description":"OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76519","description":"OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76519","description":"OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL COMPRE EST PT 1 OR GT VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92014","description":"OPH SVCS MEDICAL XM and EVAL COMPRE EST PT 1 OR GT VST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL COMPRE EST PT 1 OR GT VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92014","description":"OPH SVCS MEDICAL XM and EVAL COMPRE EST PT 1 OR GT VST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92004","description":"OPH SVCS MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT VST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92004","description":"OPH SVCS MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT VST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE EST PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92012","description":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE EST PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE EST PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92012","description":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE EST PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE NEW PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92002","description":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE NEW PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE NEW PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92002","description":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE NEW PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76513","description":"OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPH US DX B-SCAN AND QUAN A-SCAN SM PT ENCTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76510","description":"OPH US DX B-SCAN AND QUAN A-SCAN SM PT ENCTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH MEDICAL XM AND EVAL INTERMEDIATE ESTAB PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92012","description":"OPHTH MEDICAL XM AND EVAL INTERMEDIATE ESTAB PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH MEDICAL XM AND EVAL INTERMEDIATE NEW PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92002","description":"OPHTH MEDICAL XM AND EVAL INTERMEDIATE NEW PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92004","description":"OPHTH MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT VST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH MEDICAL XM and EVAL COMPRHNSV ESTAB PT 1 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92014","description":"OPHTH MEDICAL XM and EVAL COMPRHNSV ESTAB PT 1 OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH XM and EVAL ANES W/WO MANJ GLOBE COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92018","description":"OPHTH XM and EVAL ANES W/WO MANJ GLOBE COMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH XM and EVAL ANES W/WO MANJ GLOBE LMTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92019","description":"OPHTH XM and EVAL ANES W/WO MANJ GLOBE LMTD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76516","description":"OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76516","description":"OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC MUCOUS MEMBRANE TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95060","description":"OPHTHALMIC MUCOUS MEMBRANE TESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC MUCOUS MEMBRANE TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95060","description":"OPHTHALMIC MUCOUS MEMBRANE TESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76529","description":"OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76529","description":"OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76512","description":"OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC ULTRASOUND DX QUAN A-SCAN ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76511","description":"OPHTHALMIC ULTRASOUND DX QUAN A-SCAN ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX B-SCAN W/WO NON-QUAN A-SCAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76512","description":"OPHTHALMIC US DX B-SCAN W/WO NON-QUAN A-SCAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX B-SCAN W/WO NON-QUAN A-SCAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76512","description":"OPHTHALMIC US DX B-SCAN W/WO NON-QUAN A-SCAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX B-SCAN and QUAN A-SCAN SM PT ENCTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76510","description":"OPHTHALMIC US DX B-SCAN and QUAN A-SCAN SM PT ENCTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX B-SCAN and QUAN A-SCAN SM PT ENCTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76510","description":"OPHTHALMIC US DX B-SCAN and QUAN A-SCAN SM PT ENCTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76514","description":"OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76514","description":"OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX QUANTITATIVE A-SCAN ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76511","description":"OPHTHALMIC US DX QUANTITATIVE A-SCAN ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX QUANTITATIVE A-SCAN ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76511","description":"OPHTHALMIC US DX QUANTITATIVE A-SCAN ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMODYNAMOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92260","description":"OPHTHALMODYNAMOMETRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMODYNAMOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92260","description":"OPHTHALMODYNAMOMETRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34834","description":"OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34834","description":"OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN FEM ART EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34812","description":"OPN FEM ART EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN FEM ART EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34812","description":"OPN FEM ART EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34833","description":"OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34833","description":"OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34820","description":"OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34820","description":"OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34830","description":"OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34830","description":"OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34832","description":"OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34832","description":"OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34831","description":"OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34831","description":"OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN TX ANT PELV BONE FX and / DISLOC UNI/BIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0414","description":"OPN TX ANT PELV BONE FX and / DISLOC UNI/BIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN TX ANT PELV BONE FX and / DISLOC UNI/BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0414","description":"OPN TX ANT PELV BONE FX and / DISLOC UNI/BIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN TX ILIAC SPINE TUBEROSITY AVUL/ILIAC WING FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0412","description":"OPN TX ILIAC SPINE TUBEROSITY AVUL/ILIAC WING FX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN TX ILIAC SPINE TUBEROSITY AVUL/ILIAC WING FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0412","description":"OPN TX ILIAC SPINE TUBEROSITY AVUL/ILIAC WING FX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN TX POST PELV BONE FX and / DISLOC UNI/BIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0415","description":"OPN TX POST PELV BONE FX and / DISLOC UNI/BIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN TX POST PELV BONE FX and / DISLOC UNI/BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0415","description":"OPN TX POST PELV BONE FX and / DISLOC UNI/BIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY HYPOTHENAR MUSC TR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26494","description":"OPPONENSPLASTY HYPOTHENAR MUSC TR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY HYPOTHENAR MUSC TR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26494","description":"OPPONENSPLASTY HYPOTHENAR MUSC TR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26496","description":"OPPONENSPLASTY OTHER METHODS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26496","description":"OPPONENSPLASTY OTHER METHODS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26490","description":"OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26490","description":"OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY TDN TR W/GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26492","description":"OPPONENSPLASTY TDN TR W/GRF EA TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY TDN TR W/GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26492","description":"OPPONENSPLASTY TDN TR W/GRF EA TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33261","description":"OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33261","description":"OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPRCULECTOMY EXC PRICORONAL TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41821","description":"OPRCULECTOMY EXC PRICORONAL TISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPRCULECTOMY EXC PRICORONAL TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41821","description":"OPRCULECTOMY EXC PRICORONAL TISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTIC NERVE DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67570","description":"OPTIC NERVE DECOMPRESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTIC NERVE DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67570","description":"OPTIC NERVE DECOMPRESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTIC NERVE HEAD EVALUATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2027F","description":"OPTIC NERVE HEAD EVALUATION PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIC NERVE HEAD EVALUATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2027F","description":"OPTIC NERVE HEAD EVALUATION PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92544","description":"OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92544","description":"OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23552","description":"OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23552","description":"OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACTBLR FX INVG ANT and POST 2 COLUMNS FX W/INT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27228","description":"OPTX ACTBLR FX INVG ANT and POST 2 COLUMNS FX W/INT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACTBLR FX INVG ANT and POST 2 COLUMNS FX W/INT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27228","description":"OPTX ACTBLR FX INVG ANT and POST 2 COLUMNS FX W/INT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27227","description":"OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27227","description":"OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27846","description":"OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27846","description":"OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27848","description":"OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27848","description":"OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANT PELVIC BONE FX and /DISLC INT FIXJ IF PFR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27217","description":"OPTX ANT PELVIC BONE FX and /DISLC INT FIXJ IF PFR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANT PELVIC BONE FX and /DISLC INT FIXJ IF PFR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27217","description":"OPTX ANT PELVIC BONE FX and /DISLC INT FIXJ IF PFR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26686","description":"OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26686","description":"OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21470","description":"OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21470","description":"OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21436","description":"OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21436","description":"OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25608","description":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25608","description":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 FRAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25609","description":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 FRAG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 Plus FRAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25609","description":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 Plus FRAG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 Plus FRAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25609","description":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 Plus FRAG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25607","description":"OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25607","description":"OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25607","description":"OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27236","description":"OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27236","description":"OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27506","description":"OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27506","description":"OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27507","description":"OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27507","description":"OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX GREATER HUMERAL TUBEROSITY FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23630","description":"OPTX GREATER HUMERAL TUBEROSITY FX W/INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX GREATER HUMERAL TUBEROSITY FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23630","description":"OPTX GREATER HUMERAL TUBEROSITY FX W/INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HIP DISLC TRAUMTC W/ACTBLR WALL and FEM HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27254","description":"OPTX HIP DISLC TRAUMTC W/ACTBLR WALL and FEM HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HIP DISLC TRAUMTC W/ACTBLR WALL and FEM HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27254","description":"OPTX HIP DISLC TRAUMTC W/ACTBLR WALL and FEM HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27253","description":"OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27253","description":"OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SHFT FX PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24515","description":"OPTX HUMERAL SHFT FX PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SHFT FX PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24515","description":"OPTX HUMERAL SHFT FX PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SHFT FX W/PLATE/SCREWS W/WOCERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24515","description":"OPTX HUMERAL SHFT FX W/PLATE/SCREWS W/WOCERCLAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FRACTURE W/XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24546","description":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FRACTURE W/XTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FRACTURE W/XTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24546","description":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FRACTURE W/XTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FX W/O XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24545","description":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FX W/O XTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FX W/O XTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24545","description":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FX W/O XTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27215","description":"OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27215","description":"OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21445","description":"OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21445","description":"OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21347","description":"OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21347","description":"OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21348","description":"OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21348","description":"OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG and FXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21346","description":"OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG and FXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG and FXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21346","description":"OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG and FXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21390","description":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21390","description":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21395","description":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21395","description":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27566","description":"OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27566","description":"OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PATLLR FX W/INT FIXJ/PATLLC and SOFT TISS RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27524","description":"OPTX PATLLR FX W/INT FIXJ/PATLLC and SOFT TISS RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PATLLR FX W/INT FIXJ/PATLLC and SOFT TISS RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27524","description":"OPTX PATLLR FX W/INT FIXJ/PATLLC and SOFT TISS RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PERIARTICULAR FRACTURE and /DISLOCATION ELBO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24586","description":"OPTX PERIARTICULAR FRACTURE and /DISLOCATION ELBO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PERIARTICULAR FRACTURE and /DISLOCATION ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24586","description":"OPTX PERIARTICULAR FRACTURE and /DISLOCATION ELBOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PERIARTICULAR FRACTURE and /DISLOCATION ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24586","description":"OPTX PERIARTICULAR FRACTURE and /DISLOCATION ELBOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PERIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHRP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24587","description":"OPTX PERIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHRP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PERIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24587","description":"OPTX PERIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHRP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX POST PEL BONE FX and /DISLC INT FIXJ IF PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27218","description":"OPTX POST PEL BONE FX and /DISLC INT FIXJ IF PFRMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX POST PEL BONE FX and /DISLC INT FIXJ IF PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27218","description":"OPTX POST PEL BONE FX and /DISLC INT FIXJ IF PFRMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PRIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24587","description":"OPTX PRIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PROX HUMERAL FX W/INT FIXJ RPR TUBEROSITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23615","description":"OPTX PROX HUMERAL FX W/INT FIXJ RPR TUBEROSITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PROX HUMERAL FX W/INT FIXJ RPR TUBEROSITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23615","description":"OPTX PROX HUMERAL FX W/INT FIXJ RPR TUBEROSITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PROX HUMRL FX W/INT FIXJ RPR TUBRST RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23616","description":"OPTX PROX HUMRL FX W/INT FIXJ RPR TUBRST RPLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PROX HUMRL FX W/INT FIXJ RPR TUBRST RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23616","description":"OPTX PROX HUMRL FX W/INT FIXJ RPR TUBRST RPLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27226","description":"OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27226","description":"OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL HEAD/NECK FRACTURE PROSTHETIC RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24666","description":"OPTX RADIAL HEAD/NECK FRACTURE PROSTHETIC RPLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL HEAD/NECK FRACTURE PROSTHETIC RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24666","description":"OPTX RADIAL HEAD/NECK FRACTURE PROSTHETIC RPLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25575","description":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS and ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25575","description":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS and ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25574","description":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS/ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25574","description":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS/ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RDL SHAFT FX and CLTX DSTL RAD/ULN JT DISLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25525","description":"OPTX RDL SHAFT FX and CLTX DSTL RAD/ULN JT DISLC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RDL SHAFT FX and CLTX DSTL RAD/ULN JT DISLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25525","description":"OPTX RDL SHAFT FX and CLTX DSTL RAD/ULN JT DISLC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RDL SHAFT FX and OPTX DSTL RAD/ULN JT DISLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25526","description":"OPTX RDL SHAFT FX and OPTX DSTL RAD/ULN JT DISLC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RDL SHAFT FX and OPTX DSTL RAD/ULN JT DISLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25526","description":"OPTX RDL SHAFT FX and OPTX DSTL RAD/ULN JT DISLC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SHO DISLC W/FX GR HUMERAL TUBRST INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23670","description":"OPTX SHO DISLC W/FX GR HUMERAL TUBRST INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SHO DISLC W/FX GR HUMERAL TUBRST INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23670","description":"OPTX SHO DISLC W/FX GR HUMERAL TUBRST INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SHO DISLC W/SURG/ANTMCL NECK FX INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23680","description":"OPTX SHO DISLC W/SURG/ANTMCL NECK FX INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SHO DISLC W/SURG/ANTMCL NECK FX INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23680","description":"OPTX SHO DISLC W/SURG/ANTMCL NECK FX INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27178","description":"OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27178","description":"OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS OSTEOT AND INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27181","description":"OPTX SLP FEM EPIPHYSIS OSTEOT AND INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS OSTEOT AND INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27181","description":"OPTX SLP FEM EPIPHYSIS OSTEOT AND INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27179","description":"OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27179","description":"OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27177","description":"OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27177","description":"OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27258","description":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27258","description":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27259","description":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27259","description":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23532","description":"OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23532","description":"OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27536","description":"OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27536","description":"OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27758","description":"OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27758","description":"OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT FIXJ W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22318","description":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT FIXJ W/O GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT FIXJ W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22318","description":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT FIXJ W/O GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22319","description":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT W/INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22319","description":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT W/INT FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM CR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22326","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM CR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM CR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22326","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM CR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22328","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22328","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM LM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22325","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM LM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM LM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22325","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM LM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM TH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22327","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM TH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM TH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22327","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM TH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORAL AND/OR OROPHARYNGEAL SUCTION CATHETER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4628","description":"ORAL AND/OR OROPHARYNGEAL SUCTION CATHETER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORAL AND/OR OROPHARYNGEAL SUCTION CATHETER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4628","description":"ORAL AND/OR OROPHARYNGEAL SUCTION CATHETER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORAL ANTIPLATELET THERAPY PRESCRBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4073F","description":"ORAL ANTIPLATELET THERAPY PRESCRBED AT DISCHARGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL ANTIPLATELET THERAPY PRESCRBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4073F","description":"ORAL ANTIPLATELET THERAPY PRESCRBED AT DISCHARGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL ANTIPLATELET THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4011F","description":"ORAL ANTIPLATELET THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL ANTIPLATELET THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4011F","description":"ORAL ANTIPLATELET THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL CUSHION COMB ORAL/NASAL MASK REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7028","description":"ORAL CUSHION COMB ORAL/NASAL MASK REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORAL CUSHION COMB ORAL/NASAL MASK REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7028","description":"ORAL CUSHION COMB ORAL/NASAL MASK REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORAL INTERFACE USED RESPIRATORY SUCTION PUMP EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7047","description":"ORAL INTERFACE USED RESPIRATORY SUCTION PUMP EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORAL INTERFACE USED RESPIRATORY SUCTION PUMP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7047","description":"ORAL INTERFACE USED RESPIRATORY SUCTION PUMP EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORAL INTERFACE USED W/POS ARWAY PRESS DEVICE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7044","description":"ORAL INTERFACE USED W/POS ARWAY PRESS DEVICE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORAL INTERFACE USED W/POS ARWAY PRESS DEVICE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7044","description":"ORAL INTERFACE USED W/POS ARWAY PRESS DEVICE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95933","description":"ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95933","description":"ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL IMPLANT INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67550","description":"ORBITAL IMPLANT INSERTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL IMPLANT INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67550","description":"ORBITAL IMPLANT INSERTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL IMPLANT REMOVAL/REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67560","description":"ORBITAL IMPLANT REMOVAL/REVISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL IMPLANT REMOVAL/REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67560","description":"ORBITAL IMPLANT REMOVAL/REVISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8042","description":"ORBITAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21267","description":"ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21267","description":"ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL REPOSITIONING W/BONE GRAFTS ICRA and XTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21268","description":"ORBITAL REPOSITIONING W/BONE GRAFTS ICRA and XTRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL REPOSITIONING W/BONE GRAFTS ICRA and XTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21268","description":"ORBITAL REPOSITIONING W/BONE GRAFTS ICRA and XTRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61584","description":"ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61584","description":"ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61585","description":"ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61585","description":"ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61592","description":"ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61592","description":"ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67450","description":"ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67450","description":"ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67445","description":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67445","description":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67420","description":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67420","description":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67430","description":"ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67430","description":"ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67440","description":"ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67440","description":"ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67405","description":"ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67405","description":"ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67400","description":"ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67400","description":"ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67412","description":"ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67412","description":"ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67414","description":"ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67414","description":"ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67413","description":"ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67413","description":"ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORDR ANTIPLATELET AGT NOT DOC PT REC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9611","description":"ORDR ANTIPLATELET AGT NOT DOC PT REC RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORDR ANTIPLATELET AGT NOT DOC PT REC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9611","description":"ORDR ANTIPLATELET AGT NOT DOC PT REC RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORGANIC ACID 1 QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83921","description":"ORGANIC ACID 1 QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORGANIC ACIDS QUALITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83919","description":"ORGANIC ACIDS QUALITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORGANIC ACIDS TOTAL QUANTITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83918","description":"ORGANIC ACIDS TOTAL QUANTITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORL DEVC/APPL RDUC UP AIRWAY COLLAPSIBILITY CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0486","description":"ORL DEVC/APPL RDUC UP AIRWAY COLLAPSIBILITY CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORL DEVC/APPL RDUC UP ARWAY COLLAPSIBILITY PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0485","description":"ORL DEVC/APPL RDUC UP ARWAY COLLAPSIBILITY PRFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OROPHARYNGEAL SUCTION CATHETER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4628","description":"OROPHARYNGEAL SUCTION CATHETER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHO SHOE ADD CONVRT FIRM COUNTER SFT COUNTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3590","description":"ORTHO SHOE ADD CONVRT FIRM COUNTER SFT COUNTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPANTOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70355","description":"ORTHOPANTOGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPANTOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70355","description":"ORTHOPANTOGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE ADD CONVERT INSTEP VELCRO CLOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3580","description":"ORTHOPED SHOE ADD CONVERT INSTEP VELCRO CLOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE ADDITION INSOLE FELT COVR W/LEATHR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3520","description":"ORTHOPED SHOE ADDITION INSOLE FELT COVR W/LEATHR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR MAN SHOE OXFORD PART BRACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3225","description":"ORTHOPEDIC FOOTWEAR MAN SHOE OXFORD PART BRACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR WOMAN SHOE OXFRD PART BRACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3224","description":"ORTHOPEDIC FOOTWEAR WOMAN SHOE OXFRD PART BRACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE ADDITION INSOLE LEATHER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3500","description":"ORTHOPEDIC SHOE ADDITION INSOLE LEATHER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE ADDITION INSOLE RUBBER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3510","description":"ORTHOPEDIC SHOE ADDITION INSOLE RUBBER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE ADDITION MARCH BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3595","description":"ORTHOPEDIC SHOE ADDITION MARCH BAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE ADDITION SOLE FULL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3540","description":"ORTHOPEDIC SHOE ADDITION SOLE FULL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE ADDITION SOLE HALF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3530","description":"ORTHOPEDIC SHOE ADDITION SOLE HALF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE ADDITION SPECIAL EXT INSTEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3570","description":"ORTHOPEDIC SHOE ADDITION SPECIAL EXT INSTEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE ADDITION TOE TAP HORSESHOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3560","description":"ORTHOPEDIC SHOE ADDITION TOE TAP HORSESHOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE ADDITION TOE TAP STANDARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3550","description":"ORTHOPEDIC SHOE ADDITION TOE TAP STANDARD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPTIC and /PLEOPTIC TRAINING W/MEDICAL DIRECTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92065","description":"ORTHOPTIC and /PLEOPTIC TRAINING W/MEDICAL DIRECTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92065","description":"ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92065","description":"ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTIC SIDE BAR DISCONNECT DEVICE PER BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2768","description":"ORTHOTIC SIDE BAR DISCONNECT DEVICE PER BAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTICS MGMT AND TRAING INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97760","description":"ORTHOTICS MGMT AND TRAING INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTICS MGMT AND TRAING INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97760","description":"ORTHOTICS MGMT AND TRAING INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSCILLATING TRACKING TEST W/RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92545","description":"OSCILLATING TRACKING TEST W/RECORDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSCILLATING TRACKING TEST W/RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92545","description":"OSCILLATING TRACKING TEST W/RECORDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSCILLATORY POS EXPIRATORY PRSS DEVC NON-ELEC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0484","description":"OSCILLATORY POS EXPIRATORY PRSS DEVC NON-ELEC EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSMOTIC FRAGILITY RBC INCUBATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85557","description":"OSMOTIC FRAGILITY RBC INCUBATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSMOTIC FRAGILITY RBC UNINCUBATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85555","description":"OSMOTIC FRAGILITY RBC UNINCUBATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSSICULA IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8613","description":"OSSICULA IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST ABSORBNT MATL POUCH THICKEN LQD STOMAL OP EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4422","description":"OST ABSORBNT MATL POUCH THICKEN LQD STOMAL OP EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST ABSORBNT MATL POUCH THICKEN LQD STOMAL OP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4422","description":"OST ABSORBNT MATL POUCH THICKEN LQD STOMAL OP EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLO W/BARRIER ATTCH W/BUILT-IN CONVXIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4417","description":"OST POUCH CLO W/BARRIER ATTCH W/BUILT-IN CONVXIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLO W/BARRIER ATTCH W/BUILT-IN CONVXIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4417","description":"OST POUCH CLO W/BARRIER ATTCH W/BUILT-IN CONVXIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLOS; BARRIER W/LOCK FLNGE W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4423","description":"OST POUCH CLOS; BARRIER W/LOCK FLNGE W/FLTR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLOS; BARRIER W/LOCK FLNGE W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4423","description":"OST POUCH CLOS; BARRIER W/LOCK FLNGE W/FLTR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLOS; BARRIER W/NON-LOCK FLNGE W/FLTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4419","description":"OST POUCH CLOS; BARRIER W/NON-LOCK FLNGE W/FLTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLOS; BARRIER W/NON-LOCK FLNGE W/FLTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4419","description":"OST POUCH CLOS; BARRIER W/NON-LOCK FLNGE W/FLTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAIN HI OP EXT WEAR BARR W/WO FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4435","description":"OST POUCH DRAIN HI OP EXT WEAR BARR W/WO FLTR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAIN HI OP EXT WEAR BARR W/WO FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4435","description":"OST POUCH DRAIN HI OP EXT WEAR BARR W/WO FLTR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABL EXT WEAR BARR CONVXTY FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5057","description":"OST POUCH DRAINABL EXT WEAR BARR CONVXTY FLTR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABL EXT WEAR BARR CONVXTY FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5057","description":"OST POUCH DRAINABL EXT WEAR BARR CONVXTY FLTR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE EXT WEAR BARRIER W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5056","description":"OST POUCH DRAINABLE EXT WEAR BARRIER W/FILTER EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE EXT WEAR BARRIER W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5056","description":"OST POUCH DRAINABLE EXT WEAR BARRIER W/FILTER EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE W/EXT WEAR BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4388","description":"OST POUCH DRAINABLE W/EXT WEAR BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE W/EXT WEAR BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4388","description":"OST POUCH DRAINABLE W/EXT WEAR BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE; USE BARRIER W/LOCK FLNGE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4426","description":"OST POUCH DRAINABLE; USE BARRIER W/LOCK FLNGE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE; USE BARRIER W/LOCK FLNGE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4426","description":"OST POUCH DRAINABLE; USE BARRIER W/LOCK FLNGE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABL; BARR NON-LOCK FLNGE W/FILTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4425","description":"OST POUCH DRNABL; BARR NON-LOCK FLNGE W/FILTR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABL; BARR NON-LOCK FLNGE W/FILTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4425","description":"OST POUCH DRNABL; BARR NON-LOCK FLNGE W/FILTR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE BARRIER W/FLNGE W/O FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4412","description":"OST POUCH DRNABLE BARRIER W/FLNGE W/O FLTR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE BARRIER W/FLNGE W/O FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4412","description":"OST POUCH DRNABLE BARRIER W/FLNGE W/O FLTR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE HI OP BARRIER W/FLNGE/FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4413","description":"OST POUCH DRNABLE HI OP BARRIER W/FLNGE/FLTR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE HI OP BARRIER W/FLNGE/FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4413","description":"OST POUCH DRNABLE HI OP BARRIER W/FLNGE/FLTR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE W/BARR W/BUILT-IN CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4389","description":"OST POUCH DRNABLE W/BARR W/BUILT-IN CONVXITY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE W/BARR W/BUILT-IN CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4389","description":"OST POUCH DRNABLE W/BARR W/BUILT-IN CONVXITY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE W/EXT BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4390","description":"OST POUCH DRNABLE W/EXT BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE W/EXT BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4390","description":"OST POUCH DRNABLE W/EXT BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE; BARRIER LOCK FLNGE W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4427","description":"OST POUCH DRNABLE; BARRIER LOCK FLNGE W/FLTR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE; BARRIER LOCK FLNGE W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4427","description":"OST POUCH DRNABLE; BARRIER LOCK FLNGE W/FLTR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN BLT-IN CONVXI W/FAUCET TAP VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4429","description":"OST POUCH URIN BLT-IN CONVXI W/FAUCET TAP VALVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN BLT-IN CONVXI W/FAUCET TAP VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4429","description":"OST POUCH URIN BLT-IN CONVXI W/FAUCET TAP VALVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN EXT BARR BLT-IN CNVX FAUCT VLV EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4430","description":"OST POUCH URIN EXT BARR BLT-IN CNVX FAUCT VLV EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN EXT BARR BLT-IN CNVX FAUCT VLV EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4430","description":"OST POUCH URIN EXT BARR BLT-IN CNVX FAUCT VLV EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN EXT BARR W/FAUCET TAP W/VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4428","description":"OST POUCH URIN EXT BARR W/FAUCET TAP W/VALVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN EXT BARR W/FAUCET TAP W/VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4428","description":"OST POUCH URIN EXT BARR W/FAUCET TAP W/VALVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN W/EXT WEAR BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4393","description":"OST POUCH URIN W/EXT WEAR BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN W/EXT WEAR BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4393","description":"OST POUCH URIN W/EXT WEAR BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN W/STD WEAR BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4392","description":"OST POUCH URIN W/STD WEAR BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN W/STD WEAR BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4392","description":"OST POUCH URIN W/STD WEAR BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; BARR LOCK FLNG FAUCET TAP VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4434","description":"OST POUCH URIN; BARR LOCK FLNG FAUCET TAP VALVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; BARR LOCK FLNG FAUCET TAP VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4434","description":"OST POUCH URIN; BARR LOCK FLNG FAUCET TAP VALVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; FOR BARR W/LOCKING FLANGE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4433","description":"OST POUCH URIN; FOR BARR W/LOCKING FLANGE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; FOR BARR W/LOCKING FLANGE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4433","description":"OST POUCH URIN; FOR BARR W/LOCKING FLANGE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; W/BARR W/FAUCET TAP W/VALVE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4431","description":"OST POUCH URIN; W/BARR W/FAUCET TAP W/VALVE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; W/BARR W/FAUCET TAP W/VALVE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4431","description":"OST POUCH URIN; W/BARR W/FAUCET TAP W/VALVE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN;BARR NON-LOCK FLNG FAUCT TAP VALV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4432","description":"OST POUCH URIN;BARR NON-LOCK FLNG FAUCT TAP VALV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN;BARR NON-LOCK FLNG FAUCT TAP VALV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4432","description":"OST POUCH URIN;BARR NON-LOCK FLNG FAUCT TAP VALV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST SKIN BARR SOL 4X4/EQUV STD WEAR CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4372","description":"OST SKIN BARR SOL 4X4/EQUV STD WEAR CONVXITY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST SKIN BARR SOL 4X4/EQUV STD WEAR CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4372","description":"OST SKIN BARR SOL 4X4/EQUV STD WEAR CONVXITY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR EXT W/O BUILT-IN CONVXITY GT 4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4410","description":"OST SKN BARR EXT W/O BUILT-IN CONVXITY GT 4X4 IN EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR EXT W/O BUILT-IN CONVXITY GT 4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4410","description":"OST SKN BARR EXT W/O BUILT-IN CONVXITY GT 4X4 IN EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR EXT W/O BUILT-IN CONVXTY 4X4 IN OR LT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4409","description":"OST SKN BARR EXT W/O BUILT-IN CONVXTY 4X4 IN OR LT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR EXT W/O BUILT-IN CONVXTY 4X4 IN OR LT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4409","description":"OST SKN BARR EXT W/O BUILT-IN CONVXTY 4X4 IN OR LT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR W/FLNGE W/BUILT-IN CONVXITY SZ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4373","description":"OST SKN BARR W/FLNGE W/BUILT-IN CONVXITY SZ EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR W/FLNGE W/BUILT-IN CONVXITY SZ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4373","description":"OST SKN BARR W/FLNGE W/BUILT-IN CONVXITY SZ EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER SOLID 4X4 EXT W/O CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4385","description":"OST SKN BARRIER SOLID 4X4 EXT W/O CONVXITY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER SOLID 4X4 EXT W/O CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4385","description":"OST SKN BARRIER SOLID 4X4 EXT W/O CONVXITY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER SOLID 4X4/EQ W/BUILT-IN CONVXITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4411","description":"OST SKN BARRIER SOLID 4X4/EQ W/BUILT-IN CONVXITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER SOLID 4X4/EQ W/BUILT-IN CONVXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4411","description":"OST SKN BARRIER SOLID 4X4/EQ W/BUILT-IN CONVXITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/BUILT-IN CONVXITY GT 4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4408","description":"OST SKN BARRIER W/BUILT-IN CONVXITY GT 4X4 IN EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/BUILT-IN CONVXITY GT 4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4408","description":"OST SKN BARRIER W/BUILT-IN CONVXITY GT 4X4 IN EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/BUILT-IN CONVXITY 4X4 IN OR LT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4407","description":"OST SKN BARRIER W/BUILT-IN CONVXITY 4X4 IN OR LT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/BUILT-IN CONVXITY 4X4 IN OR LT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4407","description":"OST SKN BARRIER W/BUILT-IN CONVXITY 4X4 IN OR LT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/O BUILT-IN CONVXITY GT 4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4415","description":"OST SKN BARRIER W/O BUILT-IN CONVXITY GT 4X4 IN EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/O BUILT-IN CONVXITY GT 4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4415","description":"OST SKN BARRIER W/O BUILT-IN CONVXITY GT 4X4 IN EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/O BUILT-IN CONVXITY 4X4 IN OR LT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4414","description":"OST SKN BARRIER W/O BUILT-IN CONVXITY 4X4 IN OR LT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/O BUILT-IN CONVXITY 4X4 IN OR LT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4414","description":"OST SKN BARRIER W/O BUILT-IN CONVXITY 4X4 IN OR LT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28114","description":"OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28114","description":"OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTC PRTL EXOSTC/CONDYLC METAR HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28288","description":"OSTC PRTL EXOSTC/CONDYLC METAR HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTC PRTL EXOSTC/CONDYLC METAR HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28288","description":"OSTC PRTL EXOSTC/CONDYLC METAR HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28118","description":"OSTECTOMY CALCANEUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28118","description":"OSTECTOMY CALCANEUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28119","description":"OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28119","description":"OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE 1ST METATARSAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28111","description":"OSTECTOMY COMPLETE 1ST METATARSAL HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE 1ST METATARSAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28111","description":"OSTECTOMY COMPLETE 1ST METATARSAL HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE 5TH METATARSAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28113","description":"OSTECTOMY COMPLETE 5TH METATARSAL HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE 5TH METATARSAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28113","description":"OSTECTOMY COMPLETE 5TH METATARSAL HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28112","description":"OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28112","description":"OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY PRTL 5TH METAR HEAD SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28110","description":"OSTECTOMY PRTL 5TH METAR HEAD SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY PRTL 5TH METAR HEAD SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28110","description":"OSTECTOMY PRTL 5TH METAR HEAD SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY SCAPULA PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23190","description":"OSTECTOMY SCAPULA PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY SCAPULA PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23190","description":"OSTECTOMY SCAPULA PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY STERNUM PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21620","description":"OSTECTOMY STERNUM PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY STERNUM PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21620","description":"OSTECTOMY STERNUM PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY TARSAL COALITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28116","description":"OSTECTOMY TARSAL COALITION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY TARSAL COALITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28116","description":"OSTECTOMY TARSAL COALITION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTHRITIS COMPOSITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0005F","description":"OSTEOARTHRITIS COMPOSITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTHRITIS COMPOSITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0005F","description":"OSTEOARTHRITIS COMPOSITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTHRITIS SYMPTOMS AND FUNCJAL STATUS ASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1006F","description":"OSTEOARTHRITIS SYMPTOMS AND FUNCJAL STATUS ASSES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTHRITIS SYMPTOMS AND FUNCJAL STATUS ASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1006F","description":"OSTEOARTHRITIS SYMPTOMS AND FUNCJAL STATUS ASSES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOCHONDRAL ALLOGRAFT KNEE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27415","description":"OSTEOCHONDRAL ALLOGRAFT KNEE OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOCHONDRAL ALLOGRAFT KNEE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27415","description":"OSTEOCHONDRAL ALLOGRAFT KNEE OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27416","description":"OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27416","description":"OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOGENESIS STIMULATOR ELEC SURGICALLY IMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0749","description":"OSTEOGENESIS STIMULATOR ELEC SURGICALLY IMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOGENESIS STIMULATOR ELEC SURGICALLY IMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0749","description":"OSTEOGENESIS STIMULATOR ELEC SURGICALLY IMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98925","description":"OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98925","description":"OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98926","description":"OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98926","description":"OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98927","description":"OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98927","description":"OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98928","description":"OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98928","description":"OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98929","description":"OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98929","description":"OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY CARPAL BONE SHORTENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25394","description":"OSTEOPLASTY CARPAL BONE SHORTENING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY CARPAL BONE SHORTENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25394","description":"OSTEOPLASTY CARPAL BONE SHORTENING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FACIAL BONES AUGMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21208","description":"OSTEOPLASTY FACIAL BONES AUGMENTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FACIAL BONES AUGMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21208","description":"OSTEOPLASTY FACIAL BONES AUGMENTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FACIAL BONES REDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21209","description":"OSTEOPLASTY FACIAL BONES REDUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FACIAL BONES REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21209","description":"OSTEOPLASTY FACIAL BONES REDUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FEMUR LENGTHENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27466","description":"OSTEOPLASTY FEMUR LENGTHENING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FEMUR LENGTHENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27466","description":"OSTEOPLASTY FEMUR LENGTHENING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27465","description":"OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27465","description":"OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24420","description":"OSTEOPLASTY HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24420","description":"OSTEOPLASTY HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY LENGTHENING METACARPAL/PHALANX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26568","description":"OSTEOPLASTY LENGTHENING METACARPAL/PHALANX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY LENGTHENING METACARPAL/PHALANX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26568","description":"OSTEOPLASTY LENGTHENING METACARPAL/PHALANX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS AND ULNA SHORTENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25392","description":"OSTEOPLASTY RADIUS AND ULNA SHORTENING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS AND ULNA SHORTENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25392","description":"OSTEOPLASTY RADIUS AND ULNA SHORTENING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS and ULNA LENGTHENING W/AUTOGRAF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25393","description":"OSTEOPLASTY RADIUS and ULNA LENGTHENING W/AUTOGRAF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS and ULNA LENGTHENING W/AUTOGRAF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25393","description":"OSTEOPLASTY RADIUS and ULNA LENGTHENING W/AUTOGRAF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25391","description":"OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25391","description":"OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS/ULNA SHORTENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25390","description":"OSTEOPLASTY RADIUS/ULNA SHORTENING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS/ULNA SHORTENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25390","description":"OSTEOPLASTY RADIUS/ULNA SHORTENING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY TIBIA and FIBULA LENGTHENING/SHORTENIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27715","description":"OSTEOPLASTY TIBIA and FIBULA LENGTHENING/SHORTENIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY TIBIA and FIBULA LENGTHENING/SHORTENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27715","description":"OSTEOPLASTY TIBIA and FIBULA LENGTHENING/SHORTENING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY TIBIA and FIBULA LENGTHENING/SHORTENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27715","description":"OSTEOPLASTY TIBIA and FIBULA LENGTHENING/SHORTENING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27156","description":"OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27156","description":"OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27165","description":"OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27165","description":"OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT MLT W/RELIGNMT IMED ROD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27712","description":"OSTEOT MLT W/RELIGNMT IMED ROD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27454","description":"OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27454","description":"OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27457","description":"OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27457","description":"OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27455","description":"OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27455","description":"OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28312","description":"OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28312","description":"OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28310","description":"OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28310","description":"OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22216","description":"OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22216","description":"OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SPI W/DSKC ANT APPR 1 VRT SGM EA VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22226","description":"OSTEOT SPI W/DSKC ANT APPR 1 VRT SGM EA VRT SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28305","description":"OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28305","description":"OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28309","description":"OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28309","description":"OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28306","description":"OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28306","description":"OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28308","description":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28308","description":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28307","description":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28307","description":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY AND TRANSFER GREATER TROCHANTER SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27140","description":"OSTEOTOMY AND TRANSFER GREATER TROCHANTER SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY AND TRANSFER GREATER TROCHANTER SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27140","description":"OSTEOTOMY AND TRANSFER GREATER TROCHANTER SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28300","description":"OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28300","description":"OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23485","description":"OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23485","description":"OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23480","description":"OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23480","description":"OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27161","description":"OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27161","description":"OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27450","description":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27450","description":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27448","description":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27448","description":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27707","description":"OSTEOTOMY FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27707","description":"OSTEOTOMY FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24400","description":"OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24400","description":"OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27146","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27146","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27151","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27151","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27147","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27147","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MANDIBLE SEGMENTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21198","description":"OSTEOTOMY MANDIBLE SEGMENTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MANDIBLE SEGMENTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21198","description":"OSTEOTOMY MANDIBLE SEGMENTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21199","description":"OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21199","description":"OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MAXILLA SEGMENTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21206","description":"OSTEOTOMY MAXILLA SEGMENTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MAXILLA SEGMENTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21206","description":"OSTEOTOMY MAXILLA SEGMENTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY METACARPAL EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26565","description":"OSTEOTOMY METACARPAL EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY METACARPAL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26565","description":"OSTEOTOMY METACARPAL EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MULTIPLE W/RELIGNMT INTRAMEDULLARY ROD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27712","description":"OSTEOTOMY MULTIPLE W/RELIGNMT INTRAMEDULLARY ROD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MULTIPLE W/RELIGNMT INTRAMEDULLARY ROD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27712","description":"OSTEOTOMY MULTIPLE W/RELIGNMT INTRAMEDULLARY ROD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY PELVIS BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27158","description":"OSTEOTOMY PELVIS BILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY PELVIS BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27158","description":"OSTEOTOMY PELVIS BILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY PHALANX FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26567","description":"OSTEOTOMY PHALANX FINGER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY PHALANX FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26567","description":"OSTEOTOMY PHALANX FINGER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS AND ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25365","description":"OSTEOTOMY RADIUS AND ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS AND ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25365","description":"OSTEOTOMY RADIUS AND ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS DISTAL THIRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25350","description":"OSTEOTOMY RADIUS DISTAL THIRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS DISTAL THIRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25350","description":"OSTEOTOMY RADIUS DISTAL THIRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25355","description":"OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25355","description":"OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22208","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22208","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22207","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22207","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22206","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22206","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22210","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22210","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22214","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22214","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22212","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22212","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22220","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22220","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22226","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22226","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22224","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22224","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22222","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22222","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22220","description":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22224","description":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM LMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22222","description":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TALUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28302","description":"OSTEOTOMY TALUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TALUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28302","description":"OSTEOTOMY TALUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28304","description":"OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28304","description":"OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27705","description":"OSTEOTOMY TIBIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27705","description":"OSTEOTOMY TIBIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27709","description":"OSTEOTOMY TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27709","description":"OSTEOTOMY TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25360","description":"OSTEOTOMY ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25360","description":"OSTEOTOMY ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOGNS STIM ELEC NONINVASV OTH THAN SP APPLIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0747","description":"OSTOGNS STIM ELEC NONINVASV OTH THAN SP APPLIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOGNS STIM LOW INTENS ULTRASOUND NON-INVASV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0760","description":"OSTOGNS STIM LOW INTENS ULTRASOUND NON-INVASV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOGNS STIMULATOR ELEC NONINVASV SPINAL APPLIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0748","description":"OSTOGNS STIMULATOR ELEC NONINVASV SPINAL APPLIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY ACCESSORY; CONVEX INSERT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5093","description":"OSTOMY ACCESSORY; CONVEX INSERT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY ACCESSORY; CONVEX INSERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5093","description":"OSTOMY ACCESSORY; CONVEX INSERT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY BELT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4367","description":"OSTOMY BELT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY BELT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4367","description":"OSTOMY BELT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY CLAMP ANY TYPE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4363","description":"OSTOMY CLAMP ANY TYPE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY CLAMP ANY TYPE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4363","description":"OSTOMY CLAMP ANY TYPE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY DEODORANT USE OSTOMY POUCH SOLID PER TAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4395","description":"OSTOMY DEODORANT USE OSTOMY POUCH SOLID PER TAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY DEODORANT USE OSTOMY POUCH SOLID PER TAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4395","description":"OSTOMY DEODORANT USE OSTOMY POUCH SOLID PER TAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY DEODORANT W/WO LUBRICANT POUCH PER FL OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4394","description":"OSTOMY DEODORANT W/WO LUBRICANT POUCH PER FL OZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY DEODORANT W/WO LUBRICANT POUCH PER FL OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4394","description":"OSTOMY DEODORANT W/WO LUBRICANT POUCH PER FL OZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FACEPLATE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4361","description":"OSTOMY FACEPLATE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FACEPLATE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4361","description":"OSTOMY FACEPLATE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FACEPLATE EQUIVALENT SILICONE RING EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4384","description":"OSTOMY FACEPLATE EQUIVALENT SILICONE RING EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FACEPLATE EQUIVALENT SILICONE RING EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4384","description":"OSTOMY FACEPLATE EQUIVALENT SILICONE RING EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FILTER ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4368","description":"OSTOMY FILTER ANY TYPE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FILTER ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4368","description":"OSTOMY FILTER ANY TYPE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4400","description":"OSTOMY IRRIGATION SET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SUPPLY; BAG EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4398","description":"OSTOMY IRRIGATION SUPPLY; BAG EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SUPPLY; BAG EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4398","description":"OSTOMY IRRIGATION SUPPLY; BAG EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SUPPLY; CONE/CATH W/WO BRUSH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4399","description":"OSTOMY IRRIGATION SUPPLY; CONE/CATH W/WO BRUSH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SUPPLY; CONE/CATH W/WO BRUSH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4399","description":"OSTOMY IRRIGATION SUPPLY; CONE/CATH W/WO BRUSH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOS; USE BARRIER W/LOCK FLNGE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4420","description":"OSTOMY POUCH CLOS; USE BARRIER W/LOCK FLNGE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOS; USE BARRIER W/LOCK FLNGE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4420","description":"OSTOMY POUCH CLOS; USE BARRIER W/LOCK FLNGE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOS; W/O BARRIER ATTCH W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4418","description":"OSTOMY POUCH CLOS; W/O BARRIER ATTCH W/FILTER EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOS; W/O BARRIER ATTCH W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4418","description":"OSTOMY POUCH CLOS; W/O BARRIER ATTCH W/FILTER EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED W/BARR BUILT-IN CONVEXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4387","description":"OSTOMY POUCH CLOSED W/BARR BUILT-IN CONVEXITY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED W/BARR BUILT-IN CONVEXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4387","description":"OSTOMY POUCH CLOSED W/BARR BUILT-IN CONVEXITY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED W/BARRIER ATTCH W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4416","description":"OSTOMY POUCH CLOSED W/BARRIER ATTCH W/FILTER EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED W/BARRIER ATTCH W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4416","description":"OSTOMY POUCH CLOSED W/BARRIER ATTCH W/FILTER EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; FOR USE ON FACEPLATE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5053","description":"OSTOMY POUCH CLOSED; FOR USE ON FACEPLATE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; FOR USE ON FACEPLATE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5053","description":"OSTOMY POUCH CLOSED; FOR USE ON FACEPLATE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; USE BARRIER W/FLANGE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5054","description":"OSTOMY POUCH CLOSED; USE BARRIER W/FLANGE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; USE BARRIER W/FLANGE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5054","description":"OSTOMY POUCH CLOSED; USE BARRIER W/FLANGE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; WITH BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5051","description":"OSTOMY POUCH CLOSED; WITH BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; WITH BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5051","description":"OSTOMY POUCH CLOSED; WITH BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; WITHOUT BARRIER ATTACHED EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5052","description":"OSTOMY POUCH CLOSED; WITHOUT BARRIER ATTACHED EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; WITHOUT BARRIER ATTACHED EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5052","description":"OSTOMY POUCH CLOSED; WITHOUT BARRIER ATTACHED EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE USE FACEPLATE PLASTIC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4377","description":"OSTOMY POUCH DRAINABLE USE FACEPLATE PLASTIC EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE USE FACEPLATE PLASTIC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4377","description":"OSTOMY POUCH DRAINABLE USE FACEPLATE PLASTIC EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE USE FACEPLATE RUBBER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4378","description":"OSTOMY POUCH DRAINABLE USE FACEPLATE RUBBER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE USE FACEPLATE RUBBER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4378","description":"OSTOMY POUCH DRAINABLE USE FACEPLATE RUBBER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/BARRIER ATTCH W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4424","description":"OSTOMY POUCH DRAINABLE W/BARRIER ATTCH W/FLTR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/BARRIER ATTCH W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4424","description":"OSTOMY POUCH DRAINABLE W/BARRIER ATTCH W/FLTR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/FACEPLATE ATTCH RUBR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4376","description":"OSTOMY POUCH DRAINABLE W/FACEPLATE ATTCH RUBR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/FACEPLATE ATTCH RUBR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4376","description":"OSTOMY POUCH DRAINABLE W/FACEPLATE ATTCH RUBR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/FCEPLATE ATTCH PLSTC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4375","description":"OSTOMY POUCH DRAINABLE W/FCEPLATE ATTCH PLSTC EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/FCEPLATE ATTCH PLSTC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4375","description":"OSTOMY POUCH DRAINABLE W/FCEPLATE ATTCH PLSTC EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE; USE BARRIER W/FLANGE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5063","description":"OSTOMY POUCH DRAINABLE; USE BARRIER W/FLANGE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE; USE BARRIER W/FLANGE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5063","description":"OSTOMY POUCH DRAINABLE; USE BARRIER W/FLANGE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE; W/BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5061","description":"OSTOMY POUCH DRAINABLE; W/BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE; W/BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5061","description":"OSTOMY POUCH DRAINABLE; W/BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE; WITHOUT BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5062","description":"OSTOMY POUCH DRAINABLE; WITHOUT BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE; WITHOUT BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5062","description":"OSTOMY POUCH DRAINABLE; WITHOUT BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URIN USE FACEPLATE HEAVY PLSTC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4382","description":"OSTOMY POUCH URIN USE FACEPLATE HEAVY PLSTC EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URIN USE FACEPLATE HEAVY PLSTC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4382","description":"OSTOMY POUCH URIN USE FACEPLATE HEAVY PLSTC EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY USE FACEPLATE PLASTIC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4381","description":"OSTOMY POUCH URINARY USE FACEPLATE PLASTIC EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY USE FACEPLATE PLASTIC EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4381","description":"OSTOMY POUCH URINARY USE FACEPLATE PLASTIC EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY USE FACEPLATE RUBBER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4383","description":"OSTOMY POUCH URINARY USE FACEPLATE RUBBER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY USE FACEPLATE RUBBER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4383","description":"OSTOMY POUCH URINARY USE FACEPLATE RUBBER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/EXT WEAR BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4391","description":"OSTOMY POUCH URINARY W/EXT WEAR BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/EXT WEAR BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4391","description":"OSTOMY POUCH URINARY W/EXT WEAR BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH PLSTC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4379","description":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH PLSTC EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH PLSTC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4379","description":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH PLSTC EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH RUBBER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4380","description":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH RUBBER EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH RUBBER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4380","description":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH RUBBER EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; USE BARRIER W/FLANGE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5073","description":"OSTOMY POUCH URINARY; USE BARRIER W/FLANGE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; USE BARRIER W/FLANGE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5073","description":"OSTOMY POUCH URINARY; USE BARRIER W/FLANGE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; WITH BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5071","description":"OSTOMY POUCH URINARY; WITH BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; WITH BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5071","description":"OSTOMY POUCH URINARY; WITH BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; WITHOUT BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5072","description":"OSTOMY POUCH URINARY; WITHOUT BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; WITHOUT BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5072","description":"OSTOMY POUCH URINARY; WITHOUT BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY RING EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4404","description":"OSTOMY RING EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER LIQUID PER OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4369","description":"OSTOMY SKIN BARRIER LIQUID PER OZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER LIQUID PER OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4369","description":"OSTOMY SKIN BARRIER LIQUID PER OZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER NONPECTIN-BASED PASTE-OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4405","description":"OSTOMY SKIN BARRIER NONPECTIN-BASED PASTE-OZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER NONPECTIN-BASED PASTE-OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4405","description":"OSTOMY SKIN BARRIER NONPECTIN-BASED PASTE-OZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER PECTIN-BASED PASTE PER OUNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4406","description":"OSTOMY SKIN BARRIER PECTIN-BASED PASTE PER OUNCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER PECTIN-BASED PASTE PER OUNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4406","description":"OSTOMY SKIN BARRIER PECTIN-BASED PASTE PER OUNCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER POWDER PER OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4371","description":"OSTOMY SKIN BARRIER POWDER PER OZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER POWDER PER OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4371","description":"OSTOMY SKIN BARRIER POWDER PER OZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY VENT ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4366","description":"OSTOMY VENT ANY TYPE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY VENT ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4366","description":"OSTOMY VENT ANY TYPE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63295","description":"OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63295","description":"OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OTH SCOLIOSIS PROC BODY JACKET MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1300","description":"OTH SCOLIOSIS PROC BODY JACKET MOLDED PT MODEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OTH SCOLIOSIS PROC POSTOPERATIVE BODY JACKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1310","description":"OTH SCOLIOSIS PROC POSTOPERATIVE BODY JACKET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OTHER CAROTID STENT IPSIL TIA/STRK 120 DAYS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9007F","description":"OTHER CAROTID STENT IPSIL TIA/STRK 120 DAYS OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER CAROTID STENT IPSIL TIA/STRK 120 DAYS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9007F","description":"OTHER CAROTID STENT IPSIL TIA/STRK 120 DAYS OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61345","description":"OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61345","description":"OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OTHER MANUAL WHEELCHAIR/BASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0009","description":"OTHER MANUAL WHEELCHAIR/BASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OTHER MANUAL WHEELCHAIR/BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0009","description":"OTHER MANUAL WHEELCHAIR/BASE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82042","description":"OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OTHER SPECIFIED CASE MANAGEMENT SERVICE NEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9012","description":"OTHER SPECIFIED CASE MANAGEMENT SERVICE NEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OTHER SPECIFIED CASE MANAGEMENT SERVICE NEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9012","description":"OTHER SPECIFIED CASE MANAGEMENT SERVICE NEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92502","description":"OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92502","description":"OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69300","description":"OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69300","description":"OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OUTFLARE WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3390","description":"OUTFLARE WEDGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33478","description":"OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33478","description":"OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93798","description":"OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93797","description":"OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OVA AND PARASITES DIRECT SMEARS CONCENTRATION AND ID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87177","description":"OVA AND PARASITES DIRECT SMEARS CONCENTRATION AND ID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OVARIAN CYSTECTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58925","description":"OVARIAN CYSTECTOMY UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OVARIAN CYSTECTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58925","description":"OVARIAN CYSTECTOMY UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OVULATION TEST VISUAL COLOR COMPARISON HLH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84830","description":"OVULATION TEST VISUAL COLOR COMPARISON HLH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATUR LT EQUAL 88 PCT /PAO2 LT EQUAL 55 MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3035F","description":"OXYGEN SATUR LT EQUAL 88 PCT /PAO2 LT EQUAL 55 MM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATUR LT or equal to 88 PCT /PAO2 LT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3035F","description":"OXYGEN SATUR LT or equal to 88 PCT /PAO2 LT or equal to","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATUR LT or equal to 88 PCT /PAO2 LT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3035F","description":"OXYGEN SATUR LT or equal to 88 PCT /PAO2 LT or equal to","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATURATION GT 88 PCT /PAO2 GT 55 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3037F","description":"OXYGEN SATURATION GT 88 PCT /PAO2 GT 55 MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATURATION GT 88 PCT /PAO2 GT 55 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3037F","description":"OXYGEN SATURATION GT 88 PCT /PAO2 GT 55 MM HG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATURATION RESULTS DOCUMENTED AND REVIEWE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3028F","description":"OXYGEN SATURATION RESULTS DOCUMENTED AND REVIEWE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATURATION RESULTS DOCUMENTED AND REVIEWE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3028F","description":"OXYGEN SATURATION RESULTS DOCUMENTED AND REVIEWE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN and WATER VAPOR ENRICHING SYS W/HEATED DELIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1405","description":"OXYGEN and WATER VAPOR ENRICHING SYS W/HEATED DELIV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN and WATR VAPOR ENRICHING SYS W/O HEATED DELIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1406","description":"OXYGEN and WATR VAPOR ENRICHING SYS W/O HEATED DELIV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Ocular implant","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8610","description":"Ocular implant","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Ostomy irrigation set","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4400","description":"Ostomy irrigation set","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Ostomy irrigation set","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4400","description":"Ostomy irrigation set","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Ostomy ring each","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4404","description":"Ostomy ring each","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Ostomy ring each","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4404","description":"Ostomy ring each","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PA RPRT CBC CSC NOT SNT PTH BX CLIN RVW W/I 7 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9786","description":"PA RPRT CBC CSC NOT SNT PTH BX CLIN RVW W/I 7 D","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PA RPRT CBC CSC NOT SNT PTH BX CLIN RVW W/I 7 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9786","description":"PA RPRT CBC CSC NOT SNT PTH BX CLIN RVW W/I 7 D","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PACEMKR MON CHECKS BATTRY DEPLET W/AUDIBL and VISIBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0610","description":"PACEMKR MON CHECKS BATTRY DEPLET W/AUDIBL and VISIBL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PACEMKR MON CHECKS BATTRY DEPLET W/DIGTL/VISIBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0615","description":"PACEMKR MON CHECKS BATTRY DEPLET W/DIGTL/VISIBL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PACK STRIPS NON-IMPREGNTD UP 2 IN WDTH-LINR YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6407","description":"PACK STRIPS NON-IMPREGNTD UP 2 IN WDTH-LINR YARD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PACK STRIPS NON-IMPREGNTD UP 2 IN WDTH-LINR YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6407","description":"PACK STRIPS NON-IMPREGNTD UP 2 IN WDTH-LINR YARD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PAD WATER CIRCULATING HEAT UNIT REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0249","description":"PAD WATER CIRCULATING HEAT UNIT REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PADD BANDGE NON-ELAST NON-WOVEN/NON-KNITTED WDTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6441","description":"PADD BANDGE NON-ELAST NON-WOVEN/NON-KNITTED WDTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PADD BANDGE NON-ELAST NON-WOVEN/NON-KNITTED WDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6441","description":"PADD BANDGE NON-ELAST NON-WOVEN/NON-KNITTED WDTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PAG PROVIDED TO CAREGIVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4058F","description":"PAG PROVIDED TO CAREGIVER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAG PROVIDED TO CAREGIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4058F","description":"PAG PROVIDED TO CAREGIVER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIL OR PAN USE W/COMMODE CHAIR REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0167","description":"PAIL OR PAN USE W/COMMODE CHAIR REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PAIN SEVERITY QUANTIFIED NO PAIN PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1126F","description":"PAIN SEVERITY QUANTIFIED NO PAIN PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN SEVERITY QUANTIFIED NO PAIN PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1126F","description":"PAIN SEVERITY QUANTIFIED NO PAIN PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN SEVERITY QUANTIFIED PAIN PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1125F","description":"PAIN SEVERITY QUANTIFIED PAIN PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN SEVERITY QUANTIFIED PAIN PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1125F","description":"PAIN SEVERITY QUANTIFIED PAIN PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42225","description":"PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42225","description":"PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CL PALATE SOFT and /HARD PALATE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42200","description":"PALATOP CL PALATE SOFT and /HARD PALATE ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CL PALATE SOFT and /HARD PALATE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42200","description":"PALATOP CL PALATE SOFT and /HARD PALATE ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42210","description":"PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42210","description":"PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPHARYNGOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42145","description":"PALATOPHARYNGOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPHARYNGOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42145","description":"PALATOPHARYNGOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY CLEFT PALATE MAJOR REVJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42215","description":"PALATOPLASTY CLEFT PALATE MAJOR REVJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY CLEFT PALATE MAJOR REVJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42215","description":"PALATOPLASTY CLEFT PALATE MAJOR REVJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY CLEFT PALATE SEC LNGTH PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42220","description":"PALATOPLASTY CLEFT PALATE SEC LNGTH PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY CLEFT PALATE SEC LNGTH PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42220","description":"PALATOPLASTY CLEFT PALATE SEC LNGTH PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42205","description":"PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42205","description":"PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48155","description":"PANCREATECTOMY TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48155","description":"PANCREATECTOMY TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATORRHAPHY INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48545","description":"PANCREATORRHAPHY INJURY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATORRHAPHY INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48545","description":"PANCREATORRHAPHY INJURY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG and /AIR IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65815","description":"PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG and /AIR IN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG and /AIR IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65815","description":"PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG and /AIR IN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65810","description":"PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65810","description":"PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65800","description":"PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65800","description":"PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARAFFIN BATH UNIT PORTABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0235","description":"PARAFFIN BATH UNIT PORTABLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARAFFIN PER POUND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4265","description":"PARAFFIN PER POUND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARAFFIN PER POUND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4265","description":"PARAFFIN PER POUND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60505","description":"PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60505","description":"PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID AUTOTRANSPLANTATION ADD-ON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60512","description":"PARATHYROID AUTOTRANSPLANTATION ADD-ON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID AUTOTRANSPLANTATION ADD-ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60512","description":"PARATHYROID AUTOTRANSPLANTATION ADD-ON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID IMAGING W/TOMOGRAPHIC SPECT and CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78072","description":"PARATHYROID IMAGING W/TOMOGRAPHIC SPECT and CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID IMAGING W/TOMOGRAPHIC SPECT and CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78072","description":"PARATHYROID IMAGING W/TOMOGRAPHIC SPECT and CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID PLANAR IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78070","description":"PARATHYROID PLANAR IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID PLANAR IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78070","description":"PARATHYROID PLANAR IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID PLANAR IMAGING W/WO SUBTRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78071","description":"PARATHYROID PLANAR IMAGING W/WO SUBTRACTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID PLANAR IMAGING W/WO SUBTRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78071","description":"PARATHYROID PLANAR IMAGING W/WO SUBTRACTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60502","description":"PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60502","description":"PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60500","description":"PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60500","description":"PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57423","description":"PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57423","description":"PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57284","description":"PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57284","description":"PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57285","description":"PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57285","description":"PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION GT 4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11057","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION GT 4","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION GT 4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11057","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION GT 4","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11055","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11055","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11056","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11056","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARKINSON DISEASE DIAGNOSIS REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1400F","description":"PARKINSON DISEASE DIAGNOSIS REVIEWED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARKINSON DISEASE DIAGNOSIS REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1400F","description":"PARKINSON DISEASE DIAGNOSIS REVIEWED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARNTRAL INFUS PUMP STATIONRY SINGLE/MULTICHANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0791","description":"PARNTRAL INFUS PUMP STATIONRY SINGLE/MULTICHANEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARNTRAL INFUS PUMP STATIONRY SINGLE/MULTICHANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0791","description":"PARNTRAL INFUS PUMP STATIONRY SINGLE/MULTICHANEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DIVERSION BILATERAL WILKE PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42507","description":"PAROTID DUCT DIVERSION BILATERAL WILKE PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DIVERSION BILATERAL WILKE PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42507","description":"PAROTID DUCT DIVERSION BILATERAL WILKE PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42509","description":"PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42509","description":"PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42510","description":"PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42510","description":"PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PART FT MOLDED SOCKET TIB TUBERCLE HT W/TOE FIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5020","description":"PART FT MOLDED SOCKET TIB TUBERCLE HT W/TOE FIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PART FT SHOE INSERT W/LONGTUDNL ARCH TOE FILLER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5000","description":"PART FT SHOE INSERT W/LONGTUDNL ARCH TOE FILLER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23180","description":"PARTIAL EXCISION BONE CLAVICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE CLAVICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23180","description":"PARTIAL EXCISION BONE CLAVICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27641","description":"PARTIAL EXCISION BONE FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27641","description":"PARTIAL EXCISION BONE FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24140","description":"PARTIAL EXCISION BONE HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24140","description":"PARTIAL EXCISION BONE HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE METACARPAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26230","description":"PARTIAL EXCISION BONE METACARPAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE METACARPAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26230","description":"PARTIAL EXCISION BONE METACARPAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE OLECRANON PROCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24147","description":"PARTIAL EXCISION BONE OLECRANON PROCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE OLECRANON PROCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24147","description":"PARTIAL EXCISION BONE OLECRANON PROCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE PROXIMAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23184","description":"PARTIAL EXCISION BONE PROXIMAL HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE PROXIMAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23184","description":"PARTIAL EXCISION BONE PROXIMAL HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE RADIAL HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24145","description":"PARTIAL EXCISION BONE RADIAL HEAD/NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE RADIAL HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24145","description":"PARTIAL EXCISION BONE RADIAL HEAD/NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE RADIUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25151","description":"PARTIAL EXCISION BONE RADIUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE RADIUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25151","description":"PARTIAL EXCISION BONE RADIUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE SCAPULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23182","description":"PARTIAL EXCISION BONE SCAPULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE SCAPULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23182","description":"PARTIAL EXCISION BONE SCAPULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28120","description":"PARTIAL EXCISION BONE TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28120","description":"PARTIAL EXCISION BONE TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27640","description":"PARTIAL EXCISION BONE TIBIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27640","description":"PARTIAL EXCISION BONE TIBIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25150","description":"PARTIAL EXCISION BONE ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25150","description":"PARTIAL EXCISION BONE ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION DEEP PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27071","description":"PARTIAL EXCISION DEEP PELVIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION DEEP PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27071","description":"PARTIAL EXCISION DEEP PELVIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION DISTAL PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26236","description":"PARTIAL EXCISION DISTAL PHALANX FINGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION DISTAL PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26236","description":"PARTIAL EXCISION DISTAL PHALANX FINGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26235","description":"PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26235","description":"PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION SUPERFICIAL PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27070","description":"PARTIAL EXCISION SUPERFICIAL PELVIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION SUPERFICIAL PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27070","description":"PARTIAL EXCISION SUPERFICIAL PELVIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL FACIAL PROSTHESIS PROVIDED NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8046","description":"PARTIAL FACIAL PROSTHESIS PROVIDED NON-PHYSICIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL FT MOLDED SOCKET ANK HEIGHT W/TOE FILLER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5010","description":"PARTIAL FT MOLDED SOCKET ANK HEIGHT W/TOE FILLER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HAND LITTLE AND OR RING FINGER REMAINING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6010","description":"PARTIAL HAND LITTLE AND OR RING FINGER REMAINING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HAND NO FINGER REMAINING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6020","description":"PARTIAL HAND NO FINGER REMAINING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HAND THUMB REMAINING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6000","description":"PARTIAL HAND THUMB REMAINING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HYMENECTOMY OR REVISION HYMENAL RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56700","description":"PARTIAL HYMENECTOMY OR REVISION HYMENAL RING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HYMENECTOMY OR REVISION HYMENAL RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56700","description":"PARTIAL HYMENECTOMY OR REVISION HYMENAL RING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31382","description":"PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31382","description":"PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31370","description":"PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31370","description":"PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31380","description":"PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31380","description":"PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31375","description":"PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31375","description":"PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL REPAIR OR REMOVAL OF SHOULDER BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23130","description":"PARTIAL REPAIR OR REMOVAL OF SHOULDER BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTICAL EXCISION BONE PHALANX TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28124","description":"PARTICAL EXCISION BONE PHALANX TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTICAL EXCISION BONE PHALANX TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28124","description":"PARTICAL EXCISION BONE PHALANX TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTICLE AGGLUTINATION SCREEN EACH ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86403","description":"PARTICLE AGGLUTINATION SCREEN EACH ANTIBODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTICLE AGGLUTINATION TITER EACH ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86406","description":"PARTICLE AGGLUTINATION TITER EACH ANTIBODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATCH/APPLICATION TEST SPECIFY NUMBER TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95044","description":"PATCH/APPLICATION TEST SPECIFY NUMBER TESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATCH/APPLICATION TESTS SPECIFY NUMBER TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95044","description":"PATCH/APPLICATION TESTS SPECIFY NUMBER TESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATCH/APPLICATION TESTS SPECIFY NUMBER TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95044","description":"PATCH/APPLICATION TESTS SPECIFY NUMBER TESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATELLECTOMY/HEMIPATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27350","description":"PATELLECTOMY/HEMIPATELLECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATELLECTOMY/HEMIPATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27350","description":"PATELLECTOMY/HEMIPATELLECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1 SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88331","description":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1 SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88331","description":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG CYTOLOGIC EXAM ADDL SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88334","description":"PATH CONSLTJ SURG CYTOLOGIC EXAM ADDL SITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG CYTOLOGIC EXAM EACH ADDL SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88334","description":"PATH CONSLTJ SURG CYTOLOGIC EXAM EACH ADDL SITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88333","description":"PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88332","description":"PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATH REPRT MALIGNANCY DOCD AND RVWD INITIA RAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3318F","description":"PATH REPRT MALIGNANCY DOCD AND RVWD INITIA RAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH REPRT MALIGNANCY DOCD AND RVWD INITIA RAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3318F","description":"PATH REPRT MALIGNANCY DOCD AND RVWD INITIA RAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH REPRT MALIGNANCY DOCD AND RVWD INITIATE CHE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3317F","description":"PATH REPRT MALIGNANCY DOCD AND RVWD INITIATE CHE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH REPRT MALIGNANCY DOCD AND RVWD INITIATE CHE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3317F","description":"PATH REPRT MALIGNANCY DOCD AND RVWD INITIATE CHE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT CUT BCC SCC/MM RVW W/I 7 D RECV PATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9785","description":"PATH RPRT CUT BCC SCC/MM RVW W/I 7 D RECV PATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT CUT BCC SCC/MM RVW W/I 7 D RECV PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9785","description":"PATH RPRT CUT BCC SCC/MM RVW W/I 7 D RECV PATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT INCLUDES PT AND PN CAT GLEASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3267F","description":"PATH RPRT INCLUDES PT AND PN CAT GLEASON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT INCLUDES PT AND PN CAT GLEASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3267F","description":"PATH RPRT INCLUDES PT AND PN CAT GLEASON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT NO PT CAT AND STM THK ULCER AND MITOTIC RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9431","description":"PATH RPRT NO PT CAT AND STM THK ULCER AND MITOTIC RA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT NO PT CAT AND STM THK ULCER AND MITOTIC RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9431","description":"PATH RPRT NO PT CAT AND STM THK ULCER AND MITOTIC RA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT PT CAT AND STM THK ULCER AND MITOTIC RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9428","description":"PATH RPRT PT CAT AND STM THK ULCER AND MITOTIC RATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT PT CAT AND STM THK ULCER AND MITOTIC RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9428","description":"PATH RPRT PT CAT AND STM THK ULCER AND MITOTIC RATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPT NOT INCL PT CAT THICKNESS ULCER PT1 MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9293","description":"PATH RPT NOT INCL PT CAT THICKNESS ULCER PT1 MR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPT NOT INCL PT CAT THICKNESS ULCER PT1 MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9293","description":"PATH RPT NOT INCL PT CAT THICKNESS ULCER PT1 MR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPT W/PT CAT THICKNESS ULCERATION PT1 MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9294","description":"PATH RPT W/PT CAT THICKNESS ULCERATION PT1 MR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPT W/PT CAT THICKNESS ULCERATION PT1 MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9294","description":"PATH RPT W/PT CAT THICKNESS ULCERATION PT1 MR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGISTS/DERMATOPATH PRVDG 2ND OPINION ON BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9784","description":"PATHOLOGISTS/DERMATOPATH PRVDG 2ND OPINION ON BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGISTS/DERMATOPATH PRVDG 2ND OPINION ON BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9784","description":"PATHOLOGISTS/DERMATOPATH PRVDG 2ND OPINION ON BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGISTS/DERMATOPATH SAME CLINICIAN PRFRM BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9939","description":"PATHOLOGISTS/DERMATOPATH SAME CLINICIAN PRFRM BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGISTS/DERMATOPATH SAME CLINICIAN PRFRM BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9939","description":"PATHOLOGISTS/DERMATOPATH SAME CLINICIAN PRFRM BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CONSULTATION DURING SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88329","description":"PATHOLOGY CONSULTATION DURING SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9689","description":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9689","description":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ALIVE 3 MONTHS POST PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9540","description":"PATIENT ALIVE 3 MONTHS POST PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ALIVE 3 MONTHS POST PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9540","description":"PATIENT ALIVE 3 MONTHS POST PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ALIVE AS OF THE LAST DAY OF THE MSR YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9787","description":"PATIENT ALIVE AS OF THE LAST DAY OF THE MSR YEAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ALIVE AS OF THE LAST DAY OF THE MSR YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9787","description":"PATIENT ALIVE AS OF THE LAST DAY OF THE MSR YEAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0914","description":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0917","description":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0914","description":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0917","description":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT COUNSELED ABOUT RISKS ALCOHOL USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4158F","description":"PATIENT COUNSELED ABOUT RISKS ALCOHOL USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT COUNSELED ABOUT RISKS ALCOHOL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4158F","description":"PATIENT COUNSELED ABOUT RISKS ALCOHOL USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECEIVE COMBINATION THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9958","description":"PATIENT DID NOT RECEIVE COMBINATION THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECEIVE COMBINATION THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9958","description":"PATIENT DID NOT RECEIVE COMBINATION THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV ANTI-EGFR MONOCLONAL ABO TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9844","description":"PATIENT DID NOT RECV ANTI-EGFR MONOCLONAL ABO TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV ANTI-EGFR MONOCLONAL ABO TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9844","description":"PATIENT DID NOT RECV ANTI-EGFR MONOCLONAL ABO TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV CA DIRECT TX LST 14DAY LIFE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9848","description":"PATIENT DID NOT RECV CA DIRECT TX LST 14DAY LIFE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV CA DIRECT TX LST 14DAY LIFE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9848","description":"PATIENT DID NOT RECV CA DIRECT TX LST 14DAY LIFE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV CHEMO LAST 14 DAYS OF LIFE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9848","description":"PATIENT DID NOT RECV CHEMO LAST 14 DAYS OF LIFE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DIED INCL ALL DEATHS OCC DUR HOS OP PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9812","description":"PATIENT DIED INCL ALL DEATHS OCC DUR HOS OP PER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DIED INCL ALL DEATHS OCC DUR HOS OP PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9812","description":"PATIENT DIED INCL ALL DEATHS OCC DUR HOS OP PER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1060","description":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1060","description":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8910","description":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8910","description":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8908","description":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8908","description":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ENROLLED IN HOSPICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9858","description":"PATIENT ENROLLED IN HOSPICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ENROLLED IN HOSPICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9858","description":"PATIENT ENROLLED IN HOSPICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT EXHIBITS 2 OR GT RISK FAC POST-OP VOMITING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9954","description":"PATIENT EXHIBITS 2 OR GT RISK FAC POST-OP VOMITING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT EXHIBITS 2 OR GT RISK FAC POST-OP VOMITING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9954","description":"PATIENT EXHIBITS 2 OR GT RISK FAC POST-OP VOMITING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD 1 TET DT and TDAP ON/BTW PT 10 and 13 BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9416","description":"PATIENT HAD 1 TET DT and TDAP ON/BTW PT 10 and 13 BD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD 1 TET DT and TDAP ON/BTW PT 10 and 13 BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9416","description":"PATIENT HAD 1 TET DT and TDAP ON/BTW PT 10 and 13 BD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD BMDT P 2 YR/RECV OPO MED/TX P 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9769","description":"PATIENT HAD BMDT P 2 YR/RECV OPO MED/TX P 12 MO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD BMDT P 2 YR/RECV OPO MED/TX P 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9769","description":"PATIENT HAD BMDT P 2 YR/RECV OPO MED/TX P 12 MO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD ONLY UC VISITS DUR THE PERF PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1021","description":"PATIENT HAD ONLY UC VISITS DUR THE PERF PRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD ONLY UC VISITS DUR THE PERF PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1021","description":"PATIENT HAD ONLY UC VISITS DUR THE PERF PRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD ONLY URGENT CARE VISITS DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1054","description":"PATIENT HAD ONLY URGENT CARE VISITS DUR PERF PER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD ONLY URGENT CARE VISITS DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1054","description":"PATIENT HAD ONLY URGENT CARE VISITS DUR PERF PER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS DOC IMMUN HEP B AND INIT ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8869","description":"PATIENT HAS DOC IMMUN HEP B AND INIT ANTI-TNF TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS DOC IMMUN HEP B AND INIT ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8869","description":"PATIENT HAS DOC IMMUN HEP B AND INIT ANTI-TNF TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS DOCUMENTED IMMUNITY TO HEPATITIS C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3515F","description":"PATIENT HAS DOCUMENTED IMMUNITY TO HEPATITIS C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS DOCUMENTED IMMUNITY TO HEPATITIS C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3515F","description":"PATIENT HAS DOCUMENTED IMMUNITY TO HEPATITIS C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9838","description":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9842","description":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9838","description":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9842","description":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HSPC/REC PALLIAT C ANY TIME DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1059","description":"PATIENT HSPC/REC PALLIAT C ANY TIME DUR PERF PER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HSPC/REC PALLIAT C ANY TIME DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1059","description":"PATIENT HSPC/REC PALLIAT C ANY TIME DUR PERF PER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ID UNHLTHY ALCOHOL USER SCR AND BRF COUNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9621","description":"PATIENT ID UNHLTHY ALCOHOL USER SCR AND BRF COUNS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ID UNHLTHY ALCOHOL USER SCR AND BRF COUNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9621","description":"PATIENT ID UNHLTHY ALCOHOL USER SCR AND BRF COUNS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT INITIATED AN ANTI-TNF AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9914","description":"PATIENT INITIATED AN ANTI-TNF AGENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT INITIATED AN ANTI-TNF AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9914","description":"PATIENT INITIATED AN ANTI-TNF AGENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS CUR ON DAILY ASPIRIN/OTH ANTIPLATELET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9793","description":"PATIENT IS CUR ON DAILY ASPIRIN/OTH ANTIPLATELET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS CUR ON DAILY ASPIRIN/OTH ANTIPLATELET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9793","description":"PATIENT IS CUR ON DAILY ASPIRIN/OTH ANTIPLATELET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS CURRENTLY ON A STATIN THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9796","description":"PATIENT IS CURRENTLY ON A STATIN THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS CURRENTLY ON HIGH INTENSITY STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9796","description":"PATIENT IS CURRENTLY ON HIGH INTENSITY STATIN TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS CURRENTLY ON HIGH INTENSITY STATIN TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9796","description":"PATIENT IS CURRENTLY ON HIGH INTENSITY STATIN TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS D (RH) NEGATIVE AND UNSENSITIZED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3290F","description":"PATIENT IS D (RH) NEGATIVE AND UNSENSITIZED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS D (RH) NEGATIVE AND UNSENSITIZED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3290F","description":"PATIENT IS D (RH) NEGATIVE AND UNSENSITIZED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS D (RH) POSITIVE OR SENSITIZED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3291F","description":"PATIENT IS D (RH) POSITIVE OR SENSITIZED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS D (RH) POSITIVE OR SENSITIZED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3291F","description":"PATIENT IS D (RH) POSITIVE OR SENSITIZED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS NOT CUR ON A DAILY ASPIRIN/OTH AP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9795","description":"PATIENT IS NOT CUR ON A DAILY ASPIRIN/OTH AP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS NOT CUR ON A DAILY ASPIRIN/OTH AP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9795","description":"PATIENT IS NOT CUR ON A DAILY ASPIRIN/OTH AP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS NOT ON A HIGH INTENSITY STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9797","description":"PATIENT IS NOT ON A HIGH INTENSITY STATIN TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS NOT ON A HIGH INTENSITY STATIN TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9797","description":"PATIENT IS NOT ON A HIGH INTENSITY STATIN TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS NOT ON A STATIN THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9797","description":"PATIENT IS NOT ON A STATIN THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT ELECTRIC WITH SEAT OR SLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0635","description":"PATIENT LIFT ELECTRIC WITH SEAT OR SLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT ELECTRIC WITH SEAT OR SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0635","description":"PATIENT LIFT ELECTRIC WITH SEAT OR SLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT HYDRAULIC/MECH INCL SEAT SLING/PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0630","description":"PATIENT LIFT HYDRAULIC/MECH INCL SEAT SLING/PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT HYDRAULIC/MECH INCL SEAT SLING/PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0630","description":"PATIENT LIFT HYDRAULIC/MECH INCL SEAT SLING/PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NO 1 TET DT and TDAP ON/BTW PT 10 and 13 BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9417","description":"PATIENT NO 1 TET DT and TDAP ON/BTW PT 10 and 13 BD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NO 1 TET DT and TDAP ON/BTW PT 10 and 13 BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9417","description":"PATIENT NO 1 TET DT and TDAP ON/BTW PT 10 and 13 BD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT AMBUL BED RIDDN IM CONF CHR WC BND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9721","description":"PATIENT NOT AMBUL BED RIDDN IM CONF CHR WC BND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT AMBUL BED RIDDN IM CONF CHR WC BND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9721","description":"PATIENT NOT AMBUL BED RIDDN IM CONF CHR WC BND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT D/C HOME POSTOP DAY #2 FOLLOW EVAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8833","description":"PATIENT NOT D/C HOME POSTOP DAY #2 FOLLOW EVAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT D/C HOME POSTOP DAY #2 FOLLOW EVAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8833","description":"PATIENT NOT D/C HOME POSTOP DAY #2 FOLLOW EVAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT D/C TO HOME BY POSTOP DAY #2 FLW CEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8838","description":"PATIENT NOT D/C TO HOME BY POSTOP DAY #2 FLW CEA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT D/C TO HOME BY POSTOP DAY #2 FLW CEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8838","description":"PATIENT NOT D/C TO HOME BY POSTOP DAY #2 FLW CEA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT ELIG REFERRAL FOR OTOLOGIC EVAL MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8857","description":"PATIENT NOT ELIG REFERRAL FOR OTOLOGIC EVAL MSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT ELIG REFERRAL FOR OTOLOGIC EVAL MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8857","description":"PATIENT NOT ELIG REFERRAL FOR OTOLOGIC EVAL MSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT ELIGIBLE D/T ACTIVE DX HYPERTENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9744","description":"PATIENT NOT ELIGIBLE D/T ACTIVE DX HYPERTENSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT ELIGIBLE D/T ACTIVE DX HYPERTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9744","description":"PATIENT NOT ELIGIBLE D/T ACTIVE DX HYPERTENSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT PRESCRIBED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8708","description":"PATIENT NOT PRESCRIBED ANTIBIOTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT PRESCRIBED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8708","description":"PATIENT NOT PRESCRIBED ANTIBIOTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT PRESCRIBED OR DISPENSED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8708","description":"PATIENT NOT PRESCRIBED OR DISPENSED ANTIBIOTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING (ESA) THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4172F","description":"PATIENT NOT RECEIVING (ESA) THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING (ESA) THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4172F","description":"PATIENT NOT RECEIVING (ESA) THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING ERYTHORPOIETIN THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4095F","description":"PATIENT NOT RECEIVING ERYTHORPOIETIN THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING ERYTHORPOIETIN THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4095F","description":"PATIENT NOT RECEIVING ERYTHORPOIETIN THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING GLUCOCORTICOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4192F","description":"PATIENT NOT RECEIVING GLUCOCORTICOID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING GLUCOCORTICOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4192F","description":"PATIENT NOT RECEIVING GLUCOCORTICOID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8563","description":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8568","description":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8563","description":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8568","description":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCREENED FOR TOBACCO USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9905","description":"PATIENT NOT SCREENED FOR TOBACCO USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCREENED FOR TOBACCO USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9905","description":"PATIENT NOT SCREENED FOR TOBACCO USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCREENED FOR TOBACCO USE RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9905","description":"PATIENT NOT SCREENED FOR TOBACCO USE RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCREENED FUT FALL RISK RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1070","description":"PATIENT NOT SCREENED FUT FALL RISK RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCREENED FUT FALL RISK RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1070","description":"PATIENT NOT SCREENED FUT FALL RISK RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT OFFERED ASSIST ROF ISSUES DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9380","description":"PATIENT OFFERED ASSIST ROF ISSUES DUR MSR PRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT OK FOR PER ORAL INTAKE (FOOD/MEDICATION)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6015F","description":"PATIENT OK FOR PER ORAL INTAKE (FOOD/MEDICATION)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT OK FOR PER ORAL INTAKE (FOOD/MEDICATION)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6015F","description":"PATIENT OK FOR PER ORAL INTAKE (FOOD/MEDICATION)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1058","description":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1058","description":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PRESCRIBED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8710","description":"PATIENT PRESCRIBED ANTIBIOTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PRESCRIBED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8710","description":"PATIENT PRESCRIBED ANTIBIOTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PRESCRIBED OR DISPENSED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8710","description":"PATIENT PRESCRIBED OR DISPENSED ANTIBIOTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT QUERIED ABOUT FALLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6080F","description":"PATIENT QUERIED ABOUT FALLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT QUERIED ABOUT FALLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6080F","description":"PATIENT QUERIED ABOUT FALLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT QUERIED COUNSELED RE AED SIDE EFFECTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6070F","description":"PATIENT QUERIED COUNSELED RE AED SIDE EFFECTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT QUERIED COUNSELED RE AED SIDE EFFECTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6070F","description":"PATIENT QUERIED COUNSELED RE AED SIDE EFFECTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RCVNG Equal to GT 10 MG DAILY PREDNISONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4194F","description":"PATIENT RCVNG Equal to GT 10 MG DAILY PREDNISONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RCVNG Equal to GT 10 MG DAILY PREDNISONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4194F","description":"PATIENT RCVNG Equal to GT 10 MG DAILY PREDNISONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RCVNG LT 10 MG DAILY PREDNISONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4193F","description":"PATIENT RCVNG LT 10 MG DAILY PREDNISONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RCVNG LT 10 MG DAILY PREDNISONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4193F","description":"PATIENT RCVNG LT 10 MG DAILY PREDNISONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVD ANTI-EGFR MONOCLONAL ANTIBODY TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9845","description":"PATIENT RECEIVD ANTI-EGFR MONOCLONAL ANTIBODY TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVD ANTI-EGFR MONOCLONAL ANTIBODY TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9845","description":"PATIENT RECEIVD ANTI-EGFR MONOCLONAL ANTIBODY TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVED COMBINATION THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9956","description":"PATIENT RECEIVED COMBINATION THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVED COMBINATION THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9956","description":"PATIENT RECEIVED COMBINATION THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING (ESA) THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4171F","description":"PATIENT RECEIVING (ESA) THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING (ESA) THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4171F","description":"PATIENT RECEIVING (ESA) THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING AN ANTI-TNF AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9914","description":"PATIENT RECEIVING AN ANTI-TNF AGENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING ERYTHROPOIETIN THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4090F","description":"PATIENT RECEIVING ERYTHROPOIETIN THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING ERYTHROPOIETIN THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4090F","description":"PATIENT RECEIVING ERYTHROPOIETIN THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING PERITONEAL DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4055F","description":"PATIENT RECEIVING PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING PERITONEAL DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4055F","description":"PATIENT RECEIVING PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECV HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9690","description":"PATIENT RECV HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECV HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9690","description":"PATIENT RECV HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECV SCREENING HCV INF W/I 12 MO PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9383","description":"PATIENT RECV SCREENING HCV INF W/I 12 MO PERIOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECV SCREENING HCV INF W/I 12 MO PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9383","description":"PATIENT RECV SCREENING HCV INF W/I 12 MO PERIOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECVD CANCER DIR TX LAST 14 DAYS OF LIFE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9847","description":"PATIENT RECVD CANCER DIR TX LAST 14 DAYS OF LIFE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECVD CANCER DIR TX LAST 14 DAYS OF LIFE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9847","description":"PATIENT RECVD CANCER DIR TX LAST 14 DAYS OF LIFE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECVD CHEMOTHERAPY LAST 14 DAYS OF LIFE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9847","description":"PATIENT RECVD CHEMOTHERAPY LAST 14 DAYS OF LIFE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFERRAL FOR PSYCHOTHERAPY DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4062F","description":"PATIENT REFERRAL FOR PSYCHOTHERAPY DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFERRAL FOR PSYCHOTHERAPY DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4062F","description":"PATIENT REFERRAL FOR PSYCHOTHERAPY DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFERRED TO PHYSICIAN FOR OTOLOGIC EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8559","description":"PATIENT REFERRED TO PHYSICIAN FOR OTOLOGIC EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFERRED TO PHYSICIAN FOR OTOLOGIC EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8559","description":"PATIENT REFERRED TO PHYSICIAN FOR OTOLOGIC EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9726","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9728","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9730","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9732","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9734","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9736","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9726","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9728","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9730","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9732","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9734","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9736","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SAFETY COUNSEL DISEASE STAGE APPROPRIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6090F","description":"PATIENT SAFETY COUNSEL DISEASE STAGE APPROPRIATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SAFETY COUNSEL DISEASE STAGE APPROPRIATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6090F","description":"PATIENT SAFETY COUNSEL DISEASE STAGE APPROPRIATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SATISFACTION SURVEY NOT COMPLETE PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0917","description":"PATIENT SATISFACTION SURVEY NOT COMPLETE PATIENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR TOBACCO USE AND ID AS TOB NON-USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9903","description":"PATIENT SCR TOBACCO USE AND ID AS TOB NON-USER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR TOBACCO USE AND ID AS TOB NON-USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9903","description":"PATIENT SCR TOBACCO USE AND ID AS TOB NON-USER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR TOBACCO USE AND ID AS TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9902","description":"PATIENT SCR TOBACCO USE AND ID AS TOBACCO USER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR TOBACCO USE AND ID AS TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9902","description":"PATIENT SCR TOBACCO USE AND ID AS TOBACCO USER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED DEPRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1220F","description":"PATIENT SCREENED DEPRESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED DEPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1220F","description":"PATIENT SCREENED DEPRESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED FOR FUTURE FALL RISK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1069","description":"PATIENT SCREENED FOR FUTURE FALL RISK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED FOR FUTURE FALL RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1069","description":"PATIENT SCREENED FOR FUTURE FALL RISK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED FOR INJECTION DRUG USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4290F","description":"PATIENT SCREENED FOR INJECTION DRUG USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED FOR INJECTION DRUG USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4290F","description":"PATIENT SCREENED FOR INJECTION DRUG USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SPENT GT EQUAL TO 3 DAYS IN HOSPICE CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9861","description":"PATIENT SPENT GT EQUAL TO 3 DAYS IN HOSPICE CARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SPENT GT EQUAL TO 3 DAYS IN HOSPICE CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9861","description":"PATIENT SPENT GT EQUAL TO 3 DAYS IN HOSPICE CARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SPENT LESS THAN 3 DAYS IN HOSPICE CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9860","description":"PATIENT SPENT LESS THAN 3 DAYS IN HOSPICE CARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SPENT LESS THAN 3 DAYS IN HOSPICE CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9860","description":"PATIENT SPENT LESS THAN 3 DAYS IN HOSPICE CARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SURV SCRE DID NOT IMPRV FROM BASE FLW TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9605","description":"PATIENT SURV SCRE DID NOT IMPRV FROM BASE FLW TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SURV SCRE DID NOT IMPRV FROM BASE FLW TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9605","description":"PATIENT SURV SCRE DID NOT IMPRV FROM BASE FLW TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SURVEY SCORE IMPRV FROM BASELINE FLW TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9603","description":"PATIENT SURVEY SCORE IMPRV FROM BASELINE FLW TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SURVEY SCORE IMPRV FROM BASELINE FLW TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9603","description":"PATIENT SURVEY SCORE IMPRV FROM BASELINE FLW TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT UN TO COMPL HIP FS PROM INIT EVAL and D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9729","description":"PATIENT UN TO COMPL HIP FS PROM INIT EVAL and D/C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT UNABLE COMPL KNEE FS PROM INIT EVAL and /D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9727","description":"PATIENT UNABLE COMPL KNEE FS PROM INIT EVAL and /D/C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT USE OF HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9693","description":"PATIENT USE OF HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT USE OF HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9693","description":"PATIENT USE OF HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT USING HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9714","description":"PATIENT USING HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT USING HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9714","description":"PATIENT USING HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT W/CENTRAL DXA RESULTS NOT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8400","description":"PATIENT W/CENTRAL DXA RESULTS NOT DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT W/CENTRAL DXA RESULTS NOT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8400","description":"PATIENT W/CENTRAL DXA RESULTS NOT DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT W/DOC RESULTS CENTRL DXA EVER BEING PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8399","description":"PATIENT W/DOC RESULTS CENTRL DXA EVER BEING PERF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT W/DOC RESULTS CENTRL DXA EVER BEING PERF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8399","description":"PATIENT W/DOC RESULTS CENTRL DXA EVER BEING PERF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WAS PROV HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9710","description":"PATIENT WAS PROV HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WAS PROV HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9710","description":"PATIENT WAS PROV HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WITH TRANSIENT OR REVERSIBLE CAUSE OF AF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9929","description":"PATIENT WITH TRANSIENT OR REVERSIBLE CAUSE OF AF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WITH TRANSIENT OR REVERSIBLE CAUSE OF AF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9929","description":"PATIENT WITH TRANSIENT OR REVERSIBLE CAUSE OF AF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT-INITIATED SPIROMETRIC PHYS/QHP R and I ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94016","description":"PATIENT-INITIATED SPIROMETRIC PHYS/QHP R and I ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT-INITIATED SPIROMETRIC PHYS/QHP R and I ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94016","description":"PATIENT-INITIATED SPIROMETRIC PHYS/QHP R and I ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT-INITIATED SPIROMETRIC RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94015","description":"PATIENT-INITIATED SPIROMETRIC RECORDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT-INITIATED SPIROMETRIC RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94015","description":"PATIENT-INITIATED SPIROMETRIC RECORDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS ACTV DX/HX CA PT HVY TOB SMKR LC SCR PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1018","description":"PATIENTS ACTV DX/HX CA PT HVY TOB SMKR LC SCR PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS ACTV DX/HX CA PT HVY TOB SMKR LC SCR PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1018","description":"PATIENTS ACTV DX/HX CA PT HVY TOB SMKR LC SCR PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS DOC ANTICOAGULANT MED OVERLAP MSR YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9724","description":"PATIENTS DOC ANTICOAGULANT MED OVERLAP MSR YEAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS DOC ANTICOAGULANT MED OVERLAP MSR YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9724","description":"PATIENTS DOC ANTICOAGULANT MED OVERLAP MSR YEAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NOT ASSESSED RISK BONE LOSS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8863","description":"PATIENTS NOT ASSESSED RISK BONE LOSS RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NOT ASSESSED RISK BONE LOSS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8863","description":"PATIENTS NOT ASSESSED RISK BONE LOSS RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS THAT DO NOT HAVE THE FILTER REMOVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9544","description":"PATIENTS THAT DO NOT HAVE THE FILTER REMOVED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS THAT DO NOT HAVE THE FILTER REMOVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9544","description":"PATIENTS THAT DO NOT HAVE THE FILTER REMOVED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS USING HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9688","description":"PATIENTS USING HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS USING HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9688","description":"PATIENTS USING HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS W/CT and /PERICARDIOCENTESIS OCR WI 30 DA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9408","description":"PATIENTS W/CT and /PERICARDIOCENTESIS OCR WI 30 DA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS W/CT and /PERICARDIOCENTESIS OCR WI 30 DA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9408","description":"PATIENTS W/CT and /PERICARDIOCENTESIS OCR WI 30 DA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO ARE BREASTFEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9779","description":"PATIENTS WHO ARE BREASTFEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO ARE BREASTFEEDING DUR MSMNT PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9779","description":"PATIENTS WHO ARE BREASTFEEDING DUR MSMNT PERIOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO ARE BREASTFEEDING DUR MSMNT PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9779","description":"PATIENTS WHO ARE BREASTFEEDING DUR MSMNT PERIOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO ARE RECEIVING COMFORT CARE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9930","description":"PATIENTS WHO ARE RECEIVING COMFORT CARE ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO ARE RECEIVING COMFORT CARE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9930","description":"PATIENTS WHO ARE RECEIVING COMFORT CARE ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DID NOT RECV CERV CYTOLOGY/HPV TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9807","description":"PATIENTS WHO DID NOT RECV CERV CYTOLOGY/HPV TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DID NOT RECV CERV CYTOLOGY/HPV TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9807","description":"PATIENTS WHO DID NOT RECV CERV CYTOLOGY/HPV TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED FROM CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9846","description":"PATIENTS WHO DIED FROM CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED FROM CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9859","description":"PATIENTS WHO DIED FROM CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED FROM CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9846","description":"PATIENTS WHO DIED FROM CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED FROM CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9859","description":"PATIENTS WHO DIED FROM CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO HAVE A DIAGNOSIS OF RHABDOMYOLYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9780","description":"PATIENTS WHO HAVE A DIAGNOSIS OF RHABDOMYOLYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO HAVE DIAGNOSIS RHABDOMYOLYSIS MSRMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9780","description":"PATIENTS WHO HAVE DIAGNOSIS RHABDOMYOLYSIS MSRMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO HAVE DIAGNOSIS RHABDOMYOLYSIS MSRMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9780","description":"PATIENTS WHO HAVE DIAGNOSIS RHABDOMYOLYSIS MSRMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO RECEIVED CERVICAL CYTOLOGY/HPV TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9806","description":"PATIENTS WHO RECEIVED CERVICAL CYTOLOGY/HPV TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO RECEIVED CERVICAL CYTOLOGY/HPV TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9806","description":"PATIENTS WHO RECEIVED CERVICAL CYTOLOGY/HPV TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9761","description":"PATIENTS WHO USE HOSPC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9761","description":"PATIENTS WHO USE HOSPC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9700","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9702","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9805","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9700","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9702","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9805","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9713","description":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9741","description":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9713","description":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9741","description":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9819","description":"PATIENTS WHO USE HOSPICE SVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9819","description":"PATIENTS WHO USE HOSPICE SVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO UTILZ HOSPICE SVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9768","description":"PATIENTS WHO UTILZ HOSPICE SVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO UTILZ HOSPICE SVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9768","description":"PATIENTS WHO UTILZ HOSPICE SVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH 90 DAY MRS SCORE GREATER THAN 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9648","description":"PATIENTS WITH 90 DAY MRS SCORE GREATER THAN 2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH 90 DAY MRS SCORE GREATER THAN 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9648","description":"PATIENTS WITH 90 DAY MRS SCORE GREATER THAN 2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH 90 DAY MRS SCORE OF 0 TO 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9646","description":"PATIENTS WITH 90 DAY MRS SCORE OF 0 TO 2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH 90 DAY MRS SCORE OF 0 TO 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9646","description":"PATIENTS WITH 90 DAY MRS SCORE OF 0 TO 2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH CLINICAL ASCVD DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9674","description":"PATIENTS WITH CLINICAL ASCVD DIAGNOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH CLINICAL ASCVD DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9674","description":"PATIENTS WITH CLINICAL ASCVD DIAGNOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX LSP REG CANCER AT THE TIME PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1037","description":"PATIENTS WITH DX LSP REG CANCER AT THE TIME PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX LSP REG CANCER AT THE TIME PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1037","description":"PATIENTS WITH DX LSP REG CANCER AT THE TIME PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LSP REG FX AT TIME PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1038","description":"PATIENTS WITH DX OF LSP REG FX AT TIME PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LSP REG FX AT TIME PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1038","description":"PATIENTS WITH DX OF LSP REG FX AT TIME PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LSP REG INF AT TIME OF PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1039","description":"PATIENTS WITH DX OF LSP REG INF AT TIME OF PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LSP REG INF AT TIME OF PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1039","description":"PATIENTS WITH DX OF LSP REG INF AT TIME OF PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LUMBAR IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1040","description":"PATIENTS WITH DX OF LUMBAR IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LUMBAR IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1040","description":"PATIENTS WITH DX OF LUMBAR IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX PAST HX TOTAL COLECTOMY/CRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9711","description":"PATIENTS WITH DX PAST HX TOTAL COLECTOMY/CRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX PAST HX TOTAL COLECTOMY/CRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9711","description":"PATIENTS WITH DX PAST HX TOTAL COLECTOMY/CRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WO CT and /PERICARDIOCENTESIS OCR WI 30 DA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9409","description":"PATIENTS WO CT and /PERICARDIOCENTESIS OCR WI 30 DA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WO CT and /PERICARDIOCENTESIS OCR WI 30 DA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9409","description":"PATIENTS WO CT and /PERICARDIOCENTESIS OCR WI 30 DA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCP P PRSC 3 MO CD4 Plus BLW 500 CE/MM3/CD4 PCT BLW 15 P","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9223","description":"PCP P PRSC 3 MO CD4 Plus BLW 500 CE/MM3/CD4 PCT BLW 15 P","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCP P PRSC 3 MO CD4 Plus BLW 500 CE/MM3/CD4 PCT BLW 15 P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9223","description":"PCP P PRSC 3 MO CD4 Plus BLW 500 CE/MM3/CD4 PCT BLW 15 P","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV13 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90670","description":"PCV13 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PCV13 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90670","description":"PCV13 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96567","description":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96567","description":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96570","description":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96570","description":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96571","description":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96571","description":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PEAK EXPIRATORY FLOW RATE METER HAND HELD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4614","description":"PEAK EXPIRATORY FLOW RATE METER HAND HELD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PEAK EXPIRATORY FLOW RATE METER HAND HELD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4614","description":"PEAK EXPIRATORY FLOW RATE METER HAND HELD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PED CRIB HOS GRADE FULLY ENC W/WO TOP ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0300","description":"PED CRIB HOS GRADE FULLY ENC W/WO TOP ENC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PED CRIB HOS GRADE FULLY ENC W/WO TOP ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0300","description":"PED CRIB HOS GRADE FULLY ENC W/WO TOP ENC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PED PT MIN BLUNT HEAD TRMA LW RISK PECARN RULES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9593","description":"PED PT MIN BLUNT HEAD TRMA LW RISK PECARN RULES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED PT MIN BLUNT HEAD TRMA LW RISK PECARN RULES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9593","description":"PED PT MIN BLUNT HEAD TRMA LW RISK PECARN RULES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC PT MI BLNT HEAD TRMA NOT LW RSK PECARN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9597","description":"PEDIATRIC PT MI BLNT HEAD TRMA NOT LW RSK PECARN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC PT MI BLNT HEAD TRMA NOT LW RSK PECARN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9597","description":"PEDIATRIC PT MI BLNT HEAD TRMA NOT LW RSK PECARN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEL EXNTJ GYNECOLOGIC MAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58240","description":"PEL EXNTJ GYNECOLOGIC MAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PEL EXNTJ GYNECOLOGIC MAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58240","description":"PEL EXNTJ GYNECOLOGIC MAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR and OBTURATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38770","description":"PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR and OBTURATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR and OBTURATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38770","description":"PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR and OBTURATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC BELT/HARNESS/BOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0944","description":"PELVIC BELT/HARNESS/BOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57410","description":"PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57410","description":"PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXENTERATION COLORECTAL MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45126","description":"PELVIC EXENTERATION COLORECTAL MALIGNANCY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXENTERATION COLORECTAL MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45126","description":"PELVIC EXENTERATION COLORECTAL MALIGNANCY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXENTERATION COMPLETE MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51597","description":"PELVIC EXENTERATION COMPLETE MALIGNANCY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXENTERATION COMPLETE MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51597","description":"PELVIC EXENTERATION COMPLETE MALIGNANCY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC FIXATION OTHER THAN SACRUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22848","description":"PELVIC FIXATION OTHER THAN SACRUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC FIXATION OTHER THAN SACRUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22848","description":"PELVIC FIXATION OTHER THAN SACRUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37788","description":"PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37788","description":"PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PENILE VENOUS OCCLUSIVE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37790","description":"PENILE VENOUS OCCLUSIVE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PENILE VENOUS OCCLUSIVE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37790","description":"PENILE VENOUS OCCLUSIVE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PENTAMIDINE AERSL INHALATION PNEUMOCYSTIS/PROPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94642","description":"PENTAMIDINE AERSL INHALATION PNEUMOCYSTIS/PROPH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PENTAMIDINE AERSL INHALATION PNEUMOCYSTIS/PROPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94642","description":"PENTAMIDINE AERSL INHALATION PNEUMOCYSTIS/PROPH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PENTAMIDINE ISETHIONATE I SOL CP PROD U D 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7676","description":"PENTAMIDINE ISETHIONATE I SOL CP PROD U D 300 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PENTAMIDINE ISETHIONATE I SOL CP PROD U D 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7676","description":"PENTAMIDINE ISETHIONATE I SOL CP PROD U D 300 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PENTAMIDINE ISETHIONATE I SOL NONCP UD P 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2545","description":"PENTAMIDINE ISETHIONATE I SOL NONCP UD P 300 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PENTAMIDINE ISETHIONATE I SOL NONCP UD P 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2545","description":"PENTAMIDINE ISETHIONATE I SOL NONCP UD P 300 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0480","description":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0480","description":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUT CATH/TUBE ANCHR DEVICE ADHES SKIN ATTCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5200","description":"PERCUT CATH/TUBE ANCHR DEVICE ADHES SKIN ATTCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUT CATH/TUBE ANCHR DEVICE ADHES SKIN ATTCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5200","description":"PERCUT CATH/TUBE ANCHR DEVICE ADHES SKIN ATTCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62268","description":"PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62268","description":"PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74355","description":"PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74355","description":"PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TESTS W/ALLERGENIC EXTRACTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95004","description":"PERCUTANEOUS TESTS W/ALLERGENIC EXTRACTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TESTS W/ALLERGENIC XTR IMMT RXN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95004","description":"PERCUTANEOUS TESTS W/ALLERGENIC XTR IMMT RXN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TESTS W/ALLERGENIC XTR IMMT RXN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95004","description":"PERCUTANEOUS TESTS W/ALLERGENIC XTR IMMT RXN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX MALAR AREA FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21355","description":"PERCUTANEOUS TX MALAR AREA FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX MALAR AREA FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21355","description":"PERCUTANEOUS TX MALAR AREA FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21452","description":"PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21452","description":"PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21340","description":"PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21340","description":"PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PEREYRA PX W/ANTERIOR COLPORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57289","description":"PEREYRA PX W/ANTERIOR COLPORRHAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PEREYRA PX W/ANTERIOR COLPORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57289","description":"PEREYRA PX W/ANTERIOR COLPORRHAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERFORM TRANS-ABD/TRANS-VAG U/S and PREG LOC DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8806","description":"PERFORM TRANS-ABD/TRANS-VAG U/S and PREG LOC DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERFORM TRANS-ABD/TRANS-VAG U/S and PREG LOC DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8806","description":"PERFORM TRANS-ABD/TRANS-VAG U/S and PREG LOC DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERFORMANCE STATUS DOCD RVWD 2 WKS PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3328F","description":"PERFORMANCE STATUS DOCD RVWD 2 WKS PRIOR SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERFORMANCE STATUS DOCD RVWD 2 WKS PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3328F","description":"PERFORMANCE STATUS DOCD RVWD 2 WKS PRIOR SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19371","description":"PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19371","description":"PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERI-PX DEV EVAL and PROG SING/DUAL/MULTI LEAD DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93287","description":"PERI-PX DEV EVAL and PROG SING/DUAL/MULTI LEAD DFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERI-PX DEV EVAL and PROG SING/DUAL/MULTI LEAD DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93287","description":"PERI-PX DEV EVAL and PROG SING/DUAL/MULTI LEAD DFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93286","description":"PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93286","description":"PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIANAL FECAL COLLECTION POUCH W/ADHESIVE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4330","description":"PERIANAL FECAL COLLECTION POUCH W/ADHESIVE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIANAL FECAL COLLECTION POUCH W/ADHESIVE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4330","description":"PERIANAL FECAL COLLECTION POUCH W/ADHESIVE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33020","description":"PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33020","description":"PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERINEOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74775","description":"PERINEOGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERINEOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74775","description":"PERINEOGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56810","description":"PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56810","description":"PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99396","description":"PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99396","description":"PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIODONTAL MUCOSAL GRAFTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41870","description":"PERIODONTAL MUCOSAL GRAFTING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIODONTAL MUCOSAL GRAFTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41870","description":"PERIODONTAL MUCOSAL GRAFTING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21260","description":"PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21260","description":"PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA and XTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21261","description":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA and XTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA and XTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21261","description":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA and XTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21263","description":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21263","description":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIPHERAL NERVE BLOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9770","description":"PERIPHERAL NERVE BLOCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPHERAL NERVE BLOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9770","description":"PERIPHERAL NERVE BLOCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPHERAL VEIN RENIN STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80417","description":"PERIPHERAL VEIN RENIN STIMULATION PANEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIPROSTHETIC CAPSULECTOMY BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19371","description":"PERIPROSTHETIC CAPSULECTOMY BREAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45520","description":"PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45520","description":"PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERISTOMAL HERNIA SUPPORT BELT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4396","description":"PERISTOMAL HERNIA SUPPORT BELT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERISTOMAL HERNIA SUPPORT BELT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4396","description":"PERISTOMAL HERNIA SUPPORT BELT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL DIALYSIS PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0507F","description":"PERITONEAL DIALYSIS PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL DIALYSIS PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0507F","description":"PERITONEAL DIALYSIS PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL LAVAGE W/WO IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49084","description":"PERITONEAL LAVAGE W/WO IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL LAVAGE W/WO IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49084","description":"PERITONEAL LAVAGE W/WO IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL-VENOUS SHUNT PATENCY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78291","description":"PERITONEAL-VENOUS SHUNT PATENCY TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL-VENOUS SHUNT PATENCY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78291","description":"PERITONEAL-VENOUS SHUNT PATENCY TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEOGRAM RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74190","description":"PERITONEOGRAM RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEOGRAM RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74190","description":"PERITONEOGRAM RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERONEAL STRAPS PREFABRICATED OFF THE SHELF PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0980","description":"PERONEAL STRAPS PREFABRICATED OFF THE SHELF PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19285","description":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19285","description":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19283","description":"PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19283","description":"PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NL/PL LITHOTRP COMPLEX GT 2 CM MLT LOCATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50081","description":"PERQ NL/PL LITHOTRP COMPLEX GT 2 CM MLT LOCATIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NL/PL LITHOTRP COMPLEX GT 2 CM MLT LOCATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50081","description":"PERQ NL/PL LITHOTRP COMPLEX GT 2 CM MLT LOCATIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NL/PL LITHOTRP SIMPLE UP TO 2 CM 1 LOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50080","description":"PERQ NL/PL LITHOTRP SIMPLE UP TO 2 CM 1 LOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NL/PL LITHOTRP SIMPLE UP TO 2 CM 1 LOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50080","description":"PERQ NL/PL LITHOTRP SIMPLE UP TO 2 CM 1 LOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10035","description":"PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIX POST PELV BONE FX and /DISLOC UNI/BIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0413","description":"PERQ SKEL FIX POST PELV BONE FX and /DISLOC UNI/BIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIX POST PELV BONE FX and /DISLOC UNI/BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0413","description":"PERQ SKEL FIX POST PELV BONE FX and /DISLOC UNI/BIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25606","description":"PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25606","description":"PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24582","description":"PERQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24582","description":"PERQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24566","description":"PERQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24566","description":"PERQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24538","description":"PERQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24538","description":"PERQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28476","description":"PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28476","description":"PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION PST PELVIC BONE FX and /DIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27216","description":"PERQ SKELETAL FIXATION PST PELVIC BONE FX and /DIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION PST PELVIC BONE FX and /DIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27216","description":"PERQ SKELETAL FIXATION PST PELVIC BONE FX and /DIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25651","description":"PERQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25651","description":"PERQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXJ CALCANEAL FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28406","description":"PERQ SKELETAL FIXJ CALCANEAL FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXJ CALCANEAL FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28406","description":"PERQ SKELETAL FIXJ CALCANEAL FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25671","description":"PERQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25671","description":"PERQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92973","description":"PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92973","description":"PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PERSISTENT ASTHMA MILD MODERATE OR SEVERE ASTHMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1038F","description":"PERSISTENT ASTHMA MILD MODERATE OR SEVERE ASTHMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERSISTENT ASTHMA MILD MODERATE OR SEVERE ASTHMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1038F","description":"PERSISTENT ASTHMA MILD MODERATE OR SEVERE ASTHMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSAR RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4561","description":"PESSAR RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY NON RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4562","description":"PESSARY NON RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY REUSABLE NON RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4562","description":"PESSARY REUSABLE NON RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY REUSABLE NON RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4562","description":"PESSARY REUSABLE NON RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY REUSABLE RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4561","description":"PESSARY REUSABLE RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY REUSABLE RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4561","description":"PESSARY REUSABLE RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78815","description":"PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78815","description":"PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING CT FOR ATTENUATION LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78814","description":"PET IMAGING CT FOR ATTENUATION LIMITED AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING CT FOR ATTENUATION LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78814","description":"PET IMAGING CT FOR ATTENUATION LIMITED AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING FOR CT ATTENUATION WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78816","description":"PET IMAGING FOR CT ATTENUATION WHOLE BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING FOR CT ATTENUATION WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78816","description":"PET IMAGING FOR CT ATTENUATION WHOLE BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING LIMITED AREA CHEST HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78811","description":"PET IMAGING LIMITED AREA CHEST HEAD/NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING LIMITED AREA CHEST HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78811","description":"PET IMAGING LIMITED AREA CHEST HEAD/NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING SKULL BASE TO MID-THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78812","description":"PET IMAGING SKULL BASE TO MID-THIGH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING SKULL BASE TO MID-THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78812","description":"PET IMAGING SKULL BASE TO MID-THIGH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78813","description":"PET IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78813","description":"PET IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PETROUS APICECTOMY RADICAL MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69530","description":"PETROUS APICECTOMY RADICAL MASTOIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PETROUS APICECTOMY RADICAL MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69530","description":"PETROUS APICECTOMY RADICAL MASTOIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PH BODY FLUID NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83986","description":"PH BODY FLUID NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PH EXHALED BREATH CONDENSATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83987","description":"PH EXHALED BREATH CONDENSATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHALANGECTOMY TOE EACH TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28150","description":"PHALANGECTOMY TOE EACH TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHALANGECTOMY TOE EACH TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28150","description":"PHALANGECTOMY TOE EACH TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHARM DISPEN FEE INHAL RX; INITIAL 30-DAY SUPPLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0333","description":"PHARM DISPEN FEE INHAL RX; INITIAL 30-DAY SUPPLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHARM DISPEN FEE INHAL RX; INITIAL 30-DAY SUPPLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0333","description":"PHARM DISPEN FEE INHAL RX; INITIAL 30-DAY SUPPLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8635","description":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8635","description":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOLOGIC OSTEOPOROSIS THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4005F","description":"PHARMACOLOGIC OSTEOPOROSIS THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOLOGIC OSTEOPOROSIS THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4005F","description":"PHARMACOLOGIC OSTEOPOROSIS THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOLOGIC THERAP FOR OSTEOPOROSIS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8633","description":"PHARMACOLOGIC THERAP FOR OSTEOPOROSIS PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOLOGIC THERAP FOR OSTEOPOROSIS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8633","description":"PHARMACOLOGIC THERAP FOR OSTEOPOROSIS PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOESOPHAGEAL REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42953","description":"PHARYNGOESOPHAGEAL REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOESOPHAGEAL REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42953","description":"PHARYNGOESOPHAGEAL REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31390","description":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31390","description":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31395","description":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31395","description":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42950","description":"PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42950","description":"PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42955","description":"PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42955","description":"PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99195","description":"PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99195","description":"PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHATIDYLGLYCEROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84081","description":"PHOSPHATIDYLGLYCEROL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHOGLUCONATE 6-DEHYD RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84085","description":"PHOSPHOGLUCONATE 6-DEHYD RBC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHOLIPID NEUTRALIZATION HEXAGONAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85598","description":"PHOSPHOLIPID NEUTRALIZATION HEXAGONAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHOLIPID NEUTRALIZATION PLATELET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85597","description":"PHOSPHOLIPID NEUTRALIZATION PLATELET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOTO PATCH TEST SPECIFY NUMBER TSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95052","description":"PHOTO PATCH TEST SPECIFY NUMBER TSTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOTO PATCH TESTS SPECIFY NUMBER TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95052","description":"PHOTO PATCH TESTS SPECIFY NUMBER TESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOTO PATCH TESTS SPECIFY NUMBER TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95052","description":"PHOTO PATCH TESTS SPECIFY NUMBER TESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOTO TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95056","description":"PHOTO TESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOTO TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95056","description":"PHOTO TESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96913","description":"PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96913","description":"PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTX PSORALENS AND ULTRAVIOLET PUVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96912","description":"PHOTOCHEMOTX PSORALENS AND ULTRAVIOLET PUVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTX PSORALENS and ULTRAVIOLET A PUVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96912","description":"PHOTOCHEMOTX PSORALENS and ULTRAVIOLET A PUVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTX PSORALENS and ULTRAVIOLET A PUVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96912","description":"PHOTOCHEMOTX PSORALENS and ULTRAVIOLET A PUVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTX TAR and UVB/PETROLATUM/UVB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96910","description":"PHOTOCHEMOTX TAR and UVB/PETROLATUM/UVB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTX TAR and UVB/PETROLATUM/UVB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96910","description":"PHOTOCHEMOTX TAR and UVB/PETROLATUM/UVB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOPHERESIS EXTRACORPOREAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36522","description":"PHOTOPHERESIS EXTRACORPOREAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOPHERESIS EXTRACORPOREAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36522","description":"PHOTOPHERESIS EXTRACORPOREAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOTHERAPY LIGHT WITH PHOTOMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0202","description":"PHOTOTHERAPY LIGHT WITH PHOTOMETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOTHERAPY LIGHT WITH PHOTOMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0202","description":"PHOTOTHERAPY LIGHT WITH PHOTOMETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS CERT MCR-COVR HOM HLTH SRVC PER CERT PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0180","description":"PHYS CERT MCR-COVR HOM HLTH SRVC PER CERT PRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS EXAM ON DATE OF INIT VST FOR LBP DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2040F","description":"PHYS EXAM ON DATE OF INIT VST FOR LBP DONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS EXAM ON DATE OF INIT VST FOR LBP DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2040F","description":"PHYS EXAM ON DATE OF INIT VST FOR LBP DONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS RE-CERT MCR-COVR HOM HLTH SRVC RE-CERT PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0179","description":"PHYS RE-CERT MCR-COVR HOM HLTH SRVC RE-CERT PRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS REV INTEPR AND PT MGMT HOME INR MON; 1 A WEEK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0250","description":"PHYS REV INTEPR AND PT MGMT HOME INR MON; 1 A WEEK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS REV INTEPR AND PT MGMT HOME INR MON; 1 A WEEK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0250","description":"PHYS REV INTEPR AND PT MGMT HOME INR MON; 1 A WEEK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS SRVC RQR TO EST AND DOC NEED PWR MOBIL DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0372","description":"PHYS SRVC RQR TO EST AND DOC NEED PWR MOBIL DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS SRVC RQR TO EST AND DOC NEED PWR MOBIL DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0372","description":"PHYS SRVC RQR TO EST AND DOC NEED PWR MOBIL DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS SUPV PT RECV MCR-COVR SRVC HOM HLTH AGCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0181","description":"PHYS SUPV PT RECV MCR-COVR SRVC HOM HLTH AGCY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS SUPV PT UNDER MEDICARE-APPROVED HOSPICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0182","description":"PHYS SUPV PT UNDER MEDICARE-APPROVED HOSPICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS SUPV PT UNDER MEDICARE-APPROVED HOSPICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0182","description":"PHYS SUPV PT UNDER MEDICARE-APPROVED HOSPICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/ALLOWED PRAC CERT MCR-COV HHS UNDER HH POC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0180","description":"PHYS/ALLOWED PRAC CERT MCR-COV HHS UNDER HH POC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/ALLOWED PRAC CERT MCR-COV HHS UNDER HH POC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0180","description":"PHYS/ALLOWED PRAC CERT MCR-COV HHS UNDER HH POC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/ALLOWED PRAC RE-CERT MCR-COV HHS UND HH POC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0179","description":"PHYS/ALLOWED PRAC RE-CERT MCR-COV HHS UND HH POC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/ALLOWED PRAC RE-CERT MCR-COV HHS UND HH POC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0179","description":"PHYS/ALLOWED PRAC RE-CERT MCR-COV HHS UND HH POC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/ALW PRAC SUP PT RCV MCR-COV SVCS PROV P HHA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0181","description":"PHYS/ALW PRAC SUP PT RCV MCR-COV SVCS PROV P HHA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/ALW PRAC SUP PT RCV MCR-COV SVCS PROV P HHA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0181","description":"PHYS/ALW PRAC SUP PT RCV MCR-COV SVCS PROV P HHA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP ATTN and SUPVJ HYPRBARIC OXYGEN TX/SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99183","description":"PHYS/QHP ATTN and SUPVJ HYPRBARIC OXYGEN TX/SESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP ATTN and SUPVJ HYPRBARIC OXYGEN TX/SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99183","description":"PHYS/QHP ATTN and SUPVJ HYPRBARIC OXYGEN TX/SESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP O/P CARDIAC RHAB W/CONT ECG MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93798","description":"PHYS/QHP O/P CARDIAC RHAB W/CONT ECG MONITORING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP O/P CARDIAC RHAB W/CONT ECG MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93798","description":"PHYS/QHP O/P CARDIAC RHAB W/CONT ECG MONITORING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP O/P CARDIAC RHAB W/O CONT ECG MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93797","description":"PHYS/QHP O/P CARDIAC RHAB W/O CONT ECG MONITOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP O/P CARDIAC RHAB W/O CONT ECG MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93797","description":"PHYS/QHP O/P CARDIAC RHAB W/O CONT ECG MONITOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP R and I CPTR MTN ALYS WALK/FUNCJL ACTV REPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96004","description":"PHYS/QHP R and I CPTR MTN ALYS WALK/FUNCJL ACTV REPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP R and I CPTR MTN ALYS WALK/FUNCJL ACTV REPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96004","description":"PHYS/QHP R and I CPTR MTN ALYS WALK/FUNCJL ACTV REPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97750","description":"PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97750","description":"PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97163","description":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97163","description":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97161","description":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97161","description":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97162","description":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97162","description":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97164","description":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97164","description":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSIOL SUPPORT HARVEST ORGAN FROM BRAIN-DEAD PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01990","description":"PHYSIOL SUPPORT HARVEST ORGAN FROM BRAIN-DEAD PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSIOL SUPPORT HARVEST ORGAN FROM BRAIN-DEAD PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01990","description":"PHYSIOL SUPPORT HARVEST ORGAN FROM BRAIN-DEAD PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSIOLOGIC EXERCISE STUDY AND HEMODYNAMIC MEASU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93464","description":"PHYSIOLOGIC EXERCISE STUDY AND HEMODYNAMIC MEASU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSIOLOGIC EXERCISE STUDY AND HEMODYNAMIC MEASU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93464","description":"PHYSIOLOGIC EXERCISE STUDY AND HEMODYNAMIC MEASU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PILLW NASL CANNULA TYPE INTERFCE REPL ONLY PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7033","description":"PILLW NASL CANNULA TYPE INTERFCE REPL ONLY PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PILLW NASL CANNULA TYPE INTERFCE REPL ONLY PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7033","description":"PILLW NASL CANNULA TYPE INTERFCE REPL ONLY PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15050","description":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15050","description":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AREA 2CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15050","description":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AREA 2CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PINWORM EXAMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87172","description":"PINWORM EXAMINATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65778","description":"PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65778","description":"PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65779","description":"PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65779","description":"PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48000","description":"PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48000","description":"PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48001","description":"PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48001","description":"PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT ADJUSTABLE SUTURE STRABISMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67335","description":"PLACEMENT ADJUSTABLE SUTURE STRABISMUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT ADJUSTABLE SUTURE STRABISMUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67335","description":"PLACEMENT ADJUSTABLE SUTURE STRABISMUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT CHOLEDOCHAL STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47801","description":"PLACEMENT CHOLEDOCHAL STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT CHOLEDOCHAL STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47801","description":"PLACEMENT CHOLEDOCHAL STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44300","description":"PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44300","description":"PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49412","description":"PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49412","description":"PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41019","description":"PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41019","description":"PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE INTRAOSSEOUS INFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36680","description":"PLACEMENT NEEDLE INTRAOSSEOUS INFUSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE INTRAOSSEOUS INFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36680","description":"PLACEMENT NEEDLE INTRAOSSEOUS INFUSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20555","description":"PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20555","description":"PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT SETON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46020","description":"PLACEMENT SETON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT SETON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46020","description":"PLACEMENT SETON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLAN FOR FOLLOW-UP CARE FOR MDD DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0545F","description":"PLAN FOR FOLLOW-UP CARE FOR MDD DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN FOR FOLLOW-UP CARE FOR MDD DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0545F","description":"PLAN FOR FOLLOW-UP CARE FOR MDD DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO ACHIEVE LIPID CONTROL DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0556F","description":"PLAN OF CARE TO ACHIEVE LIPID CONTROL DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO ACHIEVE LIPID CONTROL DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0556F","description":"PLAN OF CARE TO ACHIEVE LIPID CONTROL DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO ADDRESS PAIN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0521F","description":"PLAN OF CARE TO ADDRESS PAIN DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO ADDRESS PAIN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0521F","description":"PLAN OF CARE TO ADDRESS PAIN DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO MANAGE ANGINAL SYMPTOMS DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0557F","description":"PLAN OF CARE TO MANAGE ANGINAL SYMPTOMS DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO MANAGE ANGINAL SYMPTOMS DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0557F","description":"PLAN OF CARE TO MANAGE ANGINAL SYMPTOMS DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN/CARE INCRSD HGB LVL DOCD PT ON ESA THXPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0514F","description":"PLAN/CARE INCRSD HGB LVL DOCD PT ON ESA THXPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN/CARE INCRSD HGB LVL DOCD PT ON ESA THXPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0514F","description":"PLAN/CARE INCRSD HGB LVL DOCD PT ON ESA THXPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLANNED CHEMO REGIMEN DOCD PRIOR START NEW TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0519F","description":"PLANNED CHEMO REGIMEN DOCD PRIOR START NEW TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLANNED CHEMO REGIMEN DOCD PRIOR START NEW TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0519F","description":"PLANNED CHEMO REGIMEN DOCD PRIOR START NEW TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA PATHOGEN REDUCED FROZEN EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9071","description":"PLASMA PATHOGEN REDUCED FROZEN EACH UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA PATHOGEN REDUCED FROZEN EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9071","description":"PLASMA PATHOGEN REDUCED FROZEN EACH UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA POOLED MX DONOR PATHOGEN RDUC FROZEN EA U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9070","description":"PLASMA POOLED MX DONOR PATHOGEN RDUC FROZEN EA U","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA POOLED MX DONOR PATHOGEN RDUC FROZEN EA U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9070","description":"PLASMA POOLED MX DONOR PATHOGEN RDUC FROZEN EA U","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78111","description":"PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78111","description":"PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78110","description":"PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78110","description":"PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR CANALICULI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68700","description":"PLASTIC REPAIR CANALICULI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR CANALICULI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68700","description":"PLASTIC REPAIR CANALICULI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR INTROITUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56800","description":"PLASTIC REPAIR INTROITUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR INTROITUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56800","description":"PLASTIC REPAIR INTROITUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR URETHROCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57230","description":"PLASTIC REPAIR URETHROCELE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR URETHROCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57230","description":"PLASTIC REPAIR URETHROCELE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57220","description":"PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57220","description":"PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLATELET SURVIVAL STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78191","description":"PLATELET SURVIVAL STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLATELET SURVIVAL STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78191","description":"PLATELET SURVIVAL STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLATELTS PHERESIS PATHOGN RDUC RPD BACT TST EA U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9072","description":"PLATELTS PHERESIS PATHOGN RDUC RPD BACT TST EA U","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLATFORM ATTACHMENT FOREARM CRUTCH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0153","description":"PLATFORM ATTACHMENT FOREARM CRUTCH EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLATFORM ATTACHMENT WALKER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0154","description":"PLATFORM ATTACHMENT WALKER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLATFORMS HOME BLOOD GLUCOSE MONITOR 50 PER BOX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4255","description":"PLATFORMS HOME BLOOD GLUCOSE MONITOR 50 PER BOX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLATFORMS HOME BLOOD GLUCOSE MONITOR 50 PER BOX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4255","description":"PLATFORMS HOME BLOOD GLUCOSE MONITOR 50 PER BOX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33982","description":"PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33982","description":"PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLETHYSMOGRAPHY LUNG VOLUMES and AIRWAY RESISTANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94726","description":"PLETHYSMOGRAPHY LUNG VOLUMES and AIRWAY RESISTANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLETHYSMOGRAPHY LUNG VOLUMES and AIRWAY RESISTANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94726","description":"PLETHYSMOGRAPHY LUNG VOLUMES and AIRWAY RESISTANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94726","description":"PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32215","description":"PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32215","description":"PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLEURECTOMY PARIETAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32310","description":"PLEURECTOMY PARIETAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLEURECTOMY PARIETAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32310","description":"PLEURECTOMY PARIETAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT DSTL XTN PROSTH DLYD AFTER EVASC RPR DTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33886","description":"PLMT DSTL XTN PROSTH DLYD AFTER EVASC RPR DTA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19297","description":"PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19297","description":"PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19296","description":"PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19296","description":"PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34813","description":"PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34813","description":"PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50432","description":"PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50432","description":"PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32553","description":"PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32553","description":"PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT PROX XTN PROSTH EVASC RPR DTA 1ST XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33883","description":"PLMT PROX XTN PROSTH EVASC RPR DTA 1ST XTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19298","description":"PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19298","description":"PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10035","description":"PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10035","description":"PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50693","description":"PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50693","description":"PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35685","description":"PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35685","description":"PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40702","description":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40702","description":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40701","description":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40701","description":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40700","description":"PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40700","description":"PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT and RECL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40720","description":"PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT and RECL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT and RECL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40720","description":"PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT and RECL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40761","description":"PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40761","description":"PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42500","description":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42500","description":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42505","description":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42505","description":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48146","description":"PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48146","description":"PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48140","description":"PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48140","description":"PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48145","description":"PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48145","description":"PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48154","description":"PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48154","description":"PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48150","description":"PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48150","description":"PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT W/PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48153","description":"PNCRTECT W/PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT W/PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48153","description":"PNCRTECT W/PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48152","description":"PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48152","description":"PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMAT COMPRS DEVC HI PRSS RAPID INFLATION/DEFL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0675","description":"PNEUMAT COMPRS DEVC HI PRSS RAPID INFLATION/DEFL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMAT COMPRS DEVC HI PRSS RAPID INFLATION/DEFL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0675","description":"PNEUMAT COMPRS DEVC HI PRSS RAPID INFLATION/DEFL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMAT COMPRS SEG HOM MDL NO CALBRTD GRDNT PRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0651","description":"PNEUMAT COMPRS SEG HOM MDL NO CALBRTD GRDNT PRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMAT COMPRS SEG HOM MDL W/CALBRTD GRADNT PRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0652","description":"PNEUMAT COMPRS SEG HOM MDL W/CALBRTD GRADNT PRSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMATIC COMPRESSOR NONSEGMENTAL HOME MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0650","description":"PNEUMATIC COMPRESSOR NONSEGMENTAL HOME MODEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMATIC FULL LEG SPLINT PREFAB OFF THE SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4370","description":"PNEUMATIC FULL LEG SPLINT PREFAB OFF THE SHELF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL SCR PERFORM DOC VACC RECV PRIOR D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9279","description":"PNEUMOCOCCAL SCR PERFORM DOC VACC RECV PRIOR D/C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL SCR PERFORM DOC VACC RECV PRIOR D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9279","description":"PNEUMOCOCCAL SCR PERFORM DOC VACC RECV PRIOR D/C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VAC NOT ADM/PREV RECV RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8867","description":"PNEUMOCOCCAL VAC NOT ADM/PREV RECV RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VAC NOT ADM/PREV RECV RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8867","description":"PNEUMOCOCCAL VAC NOT ADM/PREV RECV RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACC NOT ADM PRIOR D/C RSN NOT SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9280","description":"PNEUMOCOCCAL VACC NOT ADM PRIOR D/C RSN NOT SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACC NOT ADM PRIOR D/C RSN NOT SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9280","description":"PNEUMOCOCCAL VACC NOT ADM PRIOR D/C RSN NOT SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACCINE ADMIN OR PREVIOUSLY RECEIVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8864","description":"PNEUMOCOCCAL VACCINE ADMIN OR PREVIOUSLY RECEIVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACCINE ADMIN OR PREVIOUSLY RECEIVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8864","description":"PNEUMOCOCCAL VACCINE ADMIN OR PREVIOUSLY RECEIVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACCINE ADMIN RCVD PRIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4040F","description":"PNEUMOCOCCAL VACCINE ADMIN RCVD PRIOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACCINE ADMIN RCVD PRIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4040F","description":"PNEUMOCOCCAL VACCINE ADMIN RCVD PRIOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCUS IMMUNIZATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1022F","description":"PNEUMOCOCCUS IMMUNIZATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCUS IMMUNIZATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1022F","description":"PNEUMOCOCCUS IMMUNIZATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCYS JIROVECI PNEUMO PRPHYLXS PRSCRBD 3 MON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4280F","description":"PNEUMOCYS JIROVECI PNEUMO PRPHYLXS PRSCRBD 3 MON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCYS JIROVECI PNEUMO PRPHYLXS PRSCRBD 3 MON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4280F","description":"PNEUMOCYS JIROVECI PNEUMO PRPHYLXS PRSCRBD 3 MON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCYSTIS JIROVECI PNEUMONIA PROPHYLAXIS RXD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4279F","description":"PNEUMOCYSTIS JIROVECI PNEUMONIA PROPHYLAXIS RXD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCYSTIS JIROVECI PNEUMONIA PROPHYLAXIS RXD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4279F","description":"PNEUMOCYSTIS JIROVECI PNEUMONIA PROPHYLAXIS RXD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32940","description":"PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32940","description":"PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32200","description":"PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32200","description":"PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32960","description":"PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32960","description":"PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POLIOVIRUS VACCINE INACTIVATED SUBQ/IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90713","description":"POLIOVIRUS VACCINE INACTIVATED SUBQ/IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POLIOVIRUS VACCINE INACTIVATED SUBQ/IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90713","description":"POLIOVIRUS VACCINE INACTIVATED SUBQ/IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POLLICIZATION DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26550","description":"POLLICIZATION DIGIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POLLICIZATION DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26550","description":"POLLICIZATION DIGIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM 6 OR GT YRS SLEEP 4 OR GT ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95810","description":"POLYSOM 6 OR GT YRS SLEEP 4 OR GT ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM 6 OR GT YRS SLEEP 4 OR GT ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95810","description":"POLYSOM 6 OR GT YRS SLEEP 4 OR GT ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM 6 OR GT YRS SLEEP W/CPAP 4 OR GT ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95811","description":"POLYSOM 6 OR GT YRS SLEEP W/CPAP 4 OR GT ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM 6 OR GT YRS SLEEP W/CPAP 4 OR GT ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95811","description":"POLYSOM 6 OR GT YRS SLEEP W/CPAP 4 OR GT ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95808","description":"POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95808","description":"POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PORPHOBILINOGEN URINE QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84106","description":"PORPHOBILINOGEN URINE QUALITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PORPHYRINS FECES QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84126","description":"PORPHYRINS FECES QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PORPHYRINS URINE QUALITATAIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84119","description":"PORPHYRINS URINE QUALITATAIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PORPHYRINS URINE QUANTITATION AND FRACTIONATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84120","description":"PORPHYRINS URINE QUANTITATION AND FRACTIONATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PORTABL LIQUID OXYGEN SYS RENTAL; HOME LIQUEFIER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0433","description":"PORTABL LIQUID OXYGEN SYS RENTAL; HOME LIQUEFIER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PORTABL LIQUID OXYGEN SYS RENTAL; HOME LIQUEFIER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0433","description":"PORTABL LIQUID OXYGEN SYS RENTAL; HOME LIQUEFIER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PORTABLE GASEOUS O2 SYS RENTAL; HOME COMPRESSOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0738","description":"PORTABLE GASEOUS O2 SYS RENTAL; HOME COMPRESSOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PORTABLE GASEOUS O2 SYS RENTAL; HOME COMPRESSOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0738","description":"PORTABLE GASEOUS O2 SYS RENTAL; HOME COMPRESSOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PORTABLE O2 CONTENTS GASEOUS 1 MO SUPPLY Equal to 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0443","description":"PORTABLE O2 CONTENTS GASEOUS 1 MO SUPPLY Equal to 1 UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PORTABLE O2 CONTENTS LIQUID 1 MO SUPPLY Equal to 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0444","description":"PORTABLE O2 CONTENTS LIQUID 1 MO SUPPLY Equal to 1 UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PORTABLE OXYGEN CONCENTRATOR RENTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1392","description":"PORTABLE OXYGEN CONCENTRATOR RENTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PORTOENETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47701","description":"PORTOENETEROSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PORTOENETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47701","description":"PORTOENETEROSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONAL NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92542","description":"POSITIONAL NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONAL NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92542","description":"POSITIONAL NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE AIRWAY PRESS TX NOT PRSC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8850","description":"POSITIVE AIRWAY PRESS TX NOT PRSC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE AIRWAY PRESS TX NOT PRSC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8850","description":"POSITIVE AIRWAY PRESS TX NOT PRSC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8845","description":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8845","description":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE MACROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3062F","description":"POSITIVE MACROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE MACROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3062F","description":"POSITIVE MACROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE MICROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3060F","description":"POSITIVE MICROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE MICROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3060F","description":"POSITIVE MICROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57250","description":"POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57250","description":"POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64566","description":"POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64566","description":"POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POST-CATARACT LASER SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66821","description":"POST-CATARACT LASER SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POST-CATARACT LASER SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66821","description":"POST-CATARACT LASER SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POST-D/C PULM SURG AFTER LVRS MINI 6 DAYS SRVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0305","description":"POST-D/C PULM SURG AFTER LVRS MINI 6 DAYS SRVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POST-D/C PULM SURG AFTER LVRS MINI 6 DAYS SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0305","description":"POST-D/C PULM SURG AFTER LVRS MINI 6 DAYS SRVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POST-PARTUM SCREEN EVAL EDUCATION NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9358","description":"POST-PARTUM SCREEN EVAL EDUCATION NOT PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST-PARTUM SCREEN EVAL EDUCATION NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9358","description":"POST-PARTUM SCREEN EVAL EDUCATION NOT PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST-PARTUM SCREENINGS EVAL EDUCATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9357","description":"POST-PARTUM SCREENINGS EVAL EDUCATION PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST-PARTUM SCREENINGS EVAL EDUCATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9357","description":"POST-PARTUM SCREENINGS EVAL EDUCATION PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR CHAMBER INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2632","description":"POSTERIOR CHAMBER INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR CHAMBER INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2632","description":"POSTERIOR CHAMBER INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR NON-SEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22840","description":"POSTERIOR NON-SEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR NON-SEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22840","description":"POSTERIOR NON-SEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 13 OR GT VRT SE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22844","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 13 OR GT VRT SE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 13 OR GT VRT SE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22844","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 13 OR GT VRT SE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22842","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22842","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22843","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22843","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTPARTUM CARE ONLY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59430","description":"POSTPARTUM CARE ONLY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTPARTUM CARE ONLY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59430","description":"POSTPARTUM CARE ONLY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTPARTUM CARE VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0503F","description":"POSTPARTUM CARE VISIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTPARTUM CARE VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0503F","description":"POSTPARTUM CARE VISIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTURAL DRAINAGE BOARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0606","description":"POSTURAL DRAINAGE BOARD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTURAL DRAINAGE BOARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0606","description":"POSTURAL DRAINAGE BOARD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POTASSIUM SERUM PLASMA/WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84132","description":"POTASSIUM SERUM PLASMA/WHOLE BLOOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POTASSIUM URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84133","description":"POTASSIUM URINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POTENT ANTIRETROVIRAL THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4276F","description":"POTENT ANTIRETROVIRAL THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POTENT ANTIRETROVIRAL THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4276F","description":"POTENT ANTIRETROVIRAL THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER ADAPTER ELECTRIC/PNEUMAT VAD VEHICLE TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0478","description":"POWER ADAPTER ELECTRIC/PNEUMAT VAD VEHICLE TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER ADAPTER ELECTRIC/PNEUMAT VAD VEHICLE TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0478","description":"POWER ADAPTER ELECTRIC/PNEUMAT VAD VEHICLE TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER ADAPTER FOR PNEUMAT VAD REPL ONLY VEH TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0504","description":"POWER ADAPTER FOR PNEUMAT VAD REPL ONLY VEH TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER ADAPTER FOR PNEUMAT VAD REPL ONLY VEH TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0504","description":"POWER ADAPTER FOR PNEUMAT VAD REPL ONLY VEH TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER MODULE ELECTRIC/PNEUMATIC VAD REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0479","description":"POWER MODULE ELECTRIC/PNEUMATIC VAD REPLACE ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER MODULE ELECTRIC/PNEUMATIC VAD REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0479","description":"POWER MODULE ELECTRIC/PNEUMATIC VAD REPLACE ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER PACK BASE FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0489","description":"POWER PACK BASE FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER PACK BASE FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0489","description":"POWER PACK BASE FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2312","description":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2312","description":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2313","description":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2313","description":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS NONSTAND SEAT FRAME WD 20-23 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2340","description":"POWER WC ACCESS NONSTAND SEAT FRAME WD 20-23 IN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACSS GRP 27 SEALED LEAD ACID BATTERY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2371","description":"POWER WC ACSS GRP 27 SEALED LEAD ACID BATTERY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACSS GRP 27 SEALED LEAD ACID BATTERY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2371","description":"POWER WC ACSS GRP 27 SEALED LEAD ACID BATTERY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2369","description":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2369","description":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2368","description":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2368","description":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2378","description":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2378","description":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHLCHAIR ACCESSORY LITHIUM-BASED BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2397","description":"POWER WHLCHAIR ACCESSORY LITHIUM-BASED BATTRY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHLCHAIR ACSS CHIN CUP CHIN CNTRL INTERFCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2324","description":"POWER WHLCHAIR ACSS CHIN CUP CHIN CNTRL INTERFCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWERED AIR FLOTATION BED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0193","description":"POWERED AIR FLOTATION BED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWERED PRESSURE-REDUCING AIR MATTRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0277","description":"POWERED PRESSURE-REDUCING AIR MATTRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"POWERED PRESSURE-REDUCING AIR MATTRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0277","description":"POWERED PRESSURE-REDUCING AIR MATTRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90732","description":"PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90732","description":"PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45112","description":"PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45112","description":"PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45119","description":"PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45119","description":"PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45110","description":"PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45110","description":"PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL W/PULL-THRU PX and ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45120","description":"PRCTECT COMPL W/PULL-THRU PX and ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL W/PULL-THRU PX and ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45120","description":"PRCTECT COMPL W/PULL-THRU PX and ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45121","description":"PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45121","description":"PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL RESCJ RECTUM TABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45111","description":"PRCTECT PRTL RESCJ RECTUM TABDL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL RESCJ RECTUM TABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45111","description":"PRCTECT PRTL RESCJ RECTUM TABDL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/ANAST ABDL and TRANSSAC APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45114","description":"PRCTECT PRTL W/ANAST ABDL and TRANSSAC APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/ANAST ABDL and TRANSSAC APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45114","description":"PRCTECT PRTL W/ANAST ABDL and TRANSSAC APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45116","description":"PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45116","description":"PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45113","description":"PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45113","description":"PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/O ANAST PRNL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45123","description":"PRCTECT PRTL W/O ANAST PRNL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/O ANAST PRNL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45123","description":"PRCTECT PRTL W/O ANAST PRNL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRE-OP PULM SURG PREP LVRS 1-9 DA SRVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0304","description":"PRE-OP PULM SURG PREP LVRS 1-9 DA SRVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRE-OP PULM SURG PREP LVRS 1-9 DA SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0304","description":"PRE-OP PULM SURG PREP LVRS 1-9 DA SRVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRE-OP PULM SURG SRVC PREP LVRS 10-15 DA SRVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0303","description":"PRE-OP PULM SURG SRVC PREP LVRS 10-15 DA SRVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRE-OP PULM SURG SRVC PREP LVRS 10-15 DA SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0303","description":"PRE-OP PULM SURG SRVC PREP LVRS 10-15 DA SRVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRE-OP PULM SURG SRVC PREP LVRS CMPL COURSE SRVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0302","description":"PRE-OP PULM SURG SRVC PREP LVRS CMPL COURSE SRVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRE-OP PULM SURG SRVC PREP LVRS CMPL COURSE SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0302","description":"PRE-OP PULM SURG SRVC PREP LVRS CMPL COURSE SRVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRE-PRX RISK ASSESS DEPTH AND QUAL BOWEL PREP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3018F","description":"PRE-PRX RISK ASSESS DEPTH AND QUAL BOWEL PREP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRE-PRX RISK ASSESS DEPTH AND QUAL BOWEL PREP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3018F","description":"PRE-PRX RISK ASSESS DEPTH AND QUAL BOWEL PREP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREALBUMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84134","description":"PREALBUMIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREDNISOLONE ORAL PER 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7510","description":"PREDNISOLONE ORAL PER 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREGNANCY-ASSOCIATED PLASMA PROTEIN-A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84163","description":"PREGNANCY-ASSOCIATED PLASMA PROTEIN-A","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREGNANEDIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84135","description":"PREGNANEDIOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREGNANETRIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84138","description":"PREGNANETRIOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREGNENOLONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84140","description":"PREGNENOLONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREHENSILE ACTUATOR SWITCH CONTROLLED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7040","description":"PREHENSILE ACTUATOR SWITCH CONTROLLED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREHTN/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8952","description":"PREHTN/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREHTN/HTN BP READING DOC and INDICATED F/U DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8950","description":"PREHTN/HTN BP READING DOC and INDICATED F/U DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL FLOW SHEET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0501F","description":"PRENATAL FLOW SHEET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL FLOW SHEET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0501F","description":"PRENATAL FLOW SHEET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREOP ASSES 12 MOS PRIOR CATARACT SURG W/IO LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3325F","description":"PREOP ASSES 12 MOS PRIOR CATARACT SURG W/IO LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREOP ASSES 12 MOS PRIOR CATARACT SURG W/IO LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3325F","description":"PREOP ASSES 12 MOS PRIOR CATARACT SURG W/IO LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK DISARTIC NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5580","description":"PREP AK DISARTIC NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISARTC NON-ALIGN PRFAB ADJ OPN END SCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5585","description":"PREP AK-DISARTC NON-ALIGN PRFAB ADJ OPN END SCKT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISARTIC NON-ALIGN LAMINATED SOCKET MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5590","description":"PREP AK-DISARTIC NON-ALIGN LAMINATED SOCKET MOLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISRTC ISCH LEVL PLASTER SOCKET MOLD MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5560","description":"PREP AK-DISRTC ISCH LEVL PLASTER SOCKET MOLD MDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISRTC ISCH LEVL THERMOPLSTC/ Equal to DIR FORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5570","description":"PREP AK-DISRTC ISCH LEVL THERMOPLSTC/ Equal to DIR FORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP BELOW KNEE PTB NON-ALIGN PRFAB ADJ OPEN END","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5535","description":"PREP BELOW KNEE PTB NON-ALIGN PRFAB ADJ OPEN END","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP BELOW KNEE PTB SOCKET NON-ALIGN MOLD MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5510","description":"PREP BELOW KNEE PTB SOCKET NON-ALIGN MOLD MODEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP BK PTB SCKT NON-ALIGN LAMNATD SCKT MOLD MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5540","description":"PREP BK PTB SCKT NON-ALIGN LAMNATD SCKT MOLD MDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to DIR FORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5520","description":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to DIR FORM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5530","description":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP ELB DISRTC/ABVE ELB 1 WALL PLSTC SOCKT MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6584","description":"PREP ELB DISRTC/ABVE ELB 1 WALL PLSTC SOCKT MOLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP ELB DISRTC/ABVE ELB 1 WALL SOCKT DIR FORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6586","description":"PREP ELB DISRTC/ABVE ELB 1 WALL SOCKT DIR FORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP HIP DISARTIC-HEMIPELVECT LAMINATD SCKT MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5600","description":"PREP HIP DISARTIC-HEMIPELVECT LAMINATD SCKT MOLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP HIP DISARTIC-HEMIPELVECT THERMOPLSTC/ Equal to MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5595","description":"PREP HIP DISARTIC-HEMIPELVECT THERMOPLSTC/ Equal to MOLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP SHLDR DISRTC THOR 1 WALL PLSTC SCKT MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6588","description":"PREP SHLDR DISRTC THOR 1 WALL PLSTC SCKT MOLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP SHLDR DISRTC THOR 1 WALL SOCKET DIR FORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6590","description":"PREP SHLDR DISRTC THOR 1 WALL SOCKET DIR FORM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15004","description":"PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15004","description":"PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15005","description":"PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15005","description":"PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15002","description":"PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15002","description":"PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15003","description":"PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15003","description":"PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP WRST DISRTC/BELW ELB 1 WALL PLSTC SCKT MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6580","description":"PREP WRST DISRTC/BELW ELB 1 WALL PLSTC SCKT MOLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP WRST DISRTC/BELW ELB 1 WALL SCKT DIR FORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6582","description":"PREP WRST DISRTC/BELW ELB 1 WALL SCKT DIR FORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPARATION MOULAGE CUSTOM BREAST IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19396","description":"PREPARATION MOULAGE CUSTOM BREAST IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPARATION MOULAGE CUSTOM BREAST IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19396","description":"PREPARATION MOULAGE CUSTOM BREAST IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95145","description":"PREPJ AND ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95145","description":"PREPJ AND ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95147","description":"PREPJ AND ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95147","description":"PREPJ AND ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95148","description":"PREPJ AND ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95148","description":"PREPJ AND ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95149","description":"PREPJ AND ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95149","description":"PREPJ AND ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95170","description":"PREPJ AND ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95170","description":"PREPJ AND ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95144","description":"PREPJ AND ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95144","description":"PREPJ AND ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ and ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95165","description":"PREPJ and ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ and ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95165","description":"PREPJ and ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRESBYOPIA CORRECTION FUNCTION INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2788","description":"PRESBYOPIA CORRECTION FUNCTION INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRESBYOPIA CORRECTION FUNCTION INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2788","description":"PRESBYOPIA CORRECTION FUNCTION INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIB ANTIBIOTIC ON/W IN 3DAY AFT EPISOD DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8711","description":"PRESCRIB ANTIBIOTIC ON/W IN 3DAY AFT EPISOD DATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIB ANTIBIOTIC ON/W IN 3DAY AFT EPISOD DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8711","description":"PRESCRIB ANTIBIOTIC ON/W IN 3DAY AFT EPISOD DATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIBED OR DISPENSED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8711","description":"PRESCRIBED OR DISPENSED ANTIBIOTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTION DRUG ORAL CHEMOTHERAPEUTIC NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8999","description":"PRESCRIPTION DRUG ORAL CHEMOTHERAPEUTIC NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTION DRUG ORAL CHEMOTHERAPEUTIC NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8999","description":"PRESCRIPTION DRUG ORAL CHEMOTHERAPEUTIC NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRESENCE/ABSENCE URINARY INCONTINENCE ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1090F","description":"PRESENCE/ABSENCE URINARY INCONTINENCE ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESENCE/ABSENCE URINARY INCONTINENCE ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1090F","description":"PRESENCE/ABSENCE URINARY INCONTINENCE ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94640","description":"PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94640","description":"PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PREV DX OR HV DX CLINICAL ASCVD INCL ASCVD PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9662","description":"PREV DX OR HV DX CLINICAL ASCVD INCL ASCVD PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV DX OR HV DX CLINICAL ASCVD INCL ASCVD PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9662","description":"PREV DX OR HV DX CLINICAL ASCVD INCL ASCVD PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVIOUS CARDIAC REHAB FOR QUAL CARD EVENT DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4510F","description":"PREVIOUS CARDIAC REHAB FOR QUAL CARD EVENT DONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVIOUS CARDIAC REHAB FOR QUAL CARD EVENT DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4510F","description":"PREVIOUS CARDIAC REHAB FOR QUAL CARD EVENT DONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVIOUSLY DIAGNOSED/HAVE ACTIVE DX CLIN ASCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9662","description":"PREVIOUSLY DIAGNOSED/HAVE ACTIVE DX CLIN ASCVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93279","description":"PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93279","description":"PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93285","description":"PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93285","description":"PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93284","description":"PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93284","description":"PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93283","description":"PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93283","description":"PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93282","description":"PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93282","description":"PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33031","description":"PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33031","description":"PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33030","description":"PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33030","description":"PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRIM LUNG CARCINOMA RESC DOES NOT DOC PT CATG PN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9425","description":"PRIM LUNG CARCINOMA RESC DOES NOT DOC PT CATG PN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM LUNG CARCINOMA RESC DOES NOT DOC PT CATG PN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9425","description":"PRIM LUNG CARCINOMA RESC DOES NOT DOC PT CATG PN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM LUNG CARCINOMA RESC RPT DOC PT CAT PN CATG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9422","description":"PRIM LUNG CARCINOMA RESC RPT DOC PT CAT PN CATG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM LUNG CARCINOMA RESC RPT DOC PT CAT PN CATG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9422","description":"PRIM LUNG CARCINOMA RESC RPT DOC PT CAT PN CATG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM NSCLC BX AND CY S NO DOC CLASS NSCLC-NOS EXPLAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9421","description":"PRIM NSCLC BX AND CY S NO DOC CLASS NSCLC-NOS EXPLAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM NSCLC BX AND CY S NO DOC CLASS NSCLC-NOS EXPLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9421","description":"PRIM NSCLC BX AND CY S NO DOC CLASS NSCLC-NOS EXPLAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM NSCLC BX AND CY SPEC DOC CLASS NSCLC-NOS EXPLAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9418","description":"PRIM NSCLC BX AND CY SPEC DOC CLASS NSCLC-NOS EXPLAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM NSCLC LUNG BX and CY SPEC RP CLAS NSCLC-NOS EXP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9418","description":"PRIM NSCLC LUNG BX and CY SPEC RP CLAS NSCLC-NOS EXP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM NSCLC LUNG BX and CY SPEC RP CLAS NSCLC-NOS EXP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9418","description":"PRIM NSCLC LUNG BX and CY SPEC RP CLAS NSCLC-NOS EXP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37184","description":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37184","description":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37185","description":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37185","description":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRIOR THYROID DISEASE DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9553","description":"PRIOR THYROID DISEASE DIAGNOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIOR THYROID DISEASE DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9553","description":"PRIOR THYROID DISEASE DIAGNOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROBE LACRIMAL CANALICULI W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68840","description":"PROBE LACRIMAL CANALICULI W/WO IRRIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE LACRIMAL CANALICULI W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68840","description":"PROBE LACRIMAL CANALICULI W/WO IRRIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68815","description":"PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68815","description":"PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68811","description":"PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68811","description":"PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68810","description":"PROBE NASOLACRIMAL DUCT W/WO IRRIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68810","description":"PROBE NASOLACRIMAL DUCT W/WO IRRIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68816","description":"PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68816","description":"PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCALCITONIN (PCT)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84145","description":"PROCALCITONIN (PCT)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCESSING PRES AND TRANSPORTING CORNEAL TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2785","description":"PROCESSING PRES AND TRANSPORTING CORNEAL TISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCESSING PRES AND TRANSPORTING CORNEAL TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2785","description":"PROCESSING PRES AND TRANSPORTING CORNEAL TISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45540","description":"PROCTOPEXY ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45540","description":"PROCTOPEXY ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY PERINEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45541","description":"PROCTOPEXY PERINEAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY PERINEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45541","description":"PROCTOPEXY PERINEAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY W/SIGMOID RESCJ ABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45550","description":"PROCTOPEXY W/SIGMOID RESCJ ABDL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY W/SIGMOID RESCJ ABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45550","description":"PROCTOPEXY W/SIGMOID RESCJ ABDL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45505","description":"PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45505","description":"PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPLASTY STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45500","description":"PROCTOPLASTY STENOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPLASTY STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45500","description":"PROCTOPLASTY STENOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45300","description":"PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45300","description":"PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID ABLATION LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45320","description":"PROCTOSGMDSC RIGID ABLATION LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID ABLATION LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45320","description":"PROCTOSGMDSC RIGID ABLATION LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45317","description":"PROCTOSGMDSC RIGID CONTROL BLEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45317","description":"PROCTOSGMDSC RIGID CONTROL BLEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID DCMPRN VOLVULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45321","description":"PROCTOSGMDSC RIGID DCMPRN VOLVULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID DCMPRN VOLVULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45321","description":"PROCTOSGMDSC RIGID DCMPRN VOLVULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45308","description":"PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45308","description":"PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45309","description":"PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45309","description":"PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45315","description":"PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45315","description":"PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID TNDSC STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45327","description":"PROCTOSGMDSC RIGID TNDSC STENT PLMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID TNDSC STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45327","description":"PROCTOSGMDSC RIGID TNDSC STENT PLMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45305","description":"PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45305","description":"PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45303","description":"PROCTOSGMDSC RIGID W/DILATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45303","description":"PROCTOSGMDSC RIGID W/DILATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45307","description":"PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45307","description":"PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95115","description":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95115","description":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95117","description":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95117","description":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93280","description":"PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93280","description":"PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93281","description":"PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93281","description":"PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8570","description":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8570","description":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED POSTOPERATIVE INTUBATION REQUIRED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8569","description":"PROLONGED POSTOPERATIVE INTUBATION REQUIRED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED POSTOPERATIVE INTUBATION REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8569","description":"PROLONGED POSTOPERATIVE INTUBATION REQUIRED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RETINAL DTCHMNT W/O DRG CRTX DIATHERMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67141","description":"PROPH RETINAL DTCHMNT W/O DRG CRTX DIATHERMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RETINAL DTCHMNT W/O DRG CRTX DIATHERMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67141","description":"PROPH RETINAL DTCHMNT W/O DRG CRTX DIATHERMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAGULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67145","description":"PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAGULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAGULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67145","description":"PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAGULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RTA DTCHMNT W/O DRG 1 OR GT SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67145","description":"PROPH RTA DTCHMNT W/O DRG 1 OR GT SESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RTA DTCHMNT W/O DRG 1 OR GT SESS CRTX DTHRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67141","description":"PROPH RTA DTCHMNT W/O DRG 1 OR GT SESS CRTX DTHRM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLACRYLATE RADIUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25490","description":"PROPH TX N/P/PLTWR W/WO METHYLACRYLATE RADIUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMECRYLATE RAD and UL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25492","description":"PROPH TX N/P/PLTWR W/WO METHYLMECRYLATE RAD and UL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27495","description":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27495","description":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27745","description":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27745","description":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25491","description":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO MMA FEM NCK and PROX FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27187","description":"PROPH TX N/P/PLTWR W/WO MMA FEM NCK and PROX FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO MMA FEM NCK and PROX FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27187","description":"PROPH TX N/P/PLTWR W/WO MMA FEM NCK and PROX FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23490","description":"PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23490","description":"PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24498","description":"PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24498","description":"PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23491","description":"PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23491","description":"PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25490","description":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25490","description":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25492","description":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS and ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25492","description":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS and ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25491","description":"PROPH TX W/WO METHYLMETHACRYLATE ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25491","description":"PROPH TX W/WO METHYLMETHACRYLATE ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROS CANCER SCREENING; DIGTL RECTAL EXAMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0102","description":"PROS CANCER SCREENING; DIGTL RECTAL EXAMINATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROS CANCER SCREENING; DIGTL RECTAL EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0102","description":"PROS CANCER SCREENING; DIGTL RECTAL EXAMINATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROST CANCER RSK RECUR NOT DETER/LOW/INTERMED/HI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3274F","description":"PROST CANCER RSK RECUR NOT DETER/LOW/INTERMED/HI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROST CANCER RSK RECUR NOT DETER/LOW/INTERMED/HI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3274F","description":"PROST CANCER RSK RECUR NOT DETER/LOW/INTERMED/HI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATE CANCER SCREENING; PSA TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0103","description":"PROSTATE CANCER SCREENING; PSA TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATE CANCER SCREENING; PSA TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0103","description":"PROSTATE CANCER SCREENING; PSA TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTH SHEATH/SOCK W/GEL CUSHION LAY BK/AK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8417","description":"PROSTH SHEATH/SOCK W/GEL CUSHION LAY BK/AK EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24160","description":"PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24160","description":"PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24164","description":"PROSTHESIS REMOVAL RADIAL HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24164","description":"PROSTHESIS REMOVAL RADIAL HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH ABOVE KNEE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8410","description":"PROSTHETIC SHEATH ABOVE KNEE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH BELOW KNEE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8400","description":"PROSTHETIC SHEATH BELOW KNEE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH UPPER LIMB EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8415","description":"PROSTHETIC SHEATH UPPER LIMB EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHRINKER ABOVE KNEE AK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8460","description":"PROSTHETIC SHRINKER ABOVE KNEE AK EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHRINKER BELOW KNEE BK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8440","description":"PROSTHETIC SHRINKER BELOW KNEE BK EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHRINKER UPPER LIMB EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8465","description":"PROSTHETIC SHRINKER UPPER LIMB EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK MULTIPLE PLY ABOVE KNEE AK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8430","description":"PROSTHETIC SOCK MULTIPLE PLY ABOVE KNEE AK EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK MULTIPLE PLY BELOW KNEE BK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8420","description":"PROSTHETIC SOCK MULTIPLE PLY BELOW KNEE BK EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK MULTIPLE PLY UPPER LIMB EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8435","description":"PROSTHETIC SOCK MULTIPLE PLY UPPER LIMB EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK SINGLE PLY FITTING ABOVE KNEE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8480","description":"PROSTHETIC SOCK SINGLE PLY FITTING ABOVE KNEE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK SINGLE PLY FITTING BELOW KNEE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8470","description":"PROSTHETIC SOCK SINGLE PLY FITTING BELOW KNEE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK SINGLE PLY FITTING UPPER LIMB EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8485","description":"PROSTHETIC SOCK SINGLE PLY FITTING UPPER LIMB EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97761","description":"PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97761","description":"PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROTECTIVE BODY SOCK PREFAB OFF SHELF EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0984","description":"PROTECTIVE BODY SOCK PREFAB OFF SHELF EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN ELECTROPHORETIC FRACTJ AND QUANTJ SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84165","description":"PROTEIN ELECTROPHORETIC FRACTJ AND QUANTJ SERUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN TOTAL REFRACTOMETRY ANY SRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84160","description":"PROTEIN TOTAL REFRACTOMETRY ANY SRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN TOTAL XCPT REFRACTOMETRY OTH SRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84157","description":"PROTEIN TOTAL XCPT REFRACTOMETRY OTH SRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN TOTAL XCPT REFRACTOMETRY URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84156","description":"PROTEIN TOTAL XCPT REFRACTOMETRY URINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84155","description":"PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROTHROMBIN TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85610","description":"PROTHROMBIN TIME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROTHROMBIN TIME SUBSTITUTION PLASMA FRCTJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85611","description":"PROTHROMBIN TIME SUBSTITUTION PLASMA FRCTJ EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77525","description":"PROTON TX DELIVERY COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77525","description":"PROTON TX DELIVERY COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77523","description":"PROTON TX DELIVERY INTERMEDIATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77523","description":"PROTON TX DELIVERY INTERMEDIATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY SIMPLE W/COMPENSATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77522","description":"PROTON TX DELIVERY SIMPLE W/COMPENSATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY SIMPLE W/COMPENSATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77522","description":"PROTON TX DELIVERY SIMPLE W/COMPENSATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY SIMPLE W/O COMPENSATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77520","description":"PROTON TX DELIVERY SIMPLE W/O COMPENSATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY SIMPLE W/O COMPENSATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77520","description":"PROTON TX DELIVERY SIMPLE W/O COMPENSATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROTOPORPHYRIN RBC QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84202","description":"PROTOPORPHYRIN RBC QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROTOPORPHYRIN RBC SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84203","description":"PROTOPORPHYRIN RBC SCREEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PROV REF PT ANR PROV NOT RECV RPRT PROV PT REF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9970","description":"PROV REF PT ANR PROV NOT RECV RPRT PROV PT REF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROV REF PT ANR PROV RECV REPORT FRM PROV PT REF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9969","description":"PROV REF PT ANR PROV RECV REPORT FRM PROV PT REF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62267","description":"PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62267","description":"PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY AORTIC VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92986","description":"PRQ BALLOON VALVULOPLASTY AORTIC VALVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY AORTIC VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92986","description":"PRQ BALLOON VALVULOPLASTY AORTIC VALVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY MITRAL VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92987","description":"PRQ BALLOON VALVULOPLASTY MITRAL VALVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY MITRAL VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92987","description":"PRQ BALLOON VALVULOPLASTY MITRAL VALVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY PULMONARY VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92990","description":"PRQ BALLOON VALVULOPLASTY PULMONARY VALVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY PULMONARY VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92990","description":"PRQ BALLOON VALVULOPLASTY PULMONARY VALVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64561","description":"PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64561","description":"PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64553","description":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64553","description":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64555","description":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64555","description":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63650","description":"PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63650","description":"PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2 OR GT DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62263","description":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2 OR GT DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2 OR GT DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62263","description":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2 OR GT DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62264","description":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62264","description":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY GT 2 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50081","description":"PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY GT 2 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY LT 2 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50080","description":"PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY LT 2 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PORTAL VEIN CATHETERIZATION ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36481","description":"PRQ PORTAL VEIN CATHETERIZATION ANY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PORTAL VEIN CATHETERIZATION ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36481","description":"PRQ PORTAL VEIN CATHETERIZATION ANY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26676","description":"PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26676","description":"PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26756","description":"PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26756","description":"PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ FEMORAL FX PROX END NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27235","description":"PRQ SKEL FIXJ FEMORAL FX PROX END NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ FEMORAL FX PROX END NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27235","description":"PRQ SKEL FIXJ FEMORAL FX PROX END NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28496","description":"PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28496","description":"PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24582","description":"PRQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24566","description":"PRQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28666","description":"PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28666","description":"PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26776","description":"PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26776","description":"PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26706","description":"PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26706","description":"PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METAR FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28476","description":"PRQ SKEL FIXJ METAR FX W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28636","description":"PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28636","description":"PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26727","description":"PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26727","description":"PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24538","description":"PRQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28576","description":"PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28576","description":"PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARS JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28606","description":"PRQ SKEL FIXJ TARS JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARS JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28606","description":"PRQ SKEL FIXJ TARS JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28546","description":"PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28546","description":"PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCN W/MNPJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28456","description":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCN W/MNPJ EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCN W/MNPJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28456","description":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCN W/MNPJ EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCNS W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28456","description":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCNS W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26650","description":"PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26650","description":"PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27756","description":"PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27756","description":"PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25651","description":"PRQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ CALCANEAL FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28406","description":"PRQ SKELETAL FIXJ CALCANEAL FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25671","description":"PRQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ FEMORAL FX DISTAL END","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27509","description":"PRQ SKELETAL FIXJ FEMORAL FX DISTAL END","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ FEMORAL FX DISTAL END","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27509","description":"PRQ SKELETAL FIXJ FEMORAL FX DISTAL END","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ METACARPAL FX EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26608","description":"PRQ SKELETAL FIXJ METACARPAL FX EACH BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ METACARPAL FX EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26608","description":"PRQ SKELETAL FIXJ METACARPAL FX EACH BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93580","description":"PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93580","description":"PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93581","description":"PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93581","description":"PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74363","description":"PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74363","description":"PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75885","description":"PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75885","description":"PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75887","description":"PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75887","description":"PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSLUMINAL CORONARY MECHANICL THROMBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92973","description":"PRQ TRANSLUMINAL CORONARY MECHANICL THROMBECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37187","description":"PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37187","description":"PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37188","description":"PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37188","description":"PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92997","description":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92997","description":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92998","description":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92998","description":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRSISTENT ASTHMA LONG TERM CTRL MED PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4015F","description":"PRSISTENT ASTHMA LONG TERM CTRL MED PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRSISTENT ASTHMA LONG TERM CTRL MED PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4015F","description":"PRSISTENT ASTHMA LONG TERM CTRL MED PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTBLE GASEOUS O2 SYS RENT; FLWMTR HUMIDFR AND MASK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0431","description":"PRTBLE GASEOUS O2 SYS RENT; FLWMTR HUMIDFR AND MASK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTBLE LQD O2 SYS RENT; RESRVOR HUMIDFR FLWMTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0434","description":"PRTBLE LQD O2 SYS RENT; RESRVOR HUMIDFR FLWMTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43118","description":"PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43118","description":"PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43121","description":"PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43121","description":"PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43116","description":"PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43116","description":"PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43117","description":"PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43117","description":"PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43122","description":"PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43122","description":"PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43123","description":"PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43123","description":"PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28122","description":"PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28122","description":"PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC BONE FEMUR PROX TIBIA and /FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27360","description":"PRTL EXC BONE FEMUR PROX TIBIA and /FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC BONE FEMUR PROX TIBIA and /FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27360","description":"PRTL EXC BONE FEMUR PROX TIBIA and /FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22100","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22100","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22103","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22103","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22102","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22102","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22101","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22101","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22110","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22110","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22116","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22116","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22114","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22114","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22112","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22112","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL HYMENECTOMY/REVJ HYMENAL RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56700","description":"PRTL HYMENECTOMY/REVJ HYMENAL RING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60212","description":"PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60212","description":"PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60210","description":"PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60210","description":"PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRVS TEST MATL AND EQUIP HOME INR MON; ONCE A WEEK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0249","description":"PRVS TEST MATL AND EQUIP HOME INR MON; ONCE A WEEK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PRVS TEST MATL AND EQUIP HOME INR MON; ONCE A WEEK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0249","description":"PRVS TEST MATL AND EQUIP HOME INR MON; ONCE A WEEK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PSA AND TUMOR STAGE AND GLEASON SCORE PRIOR INIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3268F","description":"PSA AND TUMOR STAGE AND GLEASON SCORE PRIOR INIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSA AND TUMOR STAGE AND GLEASON SCORE PRIOR INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3268F","description":"PSA AND TUMOR STAGE AND GLEASON SCORE PRIOR INIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1056","description":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1056","description":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSO ASSESS TOOL DOC NOT MTG ANY 1 SPEC BNCHMRK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9651","description":"PSO ASSESS TOOL DOC NOT MTG ANY 1 SPEC BNCHMRK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSO ASSESS TOOL DOC NOT MTG ANY 1 SPEC BNCHMRK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9651","description":"PSO ASSESS TOOL DOC NOT MTG ANY 1 SPEC BNCHMRK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSORIASIS ASSESS TOOL DOC ANY 1 BNCHMK BSA SEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9649","description":"PSORIASIS ASSESS TOOL DOC ANY 1 BNCHMK BSA SEV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSORIASIS ASSESS TOOL DOC ANY 1 BNCHMK BSA SEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9649","description":"PSORIASIS ASSESS TOOL DOC ANY 1 BNCHMK BSA SEV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH LT 22 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2620","description":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH LT 22 IN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH 22 IN OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2621","description":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH 22 IN OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POST WIDTH LT 22 IN ANY HEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2613","description":"PSTN WC BACK CUSHN POST WIDTH LT 22 IN ANY HEIGHT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POST WIDTH 22 IN OR GT ANY HEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2614","description":"PSTN WC BACK CUSHN POST WIDTH 22 IN OR GT ANY HEIGHT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POSTLAT WIDTH LT 22 IN ANY HT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2615","description":"PSTN WC BACK CUSHN POSTLAT WIDTH LT 22 IN ANY HT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POSTLAT WIDTH 22 IN OR GT ANY HT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2616","description":"PSTN WC BACK CUSHN POSTLAT WIDTH 22 IN OR GT ANY HT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WHEELCHAIR SEAT CUSHN WIDTH LT 22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2605","description":"PSTN WHEELCHAIR SEAT CUSHN WIDTH LT 22 IN DEPTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WHEELCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2606","description":"PSTN WHEELCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DISORDERS/DISTURBANCES ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3700F","description":"PSYCHIATRIC DISORDERS/DISTURBANCES ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DISORDERS/DISTURBANCES ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3700F","description":"PSYCHIATRIC DISORDERS/DISTURBANCES ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90845","description":"PSYCHOANALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY SERVICES PROVIDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4060F","description":"PSYCHOTHERAPY SERVICES PROVIDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY SERVICES PROVIDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4060F","description":"PSYCHOTHERAPY SERVICES PROVIDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT GT 85 YEARS OF AGE WHO RECV ROUTINE COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9661","description":"PT GT 85 YEARS OF AGE WHO RECV ROUTINE COLONOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT GT or equal to TO 86 YOA SCR COL and NO HX CRC/OTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9659","description":"PT GT or equal to TO 86 YOA SCR COL and NO HX CRC/OTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT GT or equal to TO 86 YOA SCR COL and NO HX CRC/OTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9659","description":"PT GT or equal to TO 86 YOA SCR COL and NO HX CRC/OTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT GT or equal to 86 YOA WHO RECEIVED COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9661","description":"PT GT or equal to 86 YOA WHO RECEIVED COLONOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT GT or equal to 86 YOA WHO RECEIVED COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9661","description":"PT GT or equal to 86 YOA WHO RECEIVED COLONOSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 12-17 Y MD/DYSTH NO REM 12 M PHQ-9/9M NA/ GT or equal t","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1020","description":"PT 12-17 Y MD/DYSTH NO REM 12 M PHQ-9/9M NA/ GT or equal t","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 12-17 Y MD/DYSTH NO REM 12 M PHQ-9/9M NA/ GT or equal t","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1020","description":"PT 12-17 Y MD/DYSTH NO REM 12 M PHQ-9/9M NA/ GT or equal t","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 12-17 YR MD/DYSTH REM 12 MO SCORE LESS THAN 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1019","description":"PT 12-17 YR MD/DYSTH REM 12 MO SCORE LESS THAN 5","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 12-17 YR MD/DYSTH REM 12 MO SCORE LESS THAN 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1019","description":"PT 12-17 YR MD/DYSTH REM 12 MO SCORE LESS THAN 5","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9247","description":"PT 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9247","description":"PT 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 65 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9898","description":"PT 65 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 65 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DAYS MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9901","description":"PT 65 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DAYS MSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT INST SNP/RESID LTC GT 90 DAYS DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9938","description":"PT 66 OR GT INST SNP/RESID LTC GT 90 DAYS DUR MSR PRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT INST SNP/RESID LTC GT 90 DAYS DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9938","description":"PT 66 OR GT INST SNP/RESID LTC GT 90 DAYS DUR MSR PRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9898","description":"PT 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9898","description":"PT 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DAYS MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9901","description":"PT 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DAYS MSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DAYS MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9901","description":"PT 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DAYS MSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ABST FROM SMOK PRI TO ANES DAY OF SURG/PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9644","description":"PT ABST FROM SMOK PRI TO ANES DAY OF SURG/PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ABST FROM SMOK PRI TO ANES DAY OF SURG/PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9644","description":"PT ABST FROM SMOK PRI TO ANES DAY OF SURG/PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ACHIEVED IMPRV IN VA FROM PREOP LVL 90 D SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9516","description":"PT ACHIEVED IMPRV IN VA FROM PREOP LVL 90 D SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ACHIEVED IMPRV IN VA FROM PREOP LVL 90 D SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9516","description":"PT ACHIEVED IMPRV IN VA FROM PREOP LVL 90 D SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ADM WI 180 D PST CIED W/INF DVC RMV/SURG REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9412","description":"PT ADM WI 180 D PST CIED W/INF DVC RMV/SURG REV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ADM WI 180 D PST CIED W/INF DVC RMV/SURG REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9412","description":"PT ADM WI 180 D PST CIED W/INF DVC RMV/SURG REV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ADM WI 180 DAYS POST CIED W/INF RQR DEVC REMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9410","description":"PT ADM WI 180 DAYS POST CIED W/INF RQR DEVC REMV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ADM WI 180 DAYS POST CIED W/INF RQR DEVC REMV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9410","description":"PT ADM WI 180 DAYS POST CIED W/INF RQR DEVC REMV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT AGED 40-75 YRS BEG MSR PRD TYPE 1/TYPE 2 DIAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9676","description":"PT AGED 40-75 YRS BEG MSR PRD TYPE 1/TYPE 2 DIAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT AGED 40-75 YRS BEG MSR PRD TYPE 1/TYPE 2 DIAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9676","description":"PT AGED 40-75 YRS BEG MSR PRD TYPE 1/TYPE 2 DIAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT BPD/PD PERM NH/HOSPICE/PALL CARE DUR ASSESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9394","description":"PT BPD/PD PERM NH/HOSPICE/PALL CARE DUR ASSESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT BPD/PD PERM NH/HOSPICE/PALL CARE DUR ASSESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9394","description":"PT BPD/PD PERM NH/HOSPICE/PALL CARE DUR ASSESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA AC FX/INF REL LS/PT HD IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1051","description":"PT CA AC FX/INF REL LS/PT HD IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA AC FX/INF REL LS/PT HD IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1051","description":"PT CA AC FX/INF REL LS/PT HD IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA AC FX/INF REL TO LSP/PT IDIO/CNG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1041","description":"PT CA AC FX/INF REL TO LSP/PT IDIO/CNG SCOLIOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA AC FX/INF REL TO LSP/PT IDIO/CNG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1041","description":"PT CA AC FX/INF REL TO LSP/PT IDIO/CNG SCOLIOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA FX/INF REL LS/PT HAD IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1051","description":"PT CA FX/INF REL LS/PT HAD IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA FX/INF REL TO LSP/PT IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1041","description":"PT CA FX/INF REL TO LSP/PT IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CANCER ACUT FX/INF REL LUMB SP/PT HAD IDIO/CS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9945","description":"PT CANCER ACUT FX/INF REL LUMB SP/PT HAD IDIO/CS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CANCER ACUT FX/INF REL LUMB SP/PT HAD IDIO/CS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9945","description":"PT CANCER ACUT FX/INF REL LUMB SP/PT HAD IDIO/CS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CANCER FX/INF REL TO LUMB SP/PT HAD IDIO/CS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9945","description":"PT CANCER FX/INF REL TO LUMB SP/PT HAD IDIO/CS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CAT PN CAT AND HISTOL GR NOT DOC PATH RPT NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8724","description":"PT CAT PN CAT AND HISTOL GR NOT DOC PATH RPT NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CAT PN CAT AND HISTOL GR NOT DOC PATH RPT NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8724","description":"PT CAT PN CAT AND HISTOL GR NOT DOC PATH RPT NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CATEGORY PN CATEGORY AND HISTOL GR DOC PATH RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8721","description":"PT CATEGORY PN CATEGORY AND HISTOL GR DOC PATH RPT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CATEGORY PN CATEGORY AND HISTOL GR DOC PATH RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8721","description":"PT CATEGORY PN CATEGORY AND HISTOL GR DOC PATH RPT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSEL PSYCHOSOC AND PHARM TX OPIOID ADDICTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4306F","description":"PT COUNSEL PSYCHOSOC AND PHARM TX OPIOID ADDICTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSEL PSYCHOSOC AND PHARM TX OPIOID ADDICTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4306F","description":"PT COUNSEL PSYCHOSOC AND PHARM TX OPIOID ADDICTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSEL PSYCHSOC AND PHARM TX ALCOHOL DEPEND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4320F","description":"PT COUNSEL PSYCHSOC AND PHARM TX ALCOHOL DEPEND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSEL PSYCHSOC AND PHARM TX ALCOHOL DEPEND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4320F","description":"PT COUNSEL PSYCHSOC AND PHARM TX ALCOHOL DEPEND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSELING TREATMENT OPTIONS PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4163F","description":"PT COUNSELING TREATMENT OPTIONS PROSTATE CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSELING TREATMENT OPTIONS PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4163F","description":"PT COUNSELING TREATMENT OPTIONS PROSTATE CANCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CURRENT STATIN TX USER/RCVD ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9664","description":"PT CURRENT STATIN TX USER/RCVD ORDER STATIN TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CURRENT STATIN TX USER/RCVD ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9664","description":"PT CURRENT STATIN TX USER/RCVD ORDER STATIN TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT D/C HOME NO LATER POSTOP DAY #2 FOLLOW CEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8834","description":"PT D/C HOME NO LATER POSTOP DAY #2 FOLLOW CEA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT D/C HOME NO LATER POSTOP DAY #2 FOLLOW CEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8834","description":"PT D/C HOME NO LATER POSTOP DAY #2 FOLLOW CEA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT D/C HOME NO LATER THAN POSTOP DAY #2 FLW EVAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8826","description":"PT D/C HOME NO LATER THAN POSTOP DAY #2 FLW EVAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT D/C HOME NO LATER THAN POSTOP DAY #2 FLW EVAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8826","description":"PT D/C HOME NO LATER THAN POSTOP DAY #2 FLW EVAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT ABST FROM SMOKING PRI ANES DAY SX/PCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9645","description":"PT DID NOT ABST FROM SMOKING PRI ANES DAY SX/PCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT ABST FROM SMOKING PRI ANES DAY SX/PCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9645","description":"PT DID NOT ABST FROM SMOKING PRI ANES DAY SX/PCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT DIE W/I 30 DA OF PROC/DUR INDEX HOSP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9813","description":"PT DID NOT DIE W/I 30 DA OF PROC/DUR INDEX HOSP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT DIE W/I 30 DA OF PROC/DUR INDEX HOSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9813","description":"PT DID NOT DIE W/I 30 DA OF PROC/DUR INDEX HOSP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT HAVE 2/3 HPV VACC ON/BTW 9 and 13 BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9763","description":"PT DID NOT HAVE 2/3 HPV VACC ON/BTW 9 and 13 BD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT HAVE 2/3 HPV VACC ON/BTW 9 and 13 BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9763","description":"PT DID NOT HAVE 2/3 HPV VACC ON/BTW 9 and 13 BD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RECV AT LEAST 1 WCV PCP DUR PRFRM PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9965","description":"PT DID NOT RECV AT LEAST 1 WCV PCP DUR PRFRM PER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RECV AT LEAST 1 WCV PCP DUR PRFRM PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9965","description":"PT DID NOT RECV AT LEAST 1 WCV PCP DUR PRFRM PER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RQR RTN TO THE OR W/I 90 DAYS OF SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9515","description":"PT DID NOT RQR RTN TO THE OR W/I 90 DAYS OF SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RQR RTN TO THE OR W/I 90 DAYS OF SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9515","description":"PT DID NOT RQR RTN TO THE OR W/I 90 DAYS OF SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DISCHARGE INPT FACILITY WITHIN LAST 60 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1110F","description":"PT DISCHARGE INPT FACILITY WITHIN LAST 60 DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DISCHARGE INPT FACILITY WITHIN LAST 60 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1110F","description":"PT DISCHARGE INPT FACILITY WITHIN LAST 60 DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC HAVE EXP WRG SITE SIDE PT PRO/IMPL EVENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8912","description":"PT DOC HAVE EXP WRG SITE SIDE PT PRO/IMPL EVENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC HAVE EXP WRG SITE SIDE PT PRO/IMPL EVENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8912","description":"PT DOC HAVE EXP WRG SITE SIDE PT PRO/IMPL EVENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC HAVE EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8914","description":"PT DOC HAVE EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC HAVE EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8914","description":"PT DOC HAVE EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NO WRONG SITE SIDE PT PROC/IMPLANT EVENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8913","description":"PT DOC NO WRONG SITE SIDE PT PROC/IMPLANT EVENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NO WRONG SITE SIDE PT PROC/IMPLANT EVENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8913","description":"PT DOC NO WRONG SITE SIDE PT PROC/IMPLANT EVENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NO:BURN;FALL FAC;WRG EVENT;/HOS TRANSFER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8907","description":"PT DOC NO:BURN;FALL FAC;WRG EVENT;/HOS TRANSFER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NO:BURN;FALL FAC;WRG EVENT;/HOS TRANSFER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8907","description":"PT DOC NO:BURN;FALL FAC;WRG EVENT;/HOS TRANSFER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8915","description":"PT DOC NOT EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8915","description":"PT DOC NOT EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8911","description":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8911","description":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8909","description":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8909","description":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9296","description":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9296","description":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC VENT SHUNT MXSYS TR/CURR TAKING AP MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9531","description":"PT DOC VENT SHUNT MXSYS TR/CURR TAKING AP MED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC VENT SHUNT MXSYS TR/CURR TAKING AP MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9531","description":"PT DOC VENT SHUNT MXSYS TR/CURR TAKING AP MED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ED RE NEED LONG TERM COMPRESS THXPY RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4268F","description":"PT ED RE NEED LONG TERM COMPRESS THXPY RCVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ED RE NEED LONG TERM COMPRESS THXPY RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4268F","description":"PT ED RE NEED LONG TERM COMPRESS THXPY RCVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EDUC FOOT CARE AND DAILY INSPCTN FEET RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4305F","description":"PT EDUC FOOT CARE AND DAILY INSPCTN FEET RCVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EDUC FOOT CARE AND DAILY INSPCTN FEET RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4305F","description":"PT EDUC FOOT CARE AND DAILY INSPCTN FEET RCVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EDUCATION WRTTN/ORAL HRT FAILURE PTS PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4003F","description":"PT EDUCATION WRTTN/ORAL HRT FAILURE PTS PFRMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EDUCATION WRTTN/ORAL HRT FAILURE PTS PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4003F","description":"PT EDUCATION WRTTN/ORAL HRT FAILURE PTS PFRMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EVAL VTE CV RISK FACTOR W/I 30 DAY PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9298","description":"PT EVAL VTE CV RISK FACTOR W/I 30 DAY PRIOR PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EVAL VTE CV RISK FACTOR W/I 30 DAY PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9298","description":"PT EVAL VTE CV RISK FACTOR W/I 30 DAY PRIOR PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FALLS ASSESS DOCD 2 OR GT FALLS/FALL W/INJURY/YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1100F","description":"PT FALLS ASSESS DOCD 2 OR GT FALLS/FALL W/INJURY/YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FALLS ASSESS DOCD 2 OR GT FALLS/FALL W/INJURY/YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1100F","description":"PT FALLS ASSESS DOCD 2 OR GT FALLS/FALL W/INJURY/YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FALLS ASSESS DOCD W/O FALL/INJURY PAST YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1101F","description":"PT FALLS ASSESS DOCD W/O FALL/INJURY PAST YEAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FALLS ASSESS DOCD W/O FALL/INJURY PAST YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1101F","description":"PT FALLS ASSESS DOCD W/O FALL/INJURY PAST YEAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FINAL REFR Plus /- 1.0 D REFR W/I 90 DAYS SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9519","description":"PT FINAL REFR Plus /- 1.0 D REFR W/I 90 DAYS SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FINAL REFR Plus /- 1.0 D REFR W/I 90 DAYS SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9519","description":"PT FINAL REFR Plus /- 1.0 D REFR W/I 90 DAYS SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT GT 85 YRS NO HX COLORECTAL CA/MED RSN COLONOSCOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9659","description":"PT GT 85 YRS NO HX COLORECTAL CA/MED RSN COLONOSCOP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 1 DOSE MC VAC ON/BETWN PT 10TH and 13TH BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9414","description":"PT HAD 1 DOSE MC VAC ON/BETWN PT 10TH and 13TH BD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 1 DOSE MC VAC ON/BETWN PT 10TH and 13TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9414","description":"PT HAD 1 DOSE MC VAC ON/BETWN PT 10TH and 13TH BD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 1 DOSE MC VAC ON/BETWN PT 11TH and 13TH BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9414","description":"PT HAD 1 DOSE MC VAC ON/BETWN PT 11TH and 13TH BD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9247","description":"PT HAD 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 2 HPV/3 HPV VACC ON/BTWN PT 9TH and 13TH BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9762","description":"PT HAD 2 HPV/3 HPV VACC ON/BTWN PT 9TH and 13TH BD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 2 HPV/3 HPV VACC ON/BTWN PT 9TH and 13TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9762","description":"PT HAD 2 HPV/3 HPV VACC ON/BTWN PT 9TH and 13TH BD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD HOSPICE SERVICES ANY TIME DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9691","description":"PT HAD HOSPICE SERVICES ANY TIME DUR MSR PERIOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD HOSPICE SERVICES ANY TIME DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9691","description":"PT HAD HOSPICE SERVICES ANY TIME DUR MSR PERIOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD INR MEASUREMENT PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3555F","description":"PT HAD INR MEASUREMENT PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD INR MEASUREMENT PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3555F","description":"PT HAD INR MEASUREMENT PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAS DOC VENTRICULAR SHUNT BT/COAGULOPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9595","description":"PT HAS DOC VENTRICULAR SHUNT BT/COAGULOPATHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAS DOC VENTRICULAR SHUNT BT/COAGULOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9595","description":"PT HAS DOC VENTRICULAR SHUNT BT/COAGULOPATHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAS MS/PROS HEART VLV/PT TSNT/R CAUSE OF AF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9746","description":"PT HAS MS/PROS HEART VLV/PT TSNT/R CAUSE OF AF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAS MS/PROS HEART VLV/PT TSNT/R CAUSE OF AF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9746","description":"PT HAS MS/PROS HEART VLV/PT TSNT/R CAUSE OF AF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HISTORY ACTIVE DRAINAGE FROM EAR PREV 90 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8560","description":"PT HISTORY ACTIVE DRAINAGE FROM EAR PREV 90 DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HISTORY ACTIVE DRAINAGE FROM EAR PREV 90 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8560","description":"PT HISTORY ACTIVE DRAINAGE FROM EAR PREV 90 DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOB USER NOT RECV TOB CESS INT DUR/6MO PRI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9908","description":"PT ID TOB USER NOT RECV TOB CESS INT DUR/6MO PRI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOB USER NOT RECV TOB CESS INT DUR/6MO PRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9908","description":"PT ID TOB USER NOT RECV TOB CESS INT DUR/6MO PRI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOB USER NOT RECV TOB CESS INT RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9908","description":"PT ID TOB USER NOT RECV TOB CESS INT RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOB USER RECV TOB CESSATION INTERVENTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9906","description":"PT ID TOB USER RECV TOB CESSATION INTERVENTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOBAC USER RECV TOB CESS INTRV DUR/6MO PRI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9906","description":"PT ID TOBAC USER RECV TOB CESS INTRV DUR/6MO PRI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOBAC USER RECV TOB CESS INTRV DUR/6MO PRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9906","description":"PT ID TOBAC USER RECV TOB CESS INTRV DUR/6MO PRI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT IN HOSPICE ANY TIME DURING MEASUREMENT PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9758","description":"PT IN HOSPICE ANY TIME DURING MEASUREMENT PERIOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT IN HOSPICE ANY TIME DURING MEASUREMENT PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9758","description":"PT IN HOSPICE ANY TIME DURING MEASUREMENT PERIOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INFORMATION ENTERED INTO RECALL SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"7010F","description":"PT INFORMATION ENTERED INTO RECALL SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INFORMATION ENTERED INTO RECALL SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"7010F","description":"PT INFORMATION ENTERED INTO RECALL SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC GT 9 DID NOT ACHV REMISSION 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9395","description":"PT INIT PHQ-9 SC GT 9 DID NOT ACHV REMISSION 12 MO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC GT 9 DID NOT ACHV REMISSION 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9395","description":"PT INIT PHQ-9 SC GT 9 DID NOT ACHV REMISSION 12 MO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC GT 9 NOT ASSESSED RM AT 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9396","description":"PT INIT PHQ-9 SC GT 9 NOT ASSESSED RM AT 12 MO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC GT 9 NOT ASSESSED RM AT 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9396","description":"PT INIT PHQ-9 SC GT 9 NOT ASSESSED RM AT 12 MO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC GT 9 RM 12 MO D 12 MO PHQ-9 SC LT 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9393","description":"PT INIT PHQ-9 SC GT 9 RM 12 MO D 12 MO PHQ-9 SC LT 5","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC GT 9 RM 12 MO D 12 MO PHQ-9 SC LT 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9393","description":"PT INIT PHQ-9 SC GT 9 RM 12 MO D 12 MO PHQ-9 SC LT 5","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INTRVWD BY EVAL CLINICIAN LT DATE DIAG MDD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2060F","description":"PT INTRVWD BY EVAL CLINICIAN LT DATE DIAG MDD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INTRVWD ON/BEFORE DATE DIAG MDD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2060F","description":"PT INTRVWD ON/BEFORE DATE DIAG MDD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INTRVWD ON/BEFORE DATE DIAG MDD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2060F","description":"PT INTRVWD ON/BEFORE DATE DIAG MDD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT IS NOT AMBUL BED RIDDN IM CONF TO CHR WC BND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9719","description":"PT IS NOT AMBUL BED RIDDN IM CONF TO CHR WC BND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT IS NOT AMBUL BED RIDDN IM CONF TO CHR WC BND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9719","description":"PT IS NOT AMBUL BED RIDDN IM CONF TO CHR WC BND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT MIN BLUNT HEAD TRAUMA APPROP INDICAT HEAD CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9529","description":"PT MIN BLUNT HEAD TRAUMA APPROP INDICAT HEAD CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT MIN BLUNT HEAD TRAUMA APPROP INDICAT HEAD CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9529","description":"PT MIN BLUNT HEAD TRAUMA APPROP INDICAT HEAD CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT MIN BLUNT HEAD TRMA NO APPROP INDICAT HEAD CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9533","description":"PT MIN BLUNT HEAD TRMA NO APPROP INDICAT HEAD CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT MIN BLUNT HEAD TRMA NO APPROP INDICAT HEAD CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9533","description":"PT MIN BLUNT HEAD TRMA NO APPROP INDICAT HEAD CT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO 1 DOSE MC VAC ON/BTW PT 11TH and 13TH BDAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9415","description":"PT NO 1 DOSE MC VAC ON/BTW PT 11TH and 13TH BDAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9246","description":"PT NO 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9246","description":"PT NO 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO ABD IMAG AND NOT DOC RSN NO ABD IMAG SBMS P","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9457","description":"PT NO ABD IMAG AND NOT DOC RSN NO ABD IMAG SBMS P","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO ABD IMAG AND NOT DOC RSN NO ABD IMAG SBMS P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9457","description":"PT NO ABD IMAG AND NOT DOC RSN NO ABD IMAG SBMS P","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO F REFR Plus /- 1.0 DIO REFR W/I 90 D SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9520","description":"PT NO F REFR Plus /- 1.0 DIO REFR W/I 90 D SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO F REFR Plus /- 1.0 DIO REFR W/I 90 D SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9520","description":"PT NO F REFR Plus /- 1.0 DIO REFR W/I 90 D SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO HISTORY ACTIVE DRAINAGE EAR PREV 90 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8562","description":"PT NO HISTORY ACTIVE DRAINAGE EAR PREV 90 DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO HISTORY ACTIVE DRAINAGE EAR PREV 90 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8562","description":"PT NO HISTORY ACTIVE DRAINAGE EAR PREV 90 DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO VERIFICATION AND DOC SUDDEN HEARING LOSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8567","description":"PT NO VERIFICATION AND DOC SUDDEN HEARING LOSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO VERIFICATION AND DOC SUDDEN HEARING LOSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8567","description":"PT NO VERIFICATION AND DOC SUDDEN HEARING LOSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT 1 DOSE MENC VAC ON/BETW PT 11TH and 13TH BDAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9415","description":"PT NOT 1 DOSE MENC VAC ON/BETW PT 11TH and 13TH BDAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT 1 DOSE MENC VAC ON/BETW PT 11TH and 13TH BDAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9415","description":"PT NOT 1 DOSE MENC VAC ON/BETW PT 11TH and 13TH BDAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9246","description":"PT NOT 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ACHV IMPRV VA PRE LVL 90 D SUR NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9517","description":"PT NOT ACHV IMPRV VA PRE LVL 90 D SUR NO RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ACHV IMPRV VA PRE LVL 90 D SUR NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9517","description":"PT NOT ACHV IMPRV VA PRE LVL 90 D SUR NO RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ADM WI 180 D PST CIED W/INF RQR DVC RMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9411","description":"PT NOT ADM WI 180 D PST CIED W/INF RQR DVC RMV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ADM WI 180 D PST CIED W/INF RQR DVC RMV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9411","description":"PT NOT ADM WI 180 D PST CIED W/INF RQR DVC RMV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ADM WI 180 DAYS POST CIED W/INF DEVC REMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9413","description":"PT NOT ADM WI 180 DAYS POST CIED W/INF DEVC REMV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ADM WI 180 DAYS POST CIED W/INF DEVC REMV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9413","description":"PT NOT ADM WI 180 DAYS POST CIED W/INF DEVC REMV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT CURR STATIN TX USERS/NO ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9665","description":"PT NOT CURR STATIN TX USERS/NO ORDER STATIN TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT CURR STATIN TX USERS/NO ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9665","description":"PT NOT CURR STATIN TX USERS/NO ORDER STATIN TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8566","description":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8566","description":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8561","description":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8561","description":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT EVAL VTE CV RISK W/I 30 DAY PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9299","description":"PT NOT EVAL VTE CV RISK W/I 30 DAY PRIOR PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT EVAL VTE CV RISK W/I 30 DAY PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9299","description":"PT NOT EVAL VTE CV RISK W/I 30 DAY PRIOR PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ID UNHLTHY ALC USER SCR UNHLTHY ALC USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9622","description":"PT NOT ID UNHLTHY ALC USER SCR UNHLTHY ALC USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ID UNHLTHY ALC USER SCR UNHLTHY ALC USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9622","description":"PT NOT ID UNHLTHY ALC USER SCR UNHLTHY ALC USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT OFFRD ASST END OF LIFE ISSUES DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9382","description":"PT NOT OFFRD ASST END OF LIFE ISSUES DUR MSR PRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT OFR ASST EOL ISS/EX PLN REV/UPD MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9382","description":"PT NOT OFR ASST EOL ISS/EX PLN REV/UPD MSR PRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT OFR ASST EOL ISS/EX PLN REV/UPD MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9382","description":"PT NOT OFR ASST EOL ISS/EX PLN REV/UPD MSR PRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT POTENT RISK FRACTURE WEIGHT-BEARING SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3573F","description":"PT NOT POTENT RISK FRACTURE WEIGHT-BEARING SITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT POTENT RISK FRACTURE WEIGHT-BEARING SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3573F","description":"PT NOT POTENT RISK FRACTURE WEIGHT-BEARING SITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCV AL 2 PRO PHARM ANTI-EMETIC AGT DF CLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9777","description":"PT NOT RCV AL 2 PRO PHARM ANTI-EMETIC AGT DF CLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCV AL 2 PRO PHARM ANTI-EMETIC AGT DF CLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9777","description":"PT NOT RCV AL 2 PRO PHARM ANTI-EMETIC AGT DF CLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVG CARE IN ICU/NOT RCVG MECHL VENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4169F","description":"PT NOT RCVG CARE IN ICU/NOT RCVG MECHL VENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVG CARE IN ICU/NOT RCVG MECHL VENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4169F","description":"PT NOT RCVG CARE IN ICU/NOT RCVG MECHL VENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXPY RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4196F","description":"PT NOT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXPY RA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXPY RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4196F","description":"PT NOT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXPY RA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG 1ST COURSE OF ANTI-TNF THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6150F","description":"PT NOT RCVNG 1ST COURSE OF ANTI-TNF THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG 1ST COURSE OF ANTI-TNF THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6150F","description":"PT NOT RCVNG 1ST COURSE OF ANTI-TNF THERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG CORTICOSTERIDS GT or equal to 10MG/DAY 60 OR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3750F","description":"PT NOT RCVNG CORTICOSTERIDS GT or equal to 10MG/DAY 60 OR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG CORTICOSTERIDS GT or equal to 10MG/DAY 60 OR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3750F","description":"PT NOT RCVNG CORTICOSTERIDS GT or equal to 10MG/DAY 60 OR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG WARFARIN THXPY NONVALV AFIB/AFLUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4301F","description":"PT NOT RCVNG WARFARIN THXPY NONVALV AFIB/AFLUT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG WARFARIN THXPY NONVALV AFIB/AFLUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4301F","description":"PT NOT RCVNG WARFARIN THXPY NONVALV AFIB/AFLUT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT REC CS GT or equal to TO 10 MG/D PRD EQ 60/GT CON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9468","description":"PT NOT REC CS GT or equal to TO 10 MG/D PRD EQ 60/GT CON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT REC CS GT or equal to TO 10 MG/D PRD EQ 60/GT CON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9468","description":"PT NOT REC CS GT or equal to TO 10 MG/D PRD EQ 60/GT CON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RECV CS GT or equal to 10 MG/D PDN EQ 60/GT CONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9470","description":"PT NOT RECV CS GT or equal to 10 MG/D PDN EQ 60/GT CONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RECV CS GT or equal to 10 MG/D PDN EQ 60/GT CONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9470","description":"PT NOT RECV CS GT or equal to 10 MG/D PDN EQ 60/GT CONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9624","description":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METHD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9624","description":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METHD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METHD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9624","description":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METHD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SUSTN BOWL INJ SRG/DISC TO 30 D POST SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9630","description":"PT NOT SUSTN BOWL INJ SRG/DISC TO 30 D POST SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SUSTN BOWL INJ SRG/DISC TO 30 D POST SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9630","description":"PT NOT SUSTN BOWL INJ SRG/DISC TO 30 D POST SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT OFR ASST EOL ISS/EX EOL PLN REV/UPD MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9380","description":"PT OFR ASST EOL ISS/EX EOL PLN REV/UPD MSR PRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT OFR ASST EOL ISS/EX EOL PLN REV/UPD MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9380","description":"PT OFR ASST EOL ISS/EX EOL PLN REV/UPD MSR PRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT POTENTIAL RISK FRACTURE WEIGHT-BEARING SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3572F","description":"PT POTENTIAL RISK FRACTURE WEIGHT-BEARING SITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT POTENTIAL RISK FRACTURE WEIGHT-BEARING SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3572F","description":"PT POTENTIAL RISK FRACTURE WEIGHT-BEARING SITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PREOP ORD IV ABX PROPH ABX INITIATED TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8916","description":"PT PREOP ORD IV ABX PROPH ABX INITIATED TIME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PREOP ORD IV ABX PROPH ABX INITIATED TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8916","description":"PT PREOP ORD IV ABX PROPH ABX INITIATED TIME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PREOP ORD IV ABX SSI PROPH NOT INITIATED TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8917","description":"PT PREOP ORD IV ABX SSI PROPH NOT INITIATED TIME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PREOP ORD IV ABX SSI PROPH NOT INITIATED TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8917","description":"PT PREOP ORD IV ABX SSI PROPH NOT INITIATED TIME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PRES MIN BLUNT HEAD TR AND HEAD CT ORDER TR ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9594","description":"PT PRES MIN BLUNT HEAD TR AND HEAD CT ORDER TR ECP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PRES MIN BLUNT HEAD TR AND HEAD CT ORDER TR ECP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9594","description":"PT PRES MIN BLUNT HEAD TR AND HEAD CT ORDER TR ECP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PRESNT W/MIN BLUNT HEAD TRAUMA CT ORD BY ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9530","description":"PT PRESNT W/MIN BLUNT HEAD TRAUMA CT ORD BY ECP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PRESNT W/MIN BLUNT HEAD TRAUMA CT ORD BY ECP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9530","description":"PT PRESNT W/MIN BLUNT HEAD TRAUMA CT ORD BY ECP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PROG W/IMPL PROG NEUROSTM PULSE GEN REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8681","description":"PT PROG W/IMPL PROG NEUROSTM PULSE GEN REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PT PSCR/DIS ABX DOC M RSN WI 3 D AFT INT DX URI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8709","description":"PT PSCR/DIS ABX DOC M RSN WI 3 D AFT INT DX URI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT QUERIED PARKINSONS MED-RELATED COMPLICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4324F","description":"PT QUERIED PARKINSONS MED-RELATED COMPLICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT QUERIED PARKINSONS MED-RELATED COMPLICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4324F","description":"PT QUERIED PARKINSONS MED-RELATED COMPLICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVG CARE ICU and RCVNG MECH VENT 24 HRS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4168F","description":"PT RCVG CARE ICU and RCVNG MECH VENT 24 HRS OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVG CARE ICU and RCVNG MECH VENT 24 HRS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4168F","description":"PT RCVG CARE ICU and RCVNG MECH VENT 24 HRS OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXRPY FOR RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4195F","description":"PT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXRPY FOR RA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXRPY FOR RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4195F","description":"PT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXRPY FOR RA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG ACE/ARB AND BETA BLOCKER LT 3 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4481F","description":"PT RCVNG ACE/ARB AND BETA BLOCKER LT 3 MONTHS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG ACE/ARB AND BETA BLOCKER LT 3 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4481F","description":"PT RCVNG ACE/ARB AND BETA BLOCKER LT 3 MONTHS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG ACE/ARB BETA BLOCKER TX 3 MONS/LONGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4480F","description":"PT RCVNG ACE/ARB BETA BLOCKER TX 3 MONS/LONGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG ACE/ARB BETA BLOCKER TX 3 MONS/LONGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4480F","description":"PT RCVNG ACE/ARB BETA BLOCKER TX 3 MONS/LONGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG POT ANTI R-VIRAL THX LT 6 MON/NOT RCVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4271F","description":"PT RCVNG POT ANTI R-VIRAL THX LT 6 MON/NOT RCVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG POT ANTI R-VIRAL THX LT 6 MON/NOT RCVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4271F","description":"PT RCVNG POT ANTI R-VIRAL THX LT 6 MON/NOT RCVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG POTENT ANTI R-VIRAL THX 6 MON OR MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4270F","description":"PT RCVNG POTENT ANTI R-VIRAL THX 6 MON OR MORE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG POTENT ANTI R-VIRAL THX 6 MON OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4270F","description":"PT RCVNG POTENT ANTI R-VIRAL THX 6 MON OR MORE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG WARFARIN THXPY NONVALV AFIB OR AFLUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4300F","description":"PT RCVNG WARFARIN THXPY NONVALV AFIB OR AFLUT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG WARFARIN THXPY NONVALV AFIB OR AFLUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4300F","description":"PT RCVNG WARFARIN THXPY NONVALV AFIB OR AFLUT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV AL 2 PRO PHARMACOL ANTI-EMTC AGT DIF CLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9775","description":"PT RECV AL 2 PRO PHARMACOL ANTI-EMTC AGT DIF CLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV AL 2 PRO PHARMACOL ANTI-EMTC AGT DIF CLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9775","description":"PT RECV AL 2 PRO PHARMACOL ANTI-EMTC AGT DIF CLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV AT LEAST 1 WCV W/PCP DUR PRFRM PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9964","description":"PT RECV AT LEAST 1 WCV W/PCP DUR PRFRM PERIOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV AT LEAST 1 WCV W/PCP DUR PRFRM PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9964","description":"PT RECV AT LEAST 1 WCV W/PCP DUR PRFRM PERIOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV MAINT HEMODIALYSIS IN O/P DIALYSIS FAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8956","description":"PT RECV MAINT HEMODIALYSIS IN O/P DIALYSIS FAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV MAINT HEMODIALYSIS IN O/P DIALYSIS FAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8956","description":"PT RECV MAINT HEMODIALYSIS IN O/P DIALYSIS FAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRAL ELECTROCONVULSIVE THXPY (ECT) DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4067F","description":"PT REFERRAL ELECTROCONVULSIVE THXPY (ECT) DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRAL ELECTROCONVULSIVE THXPY (ECT) DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4067F","description":"PT REFERRAL ELECTROCONVULSIVE THXPY (ECT) DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRED ANOTHER CLINICIAN/SPEC DUR PRFRM PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9968","description":"PT REFERRED ANOTHER CLINICIAN/SPEC DUR PRFRM PER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRED ANOTHER CLINICIAN/SPEC DUR PRFRM PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9968","description":"PT REFERRED ANOTHER CLINICIAN/SPEC DUR PRFRM PER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRED ANR PROV/SPEC DUR PRFRM PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9968","description":"PT REFERRED ANR PROV/SPEC DUR PRFRM PER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRED PHYS OTOLOGIC EVAL REASON NOT SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8564","description":"PT REFERRED PHYS OTOLOGIC EVAL REASON NOT SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRED PHYS OTOLOGIC EVAL REASON NOT SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8564","description":"PT REFERRED PHYS OTOLOGIC EVAL REASON NOT SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RQR A RETURN TO THE OR W/I 90 DAYS OF SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9514","description":"PT RQR A RETURN TO THE OR W/I 90 DAYS OF SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RQR A RETURN TO THE OR W/I 90 DAYS OF SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9514","description":"PT RQR A RETURN TO THE OR W/I 90 DAYS OF SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND HGH-RSK SEXUAL BEHAVIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4293F","description":"PT SCRND HGH-RSK SEXUAL BEHAVIOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND HGH-RSK SEXUAL BEHAVIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4293F","description":"PT SCRND HGH-RSK SEXUAL BEHAVIOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4004F","description":"PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4004F","description":"PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND UNHLTHY OH USE BY SYSTMTC SCRNG METHD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3016F","description":"PT SCRND UNHLTHY OH USE BY SYSTMTC SCRNG METHD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND UNHLTHY OH USE BY SYSTMTC SCRNG METHD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3016F","description":"PT SCRND UNHLTHY OH USE BY SYSTMTC SCRNG METHD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SUSTAIN BLAD INJ SRG/DSCV SUBSQ UP 30 DAY P S","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9625","description":"PT SUSTAIN BLAD INJ SRG/DSCV SUBSQ UP 30 DAY P S","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SUSTAIN BLAD INJ SRG/DSCV SUBSQ UP 30 DAY P S","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9625","description":"PT SUSTAIN BLAD INJ SRG/DSCV SUBSQ UP 30 DAY P S","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SUSTN BOWEL INJ SURG/DISC SUBSEQ 30D PST SRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9628","description":"PT SUSTN BOWEL INJ SURG/DISC SUBSEQ 30D PST SRG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SUSTN BOWEL INJ SURG/DISC SUBSEQ 30D PST SRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9628","description":"PT SUSTN BOWEL INJ SURG/DISC SUBSEQ 30D PST SRG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TLK 1ST VST TO KEEP/RESUME NORMAL ACTIVITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4245F","description":"PT TLK 1ST VST TO KEEP/RESUME NORMAL ACTIVITIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TLK 1ST VST TO KEEP/RESUME NORMAL ACTIVITIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4245F","description":"PT TLK 1ST VST TO KEEP/RESUME NORMAL ACTIVITIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TRANS DIRECT F ANES LOC TO PACE/OTH N-ICU LOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9656","description":"PT TRANS DIRECT F ANES LOC TO PACE/OTH N-ICU LOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TRANS DIRECT F ANES LOC TO PACE/OTH N-ICU LOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9656","description":"PT TRANS DIRECT F ANES LOC TO PACE/OTH N-ICU LOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TREATED W SYSTEMIC MEDICATION PSORIASIS VULG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9764","description":"PT TREATED W SYSTEMIC MEDICATION PSORIASIS VULG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TREATED W SYSTEMIC MEDICATION PSORIASIS VULG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9764","description":"PT TREATED W SYSTEMIC MEDICATION PSORIASIS VULG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TRNS FRM 1 INST TO ANR KN DX CVA EVAR STR TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9766","description":"PT TRNS FRM 1 INST TO ANR KN DX CVA EVAR STR TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TRNS FRM 1 INST TO ANR KN DX CVA EVAR STR TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9766","description":"PT TRNS FRM 1 INST TO ANR KN DX CVA EVAR STR TX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UN COMPL ELBO/WRST/H FS PROM INIT EVAL and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9737","description":"PT UN COMPL ELBO/WRST/H FS PROM INIT EVAL and / D/C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UN COMPL ELBO/WRST/H FS PROM INIT EVAL and / D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9737","description":"PT UN COMPL ELBO/WRST/H FS PROM INIT EVAL and / D/C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABL COMPL SHOULDER FS PROM INIT EVAL and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9735","description":"PT UNABL COMPL SHOULDER FS PROM INIT EVAL and / D/C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABL COMPL SHOULDER FS PROM INIT EVAL and / D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9735","description":"PT UNABL COMPL SHOULDER FS PROM INIT EVAL and / D/C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPL ANK/FT FS PROM INIT EVAL and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9731","description":"PT UNABLE COMPL ANK/FT FS PROM INIT EVAL and / D/C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPL ANK/FT FS PROM INIT EVAL and / D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9731","description":"PT UNABLE COMPL ANK/FT FS PROM INIT EVAL and / D/C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPL LW BACK FS PROM INIT EVAL and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9733","description":"PT UNABLE COMPL LW BACK FS PROM INIT EVAL and / D/C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPL LW BACK FS PROM INIT EVAL and / D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9733","description":"PT UNABLE COMPL LW BACK FS PROM INIT EVAL and / D/C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPLETE LEPF PROM INI EVAL and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9727","description":"PT UNABLE COMPLETE LEPF PROM INI EVAL and / D/C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPLETE LEPF PROM INI EVAL and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9729","description":"PT UNABLE COMPLETE LEPF PROM INI EVAL and / D/C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPLETE LEPF PROM INI EVAL and / D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9727","description":"PT UNABLE COMPLETE LEPF PROM INI EVAL and / D/C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPLETE LEPF PROM INI EVAL and / D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9729","description":"PT UNABLE COMPLETE LEPF PROM INI EVAL and / D/C","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNDRWNT ABD IMAG U/S CE CT/CONT MRI FOR HCC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9455","description":"PT UNDRWNT ABD IMAG U/S CE CT/CONT MRI FOR HCC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNDRWNT ABD IMAG U/S CE CT/CONT MRI FOR HCC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9455","description":"PT UNDRWNT ABD IMAG U/S CE CT/CONT MRI FOR HCC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WHO HAVE HAD F/DIR LAB RSLT LDL-C Equal to 190 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9675","description":"PT WHO HAVE HAD F/DIR LAB RSLT LDL-C Equal to 190 MG/DL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WHO HAVE HAD F/DIR LAB RSLT LDL-C Equal to 190 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9675","description":"PT WHO HAVE HAD F/DIR LAB RSLT LDL-C Equal to 190 MG/DL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8918","description":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8918","description":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94014","description":"PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94014","description":"PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PT/CAREGIVER QUERIED AUTONOMIC DYSFUNCJ SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4326F","description":"PT/CAREGIVER QUERIED AUTONOMIC DYSFUNCJ SYMPTOMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CAREGIVER QUERIED AUTONOMIC DYSFUNCJ SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4326F","description":"PT/CAREGIVER QUERIED AUTONOMIC DYSFUNCJ SYMPTOMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CAREGIVER QUERIED SLEEP DISTURBANCES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4328F","description":"PT/CAREGIVER QUERIED SLEEP DISTURBANCES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CAREGIVER QUERIED SLEEP DISTURBANCES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4328F","description":"PT/CAREGIVER QUERIED SLEEP DISTURBANCES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31040","description":"PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31040","description":"PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PTS 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9910","description":"PTS 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9910","description":"PTS 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NOT RX/ADM AD TX COM EBRT PROS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9897","description":"PTS NOT RX/ADM AD TX COM EBRT PROS RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NOT RX/ADM AD TX COM EBRT PROS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9897","description":"PTS NOT RX/ADM AD TX COM EBRT PROS RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33910","description":"PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33910","description":"PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33915","description":"PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33915","description":"PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33916","description":"PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33916","description":"PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY FUNC TEST WITHIN 12 MON PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3038F","description":"PULMONARY FUNC TEST WITHIN 12 MON PRIOR SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY FUNC TEST WITHIN 12 MON PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3038F","description":"PULMONARY FUNC TEST WITHIN 12 MON PRIOR SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY PERFUSION IMAGING PARTICULATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78580","description":"PULMONARY PERFUSION IMAGING PARTICULATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY PERFUSION IMAGING PARTICULATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78580","description":"PULMONARY PERFUSION IMAGING PARTICULATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY REHABILITATION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4033F","description":"PULMONARY REHABILITATION RECOMMENDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY REHABILITATION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4033F","description":"PULMONARY REHABILITATION RECOMMENDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY VENTILATION AND PERFUSION IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78582","description":"PULMONARY VENTILATION AND PERFUSION IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY VENTILATION AND PERFUSION IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78582","description":"PULMONARY VENTILATION AND PERFUSION IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY VENTILATION IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78579","description":"PULMONARY VENTILATION IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY VENTILATION IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78579","description":"PULMONARY VENTILATION IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PULSE GEN SYS TYMPANIC TX INNR EAR ENDOLYMPH FL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2120","description":"PULSE GEN SYS TYMPANIC TX INNR EAR ENDOLYMPH FL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PULSE GEN SYS TYMPANIC TX INNR EAR ENDOLYMPH FL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2120","description":"PULSE GEN SYS TYMPANIC TX INNR EAR ENDOLYMPH FL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0182","description":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0182","description":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUMP FOR WATER CIRCULATING PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0236","description":"PUMP FOR WATER CIRCULATING PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUMP FOR WATER CIRCULATING PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0236","description":"PUMP FOR WATER CIRCULATING PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH GRAFT HAIR TRANSPLANT GT 15 PUNCH GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15776","description":"PUNCH GRAFT HAIR TRANSPLANT GT 15 PUNCH GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH GRAFT HAIR TRANSPLANT GT 15 PUNCH GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15776","description":"PUNCH GRAFT HAIR TRANSPLANT GT 15 PUNCH GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH GRAFT HAIR TRANSPLANT 1-15 PUNCH GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15775","description":"PUNCH GRAFT HAIR TRANSPLANT 1-15 PUNCH GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH GRAFT HAIR TRANSPLANT 1-15 PUNCH GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15775","description":"PUNCH GRAFT HAIR TRANSPLANT 1-15 PUNCH GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10160","description":"PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10160","description":"PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION BREAST EACH ADDITIONAL CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19001","description":"PUNCTURE ASPIRATION BREAST EACH ADDITIONAL CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION CYST BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19000","description":"PUNCTURE ASPIRATION CYST BREAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION CYST BREAST EACH ADDL CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19001","description":"PUNCTURE ASPIRATION CYST BREAST EACH ADDL CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION CYST BREAST EACH ADDL CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19001","description":"PUNCTURE ASPIRATION CYST BREAST EACH ADDL CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION CYST OF BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19000","description":"PUNCTURE ASPIRATION CYST OF BREAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION CYST OF BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19000","description":"PUNCTURE ASPIRATION CYST OF BREAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61070","description":"PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61070","description":"PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PURE TONE AUDIOMETRY AIR AND BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92553","description":"PURE TONE AUDIOMETRY AIR AND BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PURE TONE AUDIOMETRY AIR AND BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92553","description":"PURE TONE AUDIOMETRY AIR AND BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PURE TONE AUDIOMETRY AIR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92552","description":"PURE TONE AUDIOMETRY AIR ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PURE TONE AUDIOMETRY AIR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92552","description":"PURE TONE AUDIOMETRY AIR ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36440","description":"PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36440","description":"PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PUSH TRANSFUSION BLOOD 2 YR/UNDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36440","description":"PUSH TRANSFUSION BLOOD 2 YR/UNDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR AIR OVRLAY MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0372","description":"PWR AIR OVRLAY MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR AIR OVRLAY MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0372","description":"PWR AIR OVRLAY MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 1 HEAVY DUTY PT 301 TO 450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0801","description":"PWR OP VEH GRP 1 HEAVY DUTY PT 301 TO 450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 1 STD PT WT CAP TO AND INCL 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0800","description":"PWR OP VEH GRP 1 STD PT WT CAP TO AND INCL 300 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 1 VERY HEAVY DUTY PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0802","description":"PWR OP VEH GRP 1 VERY HEAVY DUTY PT 451-600 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 2 HEAVY DUTY PT 301 TO 450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0807","description":"PWR OP VEH GRP 2 HEAVY DUTY PT 301 TO 450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 2 STD PT WT CAP TO AND INCL 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0806","description":"PWR OP VEH GRP 2 STD PT WT CAP TO AND INCL 300 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 2 VERY HEAVY DUTY PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0808","description":"PWR OP VEH GRP 2 VERY HEAVY DUTY PT 451-600 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR OPERATED VEH SPEC BRAND NAME AND MODEL NUMBER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1230","description":"PWR OPERATED VEH SPEC BRAND NAME AND MODEL NUMBER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR PRESSURE REDUCING MATTRESS OVERLY/PAD PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0181","description":"PWR PRESSURE REDUCING MATTRESS OVERLY/PAD PUMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR PRESSURE REDUCING MATTRESS OVERLY/PAD PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0181","description":"PWR PRESSURE REDUCING MATTRESS OVERLY/PAD PUMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC 12-24 AMP HR SEALED LEAD ACID BATTERY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0733","description":"PWR WC 12-24 AMP HR SEALED LEAD ACID BATTERY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC 12-24 AMP HR SEALED LEAD ACID BATTERY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0733","description":"PWR WC 12-24 AMP HR SEALED LEAD ACID BATTERY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACCESSORY GRP 34 SEALED LEAD ACID BATT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2359","description":"PWR WC ACCESSORY GRP 34 SEALED LEAD ACID BATT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACCESSORY GRP 34 SEALED LEAD ACID BATT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2359","description":"PWR WC ACCESSORY GRP 34 SEALED LEAD ACID BATT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2330","description":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2330","description":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS 22 NF NON-SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2360","description":"PWR WC ACSS 22 NF NON-SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS 22NF SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2361","description":"PWR WC ACSS 22NF SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS 22NF SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2361","description":"PWR WC ACSS 22NF SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BATT CHRGR DUL MODE W/EITHER BATT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2367","description":"PWR WC ACSS BATT CHRGR DUL MODE W/EITHER BATT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BATT CHRGR DUL MODE W/EITHER BATT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2367","description":"PWR WC ACSS BATT CHRGR DUL MODE W/EITHER BATT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BATTRY CHRGR 1 MODE W/ONLY 1 BATTRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2366","description":"PWR WC ACSS BATTRY CHRGR 1 MODE W/ONLY 1 BATTRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BATTRY CHRGR 1 MODE W/ONLY 1 BATTRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2366","description":"PWR WC ACSS BATTRY CHRGR 1 MODE W/ONLY 1 BATTRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BREATH TUBE KIT SIP AND PUFF INTERFCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2326","description":"PWR WC ACSS BREATH TUBE KIT SIP AND PUFF INTERFCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BREATH TUBE KIT SIP AND PUFF INTERFCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2326","description":"PWR WC ACSS BREATH TUBE KIT SIP AND PUFF INTERFCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER AND ONE PWR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2310","description":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER AND ONE PWR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER AND ONE PWR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2310","description":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER AND ONE PWR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER and TWO/MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2311","description":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER and TWO/MORE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER and TWO/MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2311","description":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER and TWO/MORE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC INTERFCE OPERATE SPCH GEN DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2351","description":"PWR WC ACSS ELEC INTERFCE OPERATE SPCH GEN DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC INTERFCE OPERATE SPCH GEN DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2351","description":"PWR WC ACSS ELEC INTERFCE OPERATE SPCH GEN DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS GRP 24 NON-SEALED LEAD ACID BATT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2362","description":"PWR WC ACSS GRP 24 NON-SEALED LEAD ACID BATT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS GRP 24 SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2363","description":"PWR WC ACSS GRP 24 SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS GRP 24 SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2363","description":"PWR WC ACSS GRP 24 SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS GRP 27 NONSEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2372","description":"PWR WC ACSS GRP 27 NONSEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2329","description":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2329","description":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2327","description":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2327","description":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL/EXT CNTRL ELEC PRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2328","description":"PWR WC ACSS HEAD CNTRL/EXT CNTRL ELEC PRPRTNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL/EXT CNTRL ELEC PRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2328","description":"PWR WC ACSS HEAD CNTRL/EXT CNTRL ELEC PRPRTNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2322","description":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2322","description":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2321","description":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2321","description":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS NONSTD SEAT FRME DEPTH 20/21 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2342","description":"PWR WC ACSS NONSTD SEAT FRME DEPTH 20/21 IN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2343","description":"PWR WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2341","description":"PWR WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS SIP AND PUFF INTERFCE NONPROPRTNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2325","description":"PWR WC ACSS SIP AND PUFF INTERFCE NONPROPRTNAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS SIP AND PUFF INTERFCE NONPROPRTNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2325","description":"PWR WC ACSS SIP AND PUFF INTERFCE NONPROPRTNAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS SPCLTY JOYSTCK HNDLE HND CNTRL PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2323","description":"PWR WC ACSS SPCLTY JOYSTCK HNDLE HND CNTRL PRFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS U-1 NON-SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2364","description":"PWR WC ACSS U-1 NON-SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC CASTER FORK REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2396","description":"PWR WC CASTER FORK REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC CASTER FORK REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2396","description":"PWR WC CASTER FORK REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC CASTER WHEEL EXCLUDES TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2395","description":"PWR WC CASTER WHEEL EXCLUDES TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC CASTER WHEEL EXCLUDES TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2395","description":"PWR WC CASTER WHEEL EXCLUDES TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC COMP INT DR WHL MTR AND GR BOX COMB REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2370","description":"PWR WC COMP INT DR WHL MTR AND GR BOX COMB REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC COMP INT DR WHL MTR AND GR BOX COMB REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2370","description":"PWR WC COMP INT DR WHL MTR AND GR BOX COMB REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC DRIVE WHEEL EXCLUDES TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2394","description":"PWR WC DRIVE WHEEL EXCLUDES TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC DRIVE WHEEL EXCLUDES TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2394","description":"PWR WC DRIVE WHEEL EXCLUDES TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC EXPANDABLE CONTROLLER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2376","description":"PWR WC EXPANDABLE CONTROLLER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC EXPANDABLE CONTROLLER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2376","description":"PWR WC EXPANDABLE CONTROLLER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2377","description":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2377","description":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM CASTER TIRE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2389","description":"PWR WC FOAM CASTER TIRE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM CASTER TIRE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2389","description":"PWR WC FOAM CASTER TIRE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2388","description":"PWR WC FOAM DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2388","description":"PWR WC FOAM DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM FILLED CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2387","description":"PWR WC FOAM FILLED CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM FILLED CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2387","description":"PWR WC FOAM FILLED CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM FILLED DRIVE WHEEL TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2386","description":"PWR WC FOAM FILLED DRIVE WHEEL TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM FILLED DRIVE WHEEL TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2386","description":"PWR WC FOAM FILLED DRIVE WHEEL TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD CAPTAINS CHAIR PT TO and Equal to 300 L","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0816","description":"PWR WC GRP 1 STD CAPTAINS CHAIR PT TO and Equal to 300 L","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD CAPTAINS CHAIR PT TO and Equal to 300 L","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0816","description":"PWR WC GRP 1 STD CAPTAINS CHAIR PT TO and Equal to 300 L","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD PORT CAPT CHAIR PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0814","description":"PWR WC GRP 1 STD PORT CAPT CHAIR PT TO 300 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD PORT CAPT CHAIR PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0814","description":"PWR WC GRP 1 STD PORT CAPT CHAIR PT TO 300 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD PORT SLING SEAT PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0813","description":"PWR WC GRP 1 STD PORT SLING SEAT PT TO 300 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD PORT SLING SEAT PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0813","description":"PWR WC GRP 1 STD PORT SLING SEAT PT TO 300 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD SLING SEAT PT UP TO and Equal to 300 L","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0815","description":"PWR WC GRP 1 STD SLING SEAT PT UP TO and Equal to 300 L","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD SLING SEAT PT UP TO and Equal to 300 L","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0815","description":"PWR WC GRP 1 STD SLING SEAT PT UP TO and Equal to 300 L","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HEVY DUTY CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0825","description":"PWR WC GRP 2 HEVY DUTY CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HEVY DUTY CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0825","description":"PWR WC GRP 2 HEVY DUTY CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HEVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0824","description":"PWR WC GRP 2 HEVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HEVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0824","description":"PWR WC GRP 2 HEVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HVY 1 PWR CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0838","description":"PWR WC GRP 2 HVY 1 PWR CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HVY 1 PWR CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0838","description":"PWR WC GRP 2 HVY 1 PWR CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HVY 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0837","description":"PWR WC GRP 2 HVY 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HVY 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0837","description":"PWR WC GRP 2 HVY 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HVY MX PWR SLNG SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0843","description":"PWR WC GRP 2 HVY MX PWR SLNG SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HVY MX PWR SLNG SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0843","description":"PWR WC GRP 2 HVY MX PWR SLNG SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 MX PWR SLING SEAT PT TO and Equal to 300 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0841","description":"PWR WC GRP 2 MX PWR SLING SEAT PT TO and Equal to 300 LB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 MX PWR SLING SEAT PT TO and Equal to 300 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0841","description":"PWR WC GRP 2 MX PWR SLING SEAT PT TO and Equal to 300 LB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD 1 PWR CAPT CHAIR PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0836","description":"PWR WC GRP 2 STD 1 PWR CAPT CHAIR PT TO 300 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD 1 PWR CAPT CHAIR PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0836","description":"PWR WC GRP 2 STD 1 PWR CAPT CHAIR PT TO 300 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD 1 PWR SLING SEAT PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0835","description":"PWR WC GRP 2 STD 1 PWR SLING SEAT PT TO 300 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD 1 PWR SLING SEAT PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0835","description":"PWR WC GRP 2 STD 1 PWR SLING SEAT PT TO 300 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD CAPTAINS CHAIR PT TO and Equal to 300 L","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0823","description":"PWR WC GRP 2 STD CAPTAINS CHAIR PT TO and Equal to 300 L","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD CAPTAINS CHAIR PT TO and Equal to 300 L","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0823","description":"PWR WC GRP 2 STD CAPTAINS CHAIR PT TO and Equal to 300 L","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD MX PWR CAPT CHR PT TO and Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0842","description":"PWR WC GRP 2 STD MX PWR CAPT CHR PT TO and Equal to 300","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD MX PWR CAPT CHR PT TO and Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0842","description":"PWR WC GRP 2 STD MX PWR CAPT CHR PT TO and Equal to 300","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD PORT CAPT CHAIR PT TO and Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0821","description":"PWR WC GRP 2 STD PORT CAPT CHAIR PT TO and Equal to 300","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD PORT CAPT CHAIR PT TO and Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0821","description":"PWR WC GRP 2 STD PORT CAPT CHAIR PT TO and Equal to 300","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD PORT SLING SEAT PT TO and Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0820","description":"PWR WC GRP 2 STD PORT SLING SEAT PT TO and Equal to 300","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD PORT SLING SEAT PT TO and Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0820","description":"PWR WC GRP 2 STD PORT SLING SEAT PT TO and Equal to 300","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SLING SEAT PT TO and Equal to 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0822","description":"PWR WC GRP 2 STD SLING SEAT PT TO and Equal to 300 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SLING SEAT PT TO and Equal to 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0822","description":"PWR WC GRP 2 STD SLING SEAT PT TO and Equal to 300 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY 1 PWR SLING PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0839","description":"PWR WC GRP 2 VRY HVY 1 PWR SLING PT 451-600 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY 1 PWR SLING PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0839","description":"PWR WC GRP 2 VRY HVY 1 PWR SLING PT 451-600 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0827","description":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0827","description":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY DTY SLNG SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0826","description":"PWR WC GRP 2 VRY HVY DTY SLNG SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY DTY SLNG SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0826","description":"PWR WC GRP 2 VRY HVY DTY SLNG SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY 1 PWR SLING PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0840","description":"PWR WC GRP 2 XTRA HVY 1 PWR SLING PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY 1 PWR SLING PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0840","description":"PWR WC GRP 2 XTRA HVY 1 PWR SLING PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY DUTY CHAIR PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0829","description":"PWR WC GRP 2 XTRA HVY DUTY CHAIR PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY DUTY CHAIR PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0829","description":"PWR WC GRP 2 XTRA HVY DUTY CHAIR PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0828","description":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0828","description":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0859","description":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0859","description":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0858","description":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0858","description":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0862","description":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0862","description":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0851","description":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0851","description":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0853","description":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0853","description":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0850","description":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0850","description":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO and Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0857","description":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO and Equal to 300","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO and Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0857","description":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO and Equal to 300","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO and Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0856","description":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO and Equal to 300","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO and Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0856","description":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO and Equal to 300","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO and Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0849","description":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO and Equal to 300","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO and Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0849","description":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO and Equal to 300","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO and Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0861","description":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO and Equal to 300","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO and Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0861","description":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO and Equal to 300","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD SLING SEAT PT TO and Equal to 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0848","description":"PWR WC GRP 3 STD SLING SEAT PT TO and Equal to 300 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD SLING SEAT PT TO and Equal to 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0848","description":"PWR WC GRP 3 STD SLING SEAT PT TO and Equal to 300 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0860","description":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0860","description":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0863","description":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0863","description":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0852","description":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0852","description":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 XTR HD MX PWR SLNG SEAT PT 601 LB OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0864","description":"PWR WC GRP 3 XTR HD MX PWR SLNG SEAT PT 601 LB OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 XTR HD MX PWR SLNG SEAT PT 601 LB OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0864","description":"PWR WC GRP 3 XTR HD MX PWR SLNG SEAT PT 601 LB OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0854","description":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0854","description":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0855","description":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0855","description":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC INSERT PNEUMATIC WHEEL TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2383","description":"PWR WC INSERT PNEUMATIC WHEEL TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC INSERT PNEUMATIC WHEEL TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2383","description":"PWR WC INSERT PNEUMATIC WHEEL TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2373","description":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2373","description":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2375","description":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2375","description":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC PNEUMATIC CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2384","description":"PWR WC PNEUMATIC CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC PNEUMATIC CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2384","description":"PWR WC PNEUMATIC CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC PNEUMATIC DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2381","description":"PWR WC PNEUMATIC DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC PNEUMATIC DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2381","description":"PWR WC PNEUMATIC DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID CASTER TIRE INTEGRTED WHEEL REPL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2392","description":"PWR WC SOLID CASTER TIRE INTEGRTED WHEEL REPL EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID CASTER TIRE INTEGRTED WHEEL REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2392","description":"PWR WC SOLID CASTER TIRE INTEGRTED WHEEL REPL EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID CASTER TIRE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2391","description":"PWR WC SOLID CASTER TIRE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID CASTER TIRE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2391","description":"PWR WC SOLID CASTER TIRE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2390","description":"PWR WC SOLID DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2390","description":"PWR WC SOLID DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2374","description":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2374","description":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC TUBE PNEUMATIC CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2385","description":"PWR WC TUBE PNEUMATIC CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC TUBE PNEUMATIC CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2385","description":"PWR WC TUBE PNEUMATIC CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC TUBE PNEUMATIC DRIVE WHEEL TIRE REPL EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2382","description":"PWR WC TUBE PNEUMATIC DRIVE WHEEL TIRE REPL EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC TUBE PNEUMATIC DRIVE WHEEL TIRE REPL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2382","description":"PWR WC TUBE PNEUMATIC DRIVE WHEEL TIRE REPL EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WHLCHAIR ACSS U-1 SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2365","description":"PWR WHLCHAIR ACSS U-1 SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR WHLCHAIR ACSS U-1 SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2365","description":"PWR WHLCHAIR ACSS U-1 SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOPLASTY COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50405","description":"PYELOPLASTY COMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOPLASTY COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50405","description":"PYELOPLASTY COMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOPLASTY SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50400","description":"PYELOPLASTY SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOPLASTY SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50400","description":"PYELOPLASTY SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY W/DRAINAGE PYELOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50125","description":"PYELOTOMY W/DRAINAGE PYELOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY W/DRAINAGE PYELOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50125","description":"PYELOTOMY W/DRAINAGE PYELOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50120","description":"PYELOTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50120","description":"PYELOTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY W/REMOVAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50130","description":"PYELOTOMY W/REMOVAL CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY WITH REMOVAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50130","description":"PYELOTOMY WITH REMOVAL CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY WITH REMOVAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50130","description":"PYELOTOMY WITH REMOVAL CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PYLOROMYOTOMY CUTTING PYLORIC MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43520","description":"PYLOROMYOTOMY CUTTING PYLORIC MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PYLOROMYOTOMY CUTTING PYLORIC MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43520","description":"PYLOROMYOTOMY CUTTING PYLORIC MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43800","description":"PYLOROPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43800","description":"PYLOROPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Paraffin bath unit portable","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0235","description":"Paraffin bath unit portable","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Paraffin bath unit portable","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0235","description":"Paraffin bath unit portable","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Powered air flotation bed","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0193","description":"Powered air flotation bed","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Powered air flotation bed","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0193","description":"Powered air flotation bed","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Prednisolone oral per 5 mg","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7510","description":"Prednisolone oral per 5 mg","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Prednisolone oral per 5 mg","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7510","description":"Prednisolone oral per 5 mg","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Prothrombin time","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85610","description":"Prothrombin time","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Psychoanalysis","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90845","description":"Psychoanalysis","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Psychoanalysis","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90845","description":"Psychoanalysis","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"QUADRICEPSPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27430","description":"QUADRICEPSPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"QUADRICEPSPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27430","description":"QUADRICEPSPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1460F","description":"QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1460F","description":"QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT DIFF PULM PRFUSION and VENTLAJ W/WO IMAGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78598","description":"QUANT DIFF PULM PRFUSION and VENTLAJ W/WO IMAGIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"QUANT DIFF PULM PRFUSION and VENTLAJ W/WO IMAGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78598","description":"QUANT DIFF PULM PRFUSION and VENTLAJ W/WO IMAGIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78597","description":"QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78597","description":"QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3394F","description":"QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3394F","description":"QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT NON-HER2 IHC EVAL OF BRST CANCER PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3395F","description":"QUANT NON-HER2 IHC EVAL OF BRST CANCER PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT NON-HER2 IHC EVAL OF BRST CANCER PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3395F","description":"QUANT NON-HER2 IHC EVAL OF BRST CANCER PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT RESULTS EVAL CURR LEVEL ACTIVITY CLIN SYMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3115F","description":"QUANT RESULTS EVAL CURR LEVEL ACTIVITY CLIN SYMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT RESULTS EVAL CURR LEVEL ACTIVITY CLIN SYMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3115F","description":"QUANT RESULTS EVAL CURR LEVEL ACTIVITY CLIN SYMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANTITATION DRUG NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80299","description":"QUANTITATION DRUG NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"R AND L HRT CATH WINJX HRT ART AND L VENTR IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93460","description":"R AND L HRT CATH WINJX HRT ART AND L VENTR IMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"R AND L HRT CATH WINJX HRT ART AND L VENTR IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93460","description":"R AND L HRT CATH WINJX HRT ART AND L VENTR IMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"R and L HRT CATH W/NJX L VENTRICULOG IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93453","description":"R and L HRT CATH W/NJX L VENTRICULOG IMG S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"R and L HRT CATH W/NJX L VENTRICULOG IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93453","description":"R and L HRT CATH W/NJX L VENTRICULOG IMG S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33476","description":"R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33476","description":"R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"R and L HRT CATH W/INJEC HRT ART/GRFT and L VENT I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93461","description":"R and L HRT CATH W/INJEC HRT ART/GRFT and L VENT I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"R and L HRT CATH W/INJEC HRT ART/GRFT and L VENT I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93461","description":"R and L HRT CATH W/INJEC HRT ART/GRFT and L VENT I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IG HEAT-TREATED HUMAN IM/SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90376","description":"RABIES IG HEAT-TREATED HUMAN IM/SUBQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IG HEAT-TREATED HUMAN IM/SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90376","description":"RABIES IG HEAT-TREATED HUMAN IM/SUBQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90375","description":"RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90375","description":"RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RABIES VACCINE INTRADERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90676","description":"RABIES VACCINE INTRADERMAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RABIES VACCINE INTRADERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90676","description":"RABIES VACCINE INTRADERMAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RABIES VACCINE INTRAMUSCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90675","description":"RABIES VACCINE INTRAMUSCULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RABIES VACCINE INTRAMUSCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90675","description":"RABIES VACCINE INTRAMUSCULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58210","description":"RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58210","description":"RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD BACKUP INVASIVE INTERFACE TRACHEOSTOMY TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0472","description":"RAD BACKUP INVASIVE INTERFACE TRACHEOSTOMY TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD BACKUP INVASIVE INTERFACE TRACHEOSTOMY TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0472","description":"RAD BACKUP INVASIVE INTERFACE TRACHEOSTOMY TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD BACKUP NON INV INTRFC NASAL/FACIAL MASK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0471","description":"RAD BACKUP NON INV INTRFC NASAL/FACIAL MASK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD BACKUP NON INV INTRFC NASAL/FACIAL MASK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0471","description":"RAD BACKUP NON INV INTRFC NASAL/FACIAL MASK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD DOSE LIMTS EST PRIOR3D RAD FOR MIN 2 TIS/ORG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0520F","description":"RAD DOSE LIMTS EST PRIOR3D RAD FOR MIN 2 TIS/ORG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD DOSE LIMTS EST PRIOR3D RAD FOR MIN 2 TIS/ORG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0520F","description":"RAD DOSE LIMTS EST PRIOR3D RAD FOR MIN 2 TIS/ORG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25115","description":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25115","description":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25116","description":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25116","description":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69155","description":"RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69155","description":"RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69150","description":"RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69150","description":"RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDCS/EXP TM and NO FLUORO IMG N DOC N RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9501","description":"RAD EXP INDCS/EXP TM and NO FLUORO IMG N DOC N RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDICES DOC FNL RPT PROC FLUORO NOT GIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9500","description":"RAD EXP INDICES DOC FNL RPT PROC FLUORO NOT GIVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDICES DOC FNL RPT PROC FLUORO NOT GIVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9500","description":"RAD EXP INDICES DOC FNL RPT PROC FLUORO NOT GIVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDICES NOT DOC FNL RPT PROC FLU NOT GIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9501","description":"RAD EXP INDICES NOT DOC FNL RPT PROC FLU NOT GIV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDICES NOT DOC FNL RPT PROC FLU NOT GIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9501","description":"RAD EXP INDICES NOT DOC FNL RPT PROC FLU NOT GIV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDICES/EXP TM and NUMB FLUORO IMAGES DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9500","description":"RAD EXP INDICES/EXP TM and NUMB FLUORO IMAGES DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXPOS/TIME IN LAST RPRT FLUORO PRXD DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6045F","description":"RAD EXPOS/TIME IN LAST RPRT FLUORO PRXD DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXPOS/TIME IN LAST RPRT FLUORO PRXD DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6045F","description":"RAD EXPOS/TIME IN LAST RPRT FLUORO PRXD DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ CAPSL TISS AND HTRTPC BONE ELBW CONTRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24149","description":"RAD RESCJ CAPSL TISS AND HTRTPC BONE ELBW CONTRCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ CAPSL TISS and HTRTPC B1 ELBW CONTRCT RLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24149","description":"RAD RESCJ CAPSL TISS and HTRTPC B1 ELBW CONTRCT RLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ CAPSL TISS and HTRTPC B1 ELBW CONTRCT RLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24149","description":"RAD RESCJ CAPSL TISS and HTRTPC B1 ELBW CONTRCT RLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUM SOFT TISSUE FOREARM and /WRIST 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25078","description":"RAD RESCJ TUM SOFT TISSUE FOREARM and /WRIST 3 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUM SOFT TISSUE FOREARM and /WRIST 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25078","description":"RAD RESCJ TUM SOFT TISSUE FOREARM and /WRIST 3 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26118","description":"RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26118","description":"RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24077","description":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24077","description":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24079","description":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM Plus","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24079","description":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM Plus","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28171","description":"RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28171","description":"RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27076","description":"RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27076","description":"RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR ISCHIAL TUBEROSITY AND GRT TRCHNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27078","description":"RAD RESCT TUMOR ISCHIAL TUBEROSITY AND GRT TRCHNTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR ISCHIAL TUBEROSITY AND GRT TRCHNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27078","description":"RAD RESCT TUMOR ISCHIAL TUBEROSITY AND GRT TRCHNTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27075","description":"RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27075","description":"RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS FOREARM and /WRIST LT 3 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25077","description":"RAD RESECT TUMOR SOFT TISS FOREARM and /WRIST LT 3 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS FOREARM and /WRIST LT 3 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25077","description":"RAD RESECT TUMOR SOFT TISS FOREARM and /WRIST LT 3 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21557","description":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21557","description":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21558","description":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21558","description":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24077","description":"RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24079","description":"RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW 5CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE HAND/FINGER LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26117","description":"RAD RESECT TUMOR SOFT TISSUE HAND/FINGER LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE HAND/FINGER LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26117","description":"RAD RESECT TUMOR SOFT TISSUE HAND/FINGER LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE PELVIS and HIP LT 5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27049","description":"RAD RESECT TUMOR SOFT TISSUE PELVIS and HIP LT 5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE PELVIS and HIP LT 5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27049","description":"RAD RESECT TUMOR SOFT TISSUE PELVIS and HIP LT 5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27329","description":"RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27329","description":"RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26260","description":"RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26260","description":"RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27364","description":"RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27364","description":"RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP LT 2CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21015","description":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP LT 2CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP LT 2CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21015","description":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP LT 2CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21016","description":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21016","description":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS PELVIS and HIP 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27059","description":"RAD RESECTION TUMOR SOFT TISS PELVIS and HIP 5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS PELVIS and HIP 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27059","description":"RAD RESECTION TUMOR SOFT TISS PELVIS and HIP 5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22904","description":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22904","description":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22905","description":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22905","description":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21935","description":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21935","description":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21936","description":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21936","description":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28046","description":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28046","description":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE LT 3CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28047","description":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28047","description":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27615","description":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27615","description":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27616","description":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27616","description":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23077","description":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23077","description":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER LT 5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23078","description":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23078","description":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD TRACHELECTOMY W/BI PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57531","description":"RAD TRACHELECTOMY W/BI PEL LMPHADEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD TRACHELECTOMY W/BI PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57531","description":"RAD TRACHELECTOMY W/BI PEL LMPHADEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76100","description":"RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76100","description":"RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73050","description":"RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73050","description":"RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ABSCESS/FISTULA/SINUS TRACT RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76080","description":"RADEX ABSCESS/FISTULA/SINUS TRACT RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ABSCESS/FISTULA/SINUS TRACT RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76080","description":"RADEX ABSCESS/FISTULA/SINUS TRACT RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ANKLE ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73615","description":"RADEX ANKLE ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ANKLE ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73615","description":"RADEX ANKLE ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ANKLE COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73610","description":"RADEX ANKLE COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ANKLE COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73610","description":"RADEX ANKLE COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CALCANEUS MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73650","description":"RADEX CALCANEUS MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CALCANEUS MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73650","description":"RADEX CALCANEUS MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CLAVICLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73000","description":"RADEX CLAVICLE COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CLAVICLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73000","description":"RADEX CLAVICLE COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73070","description":"RADEX ELBOW 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73070","description":"RADEX ELBOW 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73085","description":"RADEX ELBOW ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73085","description":"RADEX ELBOW ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73080","description":"RADEX ELBOW COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73080","description":"RADEX ELBOW COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72081","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72081","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72082","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72082","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72083","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72083","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6 OR GT VW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72084","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6 OR GT VW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6 OR GT VW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72084","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6 OR GT VW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FACIAL BONES LT 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70140","description":"RADEX FACIAL BONES LT 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FACIAL BONES LT 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70140","description":"RADEX FACIAL BONES LT 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70150","description":"RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70150","description":"RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FINGR MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73140","description":"RADEX FINGR MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FINGR MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73140","description":"RADEX FINGR MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FOOT COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73630","description":"RADEX FOOT COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FOOT COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73630","description":"RADEX FOOT COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FOREARM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73090","description":"RADEX FOREARM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FOREARM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73090","description":"RADEX FOREARM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76010","description":"RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76010","description":"RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HAND 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73120","description":"RADEX HAND 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HAND 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73120","description":"RADEX HAND 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HAND MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73130","description":"RADEX HAND MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HAND MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73130","description":"RADEX HAND MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73525","description":"RADEX HIP ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73525","description":"RADEX HIP ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73501","description":"RADEX HIP UNILATERAL WITH PELVIS 1 VIEW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73501","description":"RADEX HIP UNILATERAL WITH PELVIS 1 VIEW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73502","description":"RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73502","description":"RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73503","description":"RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73503","description":"RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73521","description":"RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73521","description":"RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73522","description":"RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73522","description":"RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73523","description":"RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73523","description":"RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HUMERUS MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73060","description":"RADEX HUMERUS MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HUMERUS MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73060","description":"RADEX HUMERUS MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX INTERNAL AUDITORY MEATI COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70134","description":"RADEX INTERNAL AUDITORY MEATI COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX INTERNAL AUDITORY MEATI COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70134","description":"RADEX INTERNAL AUDITORY MEATI COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73592","description":"RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73592","description":"RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70130","description":"RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70130","description":"RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70160","description":"RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70160","description":"RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX OPTIC FORAMINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70190","description":"RADEX OPTIC FORAMINA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX OPTIC FORAMINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70190","description":"RADEX OPTIC FORAMINA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ORBITS COMPLETE MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70200","description":"RADEX ORBITS COMPLETE MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ORBITS COMPLETE MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70200","description":"RADEX ORBITS COMPLETE MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX PHARYNX/LARX W/FLUOR and /MAGNIFICATION TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70370","description":"RADEX PHARYNX/LARX W/FLUOR and /MAGNIFICATION TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX PHARYNX/LARX W/FLUOR and /MAGNIFICATION TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70370","description":"RADEX PHARYNX/LARX W/FLUOR and /MAGNIFICATION TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RENAL CYST STUDY TRANSLUMBAR RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74470","description":"RADEX RENAL CYST STUDY TRANSLUMBAR RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RENAL CYST STUDY TRANSLUMBAR RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74470","description":"RADEX RENAL CYST STUDY TRANSLUMBAR RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71111","description":"RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71111","description":"RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS BILATERAL 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71110","description":"RADEX RIBS BILATERAL 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS BILATERAL 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71110","description":"RADEX RIBS BILATERAL 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71101","description":"RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71101","description":"RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS UNILATERAL 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71100","description":"RADEX RIBS UNILATERAL 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS UNILATERAL 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71100","description":"RADEX RIBS UNILATERAL 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SACRUM AND COCCYX MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72220","description":"RADEX SACRUM AND COCCYX MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SACRUM AND COCCYX MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72220","description":"RADEX SACRUM AND COCCYX MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SCAPULA COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73010","description":"RADEX SCAPULA COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SCAPULA COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73010","description":"RADEX SCAPULA COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73020","description":"RADEX SHOULDER 1 VIEW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73020","description":"RADEX SHOULDER 1 VIEW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73040","description":"RADEX SHOULDER ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73040","description":"RADEX SHOULDER ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73030","description":"RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73030","description":"RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SINUSES PARANASAL LT 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70210","description":"RADEX SINUSES PARANASAL LT 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SINUSES PARANASAL LT 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70210","description":"RADEX SINUSES PARANASAL LT 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70220","description":"RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70220","description":"RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE 1 VIEW SPECIFY LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72020","description":"RADEX SPINE 1 VIEW SPECIFY LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE 1 VIEW SPECIFY LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72020","description":"RADEX SPINE 1 VIEW SPECIFY LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 2 OR 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72040","description":"RADEX SPINE CERVICAL 2 OR 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 2 OR 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72040","description":"RADEX SPINE CERVICAL 2 OR 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 4 OR 5 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72050","description":"RADEX SPINE CERVICAL 4 OR 5 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 4 OR 5 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72050","description":"RADEX SPINE CERVICAL 4 OR 5 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 6 OR MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72052","description":"RADEX SPINE CERVICAL 6 OR MORE VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 6 OR MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72052","description":"RADEX SPINE CERVICAL 6 OR MORE VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL 2/3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72100","description":"RADEX SPINE LUMBOSACRAL 2/3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL 2/3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72100","description":"RADEX SPINE LUMBOSACRAL 2/3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72110","description":"RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72110","description":"RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72120","description":"RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72120","description":"RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72114","description":"RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72114","description":"RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72070","description":"RADEX SPINE THORACIC 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72070","description":"RADEX SPINE THORACIC 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72072","description":"RADEX SPINE THORACIC 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72072","description":"RADEX SPINE THORACIC 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72074","description":"RADEX SPINE THORACIC MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72074","description":"RADEX SPINE THORACIC MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72080","description":"RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72080","description":"RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71130","description":"RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71130","description":"RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX STERNUM MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71120","description":"RADEX STERNUM MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX STERNUM MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71120","description":"RADEX STERNUM MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TEMPOROMANDBLE JT OPN AND CLSD MOUTH BILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70330","description":"RADEX TEMPOROMANDBLE JT OPN AND CLSD MOUTH BILAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TEMPOROMANDBLE JT OPN AND CLSD MOUTH BILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70330","description":"RADEX TEMPOROMANDBLE JT OPN AND CLSD MOUTH BILAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TEMPOROMANDBLE JT OPN AND CLSD MOUTH UNILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70328","description":"RADEX TEMPOROMANDBLE JT OPN AND CLSD MOUTH UNILAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TEMPOROMANDBLE JT OPN AND CLSD MOUTH UNILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70328","description":"RADEX TEMPOROMANDBLE JT OPN AND CLSD MOUTH UNILAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TOE MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73660","description":"RADEX TOE MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TOE MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73660","description":"RADEX TOE MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73092","description":"RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73092","description":"RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73100","description":"RADEX WRIST 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73100","description":"RADEX WRIST 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73115","description":"RADEX WRIST ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73115","description":"RADEX WRIST ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73110","description":"RADEX WRIST COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73110","description":"RADEX WRIST COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIAL KERATOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65771","description":"RADIAL KERATOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77371","description":"RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77371","description":"RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77372","description":"RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77372","description":"RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77431","description":"RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77431","description":"RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY GT or equal to 1 MEV COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77412","description":"RADIATION TREATMENT DELIVERY GT or equal to 1 MEV COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY GT or equal to 1 MEV SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77402","description":"RADIATION TREATMENT DELIVERY GT or equal to 1 MEV SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY 1 MEV Equal to GT COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77412","description":"RADIATION TREATMENT DELIVERY 1 MEV Equal to GT COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY 1 MEV PLUS SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77402","description":"RADIATION TREATMENT DELIVERY 1 MEV PLUS SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77402","description":"RADIATION TREATMENT DELIVERY LEVEL 1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77402","description":"RADIATION TREATMENT DELIVERY LEVEL 1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77407","description":"RADIATION TREATMENT DELIVERY LEVEL 2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77407","description":"RADIATION TREATMENT DELIVERY LEVEL 2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77412","description":"RADIATION TREATMENT DELIVERY LEVEL 3","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77412","description":"RADIATION TREATMENT DELIVERY LEVEL 3","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT MANAGEMENT 5 TREATMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77427","description":"RADIATION TREATMENT MANAGEMENT 5 TREATMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT MANAGEMENT 5 TREATMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77427","description":"RADIATION TREATMENT MANAGEMENT 5 TREATMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TX DELIVERY GT or equal to 1 MEV INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77407","description":"RADIATION TX DELIVERY GT or equal to 1 MEV INTERMEDIATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TX DELIVERY 1 MEV Equal to GT INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77407","description":"RADIATION TX DELIVERY 1 MEV Equal to GT INTERMEDIATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42844","description":"RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42844","description":"RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42845","description":"RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42845","description":"RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27077","description":"RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27077","description":"RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION BONE TUMOR PROXIMAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23220","description":"RADICAL RESECTION BONE TUMOR PROXIMAL HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27647","description":"RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27647","description":"RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION STERNUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21630","description":"RADICAL RESECTION STERNUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION STERNUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21630","description":"RADICAL RESECTION STERNUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TONSIL W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42842","description":"RADICAL RESECTION TONSIL W/O CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TONSIL W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42842","description":"RADICAL RESECTION TONSIL W/O CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR BONE FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27646","description":"RADICAL RESECTION TUMOR BONE FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR BONE FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27646","description":"RADICAL RESECTION TUMOR BONE FIBULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23200","description":"RADICAL RESECTION TUMOR CLAVICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR CLAVICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23200","description":"RADICAL RESECTION TUMOR CLAVICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR DISTAL PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26262","description":"RADICAL RESECTION TUMOR DISTAL PHALANX FINGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR DISTAL PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26262","description":"RADICAL RESECTION TUMOR DISTAL PHALANX FINGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR FEMOR OR KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27365","description":"RADICAL RESECTION TUMOR FEMOR OR KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR FEMOR OR KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27365","description":"RADICAL RESECTION TUMOR FEMOR OR KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR METACARPAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26250","description":"RADICAL RESECTION TUMOR METACARPAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR METACARPAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26250","description":"RADICAL RESECTION TUMOR METACARPAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR METATARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28173","description":"RADICAL RESECTION TUMOR METATARSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR METATARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28173","description":"RADICAL RESECTION TUMOR METATARSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR PHALANX OR TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28175","description":"RADICAL RESECTION TUMOR PHALANX OR TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR PHALANX OR TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28175","description":"RADICAL RESECTION TUMOR PHALANX OR TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR PROXIMAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23220","description":"RADICAL RESECTION TUMOR PROXIMAL HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR PROXIMAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23220","description":"RADICAL RESECTION TUMOR PROXIMAL HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR RADIAL HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24152","description":"RADICAL RESECTION TUMOR RADIAL HEAD/NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR RADIAL HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24152","description":"RADICAL RESECTION TUMOR RADIAL HEAD/NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR RADIUS OR ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25170","description":"RADICAL RESECTION TUMOR RADIUS OR ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR RADIUS OR ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25170","description":"RADICAL RESECTION TUMOR RADIUS OR ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR SCAPULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23210","description":"RADICAL RESECTION TUMOR SCAPULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR SCAPULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23210","description":"RADICAL RESECTION TUMOR SCAPULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24150","description":"RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24150","description":"RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL STYLOIDECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25230","description":"RADICAL STYLOIDECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL STYLOIDECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25230","description":"RADICAL STYLOIDECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70110","description":"RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70110","description":"RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74018","description":"RADIOLOGIC EXAM ABDOMEN 1 VIEW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74018","description":"RADIOLOGIC EXAM ABDOMEN 1 VIEW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74019","description":"RADIOLOGIC EXAM ABDOMEN 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74019","description":"RADIOLOGIC EXAM ABDOMEN 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 3 PLUS VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74021","description":"RADIOLOGIC EXAM ABDOMEN 3 PLUS VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 3 PLUS VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74021","description":"RADIOLOGIC EXAM ABDOMEN 3 PLUS VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73565","description":"RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73565","description":"RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71046","description":"RADIOLOGIC EXAM CHEST 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71046","description":"RADIOLOGIC EXAM CHEST 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71047","description":"RADIOLOGIC EXAM CHEST 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71047","description":"RADIOLOGIC EXAM CHEST 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 4 PLUS VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71048","description":"RADIOLOGIC EXAM CHEST 4 PLUS VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 4 PLUS VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71048","description":"RADIOLOGIC EXAM CHEST 4 PLUS VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST SINGLE VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71045","description":"RADIOLOGIC EXAM CHEST SINGLE VIEW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST SINGLE VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71045","description":"RADIOLOGIC EXAM CHEST SINGLE VIEW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74280","description":"RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74280","description":"RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74270","description":"RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74270","description":"RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74022","description":"RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74022","description":"RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74221","description":"RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74221","description":"RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74220","description":"RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74220","description":"RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73580","description":"RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73580","description":"RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73564","description":"RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73564","description":"RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM MASTOIDS LT 3 VIEWS PER SIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70120","description":"RADIOLOGIC EXAM MASTOIDS LT 3 VIEWS PER SIDE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM MASTOIDS LT 3 VIEWS PER SIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70120","description":"RADIOLOGIC EXAM MASTOIDS LT 3 VIEWS PER SIDE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72190","description":"RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72190","description":"RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM PHRNX and /CRV ESOPH CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74210","description":"RADIOLOGIC EXAM PHRNX and /CRV ESOPH CONTRAST STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM PHRNX and /CRV ESOPH CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74210","description":"RADIOLOGIC EXAM PHRNX and /CRV ESOPH CONTRAST STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72202","description":"RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72202","description":"RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70260","description":"RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70260","description":"RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74251","description":"RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74251","description":"RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74250","description":"RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74250","description":"RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74230","description":"RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74230","description":"RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70320","description":"RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70320","description":"RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM TEETH PRTL EXAM LT FULL MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70310","description":"RADIOLOGIC EXAM TEETH PRTL EXAM LT FULL MOUTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM TEETH PRTL EXAM LT FULL MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70310","description":"RADIOLOGIC EXAM TEETH PRTL EXAM LT FULL MOUTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74246","description":"RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74246","description":"RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74240","description":"RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74240","description":"RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION ANKLE 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73600","description":"RADIOLOGIC EXAMINATION ANKLE 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION ANKLE 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73600","description":"RADIOLOGIC EXAMINATION ANKLE 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70030","description":"RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70030","description":"RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FEMUR 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73551","description":"RADIOLOGIC EXAMINATION FEMUR 1 VIEW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FEMUR 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73551","description":"RADIOLOGIC EXAMINATION FEMUR 1 VIEW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73552","description":"RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73552","description":"RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FOOT 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73620","description":"RADIOLOGIC EXAMINATION FOOT 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FOOT 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73620","description":"RADIOLOGIC EXAMINATION FOOT 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73560","description":"RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73560","description":"RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION KNEE 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73562","description":"RADIOLOGIC EXAMINATION KNEE 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION KNEE 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73562","description":"RADIOLOGIC EXAMINATION KNEE 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION MANDIPLE PRTL LT 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70100","description":"RADIOLOGIC EXAMINATION MANDIPLE PRTL LT 4 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION MANDIPLE PRTL LT 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70100","description":"RADIOLOGIC EXAMINATION MANDIPLE PRTL LT 4 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION NECK SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70360","description":"RADIOLOGIC EXAMINATION NECK SOFT TISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION NECK SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70360","description":"RADIOLOGIC EXAMINATION NECK SOFT TISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77075","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77075","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77075","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77076","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77076","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77074","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77074","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72170","description":"RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72170","description":"RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SACROILIAC JNTS LT 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72200","description":"RADIOLOGIC EXAMINATION SACROILIAC JNTS LT 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SACROILIAC JNTS LT 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72200","description":"RADIOLOGIC EXAMINATION SACROILIAC JNTS LT 3 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70380","description":"RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70380","description":"RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SELLA TURCICA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70240","description":"RADIOLOGIC EXAMINATION SELLA TURCICA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SELLA TURCICA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70240","description":"RADIOLOGIC EXAMINATION SELLA TURCICA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SKULL 4 LT VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70250","description":"RADIOLOGIC EXAMINATION SKULL 4 LT VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SKULL 4 LT VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70250","description":"RADIOLOGIC EXAMINATION SKULL 4 LT VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION TEETH 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70300","description":"RADIOLOGIC EXAMINATION TEETH 1 VIEW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION TEETH 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70300","description":"RADIOLOGIC EXAMINATION TEETH 1 VIEW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION TIBIA AND FIBULA 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73590","description":"RADIOLOGIC EXAMINATION TIBIA AND FIBULA 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION TIBIA AND FIBULA 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73590","description":"RADIOLOGIC EXAMINATION TIBIA AND FIBULA 2 VIEWS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74248","description":"RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74248","description":"RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76098","description":"RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76098","description":"RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75989","description":"RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75989","description":"RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78660","description":"RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78660","description":"RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78835","description":"RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78835","description":"RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAPID DESENSITIZATION PROCEDURE EACH HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95180","description":"RAPID DESENSITIZATION PROCEDURE EACH HOUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAPID DESENSITIZATION PROCEDURE EACH HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95180","description":"RAPID DESENSITIZATION PROCEDURE EACH HOUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9840","description":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9840","description":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUT TST NOT PRF BEF INIT ANTI-EGFR MOAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9841","description":"RAS GENE MUT TST NOT PRF BEF INIT ANTI-EGFR MOAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUT TST NOT PRF BEF INIT ANTI-EGFR MOAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9841","description":"RAS GENE MUT TST NOT PRF BEF INIT ANTI-EGFR MOAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9843","description":"RAS GENE MUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9843","description":"RAS GENE MUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RATCHET ASSEMBLY REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0050","description":"RATCHET ASSEMBLY REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RATIONALE FOR LEVEL OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6005F","description":"RATIONALE FOR LEVEL OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RATIONALE FOR LEVEL OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6005F","description":"RATIONALE FOR LEVEL OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCMND FLLW-UP 2ND CLNSCPY 10 OR GT YRS DOCD RPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0528F","description":"RCMND FLLW-UP 2ND CLNSCPY 10 OR GT YRS DOCD RPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCMND FLLW-UP 2ND CLNSCPY 10 OR GT YRS DOCD RPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0528F","description":"RCMND FLLW-UP 2ND CLNSCPY 10 OR GT YRS DOCD RPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28313","description":"RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28313","description":"RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS AND LWR FHD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21175","description":"RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS AND LWR FHD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS AND LWR FHD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21175","description":"RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS AND LWR FHD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26545","description":"RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26545","description":"RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26542","description":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26542","description":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26541","description":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26541","description":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21181","description":"RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21181","description":"RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLC PATELLA W/PATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27424","description":"RCNSTJ DISLC PATELLA W/PATELLECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLC PATELLA W/PATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27424","description":"RCNSTJ DISLC PATELLA W/PATELLECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT and /MUSC RL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27422","description":"RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT and /MUSC RL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT and /MUSC RL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27422","description":"RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT and /MUSC RL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLOCATING PATELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27420","description":"RCNSTJ DISLOCATING PATELLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLOCATING PATELLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27420","description":"RCNSTJ DISLOCATING PATELLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS LT TWO-THIRDS 1 STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67971","description":"RCNSTJ EYELID FULL THICKNESS LT TWO-THIRDS 1 STG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS LT TWO-THIRDS 1 STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67971","description":"RCNSTJ EYELID FULL THICKNESS LT TWO-THIRDS 1 STG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67973","description":"RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67973","description":"RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS SECOND STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67975","description":"RCNSTJ EYELID FULL THICKNESS SECOND STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS SECOND STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67975","description":"RCNSTJ EYELID FULL THICKNESS SECOND STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67974","description":"RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67974","description":"RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD and / SUPRAORB RIMS W/ALGRF/PROSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21179","description":"RCNSTJ FOREHEAD and / SUPRAORB RIMS W/ALGRF/PROSTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD and / SUPRAORBITAL RIMS W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21180","description":"RCNSTJ FOREHEAD and / SUPRAORBITAL RIMS W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21180","description":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21180","description":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21179","description":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21179","description":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24344","description":"RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24344","description":"RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21249","description":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21249","description":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21248","description":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21248","description":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MDFC OTH/THN LEFORT OSTEOT and BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21188","description":"RCNSTJ MDFC OTH/THN LEFORT OSTEOT and BONE GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MDFC OTH/THN LEFORT OSTEOT and BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21188","description":"RCNSTJ MDFC OTH/THN LEFORT OSTEOT and BONE GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24346","description":"RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24346","description":"RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21145","description":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21145","description":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21141","description":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21141","description":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21146","description":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21146","description":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21142","description":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21142","description":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 3 OR GT PIECE W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21147","description":"RCNSTJ MIDFACE LEFORT I 3 OR GT PIECE W/BONE GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 3 OR GT PIECE W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21147","description":"RCNSTJ MIDFACE LEFORT I 3 OR GT PIECE W/BONE GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 3 OR GT PIECE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21143","description":"RCNSTJ MIDFACE LEFORT I 3 OR GT PIECE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 3 OR GT PIECE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21143","description":"RCNSTJ MIDFACE LEFORT I 3 OR GT PIECE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21150","description":"RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21150","description":"RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21151","description":"RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21151","description":"RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21160","description":"RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21160","description":"RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21159","description":"RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21159","description":"RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/LEFORT I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21155","description":"RCNSTJ MIDFACE LEFORT III W/LEFORT I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/LEFORT I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21155","description":"RCNSTJ MIDFACE LEFORT III W/LEFORT I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/O LEFORT I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21154","description":"RCNSTJ MIDFACE LEFORT III W/O LEFORT I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/O LEFORT I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21154","description":"RCNSTJ MIDFACE LEFORT III W/O LEFORT I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21244","description":"RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21244","description":"RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21246","description":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21246","description":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21245","description":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21245","description":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21247","description":"RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21247","description":"RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21194","description":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21194","description":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21193","description":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21193","description":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI and /BDY SGTL SPLT W/INT RGD FI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21196","description":"RCNSTJ MNDBLR RAMI and /BDY SGTL SPLT W/INT RGD FI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI and /BDY SGTL SPLT W/INT RGD FI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21196","description":"RCNSTJ MNDBLR RAMI and /BDY SGTL SPLT W/INT RGD FI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI and /BODY SGTL SPLT W/O INT RGD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21195","description":"RCNSTJ MNDBLR RAMI and /BODY SGTL SPLT W/O INT RGD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI and /BODY SGTL SPLT W/O INT RGD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21195","description":"RCNSTJ MNDBLR RAMI and /BODY SGTL SPLT W/O INT RGD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF GT 40 LT 80","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21183","description":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF GT 40 LT 80","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF GT 40 LT 80","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21183","description":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF GT 40 LT 80","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF GT 80SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21184","description":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF GT 80SQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF GT 80SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21184","description":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF GT 80SQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF LT 40SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21182","description":"RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF LT 40SQCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF LT 40SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21182","description":"RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF LT 40SQCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47800","description":"RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47800","description":"RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE AND BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26587","description":"RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE AND BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE AND BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26587","description":"RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE AND BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28238","description":"RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28238","description":"RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25337","description":"RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25337","description":"RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ SUPERIOR-LATERAL ORBITAL RIM AND LOWER FHD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21172","description":"RCNSTJ SUPERIOR-LATERAL ORBITAL RIM AND LOWER FHD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ SUPERIOR-LATERAL ORBITAL RIM AND LOWER FHD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21172","description":"RCNSTJ SUPERIOR-LATERAL ORBITAL RIM AND LOWER FHD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26502","description":"RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26502","description":"RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26500","description":"RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26500","description":"RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28341","description":"RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28341","description":"RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28340","description":"RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28340","description":"RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28345","description":"RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28345","description":"RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69320","description":"RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69320","description":"RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21255","description":"RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21255","description":"RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ CRANIOMEGALIC CRANIO and RECNSTJ W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62117","description":"RDCTJ CRANIOMEGALIC CRANIO and RECNSTJ W/WO GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ CRANIOMEGALIC CRANIO and RECNSTJ W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62117","description":"RDCTJ CRANIOMEGALIC CRANIO and RECNSTJ W/WO GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62115","description":"RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62115","description":"RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ FHD CNTRG AND SETBACK ANT FRONTAL SINUS WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21139","description":"RDCTJ FHD CNTRG AND SETBACK ANT FRONTAL SINUS WALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ FHD CNTRG AND SETBACK ANT FRONTAL SINUS WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21139","description":"RDCTJ FHD CNTRG AND SETBACK ANT FRONTAL SINUS WALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ FHD CNTRG and PROSTHETIC MATRL/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21138","description":"RDCTJ FHD CNTRG and PROSTHETIC MATRL/BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ FHD CNTRG and PROSTHETIC MATRL/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21138","description":"RDCTJ FHD CNTRG and PROSTHETIC MATRL/BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45900","description":"RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45900","description":"RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44050","description":"RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44050","description":"RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RE-EXPL NOT REQ MLN BLD CA INT VD/OTH CARD RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8578","description":"RE-EXPL NOT REQ MLN BLD CA INT VD/OTH CARD RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-EXPL NOT REQ MLN BLD CA INT VD/OTH CARD RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8578","description":"RE-EXPL NOT REQ MLN BLD CA INT VD/OTH CARD RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-EXPL REQ MLN BLD UNPL CA INT VD/OTH CARD RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8577","description":"RE-EXPL REQ MLN BLD UNPL CA INT VD/OTH CARD RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-EXPL REQ MLN BLD UNPL CA INT VD/OTH CARD RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8577","description":"RE-EXPL REQ MLN BLD UNPL CA INT VD/OTH CARD RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REALIGNMENT EXTENSOR TENDON HAND EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26437","description":"REALIGNMENT EXTENSOR TENDON HAND EACH TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REALIGNMENT EXTENSOR TENDON HAND EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26437","description":"REALIGNMENT EXTENSOR TENDON HAND EACH TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REAR WHL ASM CMPL SLD TIRE SPKE/MLD REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0069","description":"REAR WHL ASM CMPL SLD TIRE SPKE/MLD REPL ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REAR WHL ASM COMP PNEUM TIRE SPKS/MLD RPL ONLY E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0070","description":"REAR WHL ASM COMP PNEUM TIRE SPKS/MLD RPL ONLY E","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REAR WHL ASM COMP PNEUM TIRE SPKS/MLD RPL ONLY E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0070","description":"REAR WHL ASM COMP PNEUM TIRE SPKS/MLD RPL ONLY E","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVED INSTR ANES/PROXY ABSTAIN SMOKING DAY SX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9497","description":"RECEIVED INSTR ANES/PROXY ABSTAIN SMOKING DAY SX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVED INSTR ANES/PROXY ABSTAIN SMOKING DAY SX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9497","description":"RECEIVED INSTR ANES/PROXY ABSTAIN SMOKING DAY SX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEPTOR ASSAY ENDOCRINE OTH/THN ESTRGN/PROGST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84235","description":"RECEPTOR ASSAY ENDOCRINE OTH/THN ESTRGN/PROGST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECEPTOR ASSAY NON-ENDOCRINE SPECIFY RECEPTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84238","description":"RECEPTOR ASSAY NON-ENDOCRINE SPECIFY RECEPTOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50340","description":"RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50340","description":"RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1014","description":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1014","description":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECON CT ANGIO AORTA SURG PLANNING VASC SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0288","description":"RECON CT ANGIO AORTA SURG PLANNING VASC SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECON CT ANGIO AORTA SURG PLANNING VASC SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0288","description":"RECON CT ANGIO AORTA SURG PLANNING VASC SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION CLEFT FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28360","description":"RECONSTRUCTION CLEFT FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION CLEFT FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28360","description":"RECONSTRUCTION CLEFT FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION COMPLEX CARDIAC ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33622","description":"RECONSTRUCTION COMPLEX CARDIAC ANOMALY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION COMPLEX CARDIAC ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33622","description":"RECONSTRUCTION COMPLEX CARDIAC ANOMALY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69310","description":"RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69310","description":"RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION NAIL BED W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11762","description":"RECONSTRUCTION NAIL BED W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION NAIL BED W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11762","description":"RECONSTRUCTION NAIL BED W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION ORBIT W/OSTEOTOMIES and BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21256","description":"RECONSTRUCTION ORBIT W/OSTEOTOMIES and BONE GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION ORBIT W/OSTEOTOMIES and BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21256","description":"RECONSTRUCTION ORBIT W/OSTEOTOMIES and BONE GRAFTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23420","description":"RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23420","description":"RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION TOE POLYDACTYLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28344","description":"RECONSTRUCTION TOE POLYDACTYLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION TOE POLYDACTYLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28344","description":"RECONSTRUCTION TOE POLYDACTYLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION VENA CAVA ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34502","description":"RECONSTRUCTION VENA CAVA ANY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION VENA CAVA ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34502","description":"RECONSTRUCTION VENA CAVA ANY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL SURVIVAL STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78130","description":"RED CELL SURVIVAL STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL VOLUME DETERMINATION SPX 1 SAMPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78120","description":"RED CELL VOLUME DETERMINATION SPX 1 SAMPLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL VOLUME DETERMINATION SPX 1 SAMPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78120","description":"RED CELL VOLUME DETERMINATION SPX 1 SAMPLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78121","description":"RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78121","description":"RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION FOREHEAD CONTOURING ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21137","description":"REDUCTION FOREHEAD CONTOURING ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION FOREHEAD CONTOURING ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21137","description":"REDUCTION FOREHEAD CONTOURING ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION MAMMAPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19318","description":"REDUCTION MAMMAPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION MASSETER MUSCLE AND BONE EXTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21295","description":"REDUCTION MASSETER MUSCLE AND BONE EXTRAORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION MASSETER MUSCLE AND BONE EXTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21295","description":"REDUCTION MASSETER MUSCLE AND BONE EXTRAORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION MASSETER MUSCLE AND BONE INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21296","description":"REDUCTION MASSETER MUSCLE AND BONE INTRAORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION MASSETER MUSCLE AND BONE INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21296","description":"REDUCTION MASSETER MUSCLE AND BONE INTRAORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION OVERCORRECTION PTOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67909","description":"REDUCTION OVERCORRECTION PTOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION OVERCORRECTION PTOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67909","description":"REDUCTION OVERCORRECTION PTOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REF TO PHYS OTOLOGIC EVAL NOT PRFRM RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8858","description":"REF TO PHYS OTOLOGIC EVAL NOT PRFRM RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REF TO PHYS OTOLOGIC EVAL NOT PRFRM RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8858","description":"REF TO PHYS OTOLOGIC EVAL NOT PRFRM RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRAL TO PHYSICIAN OTOLOGIC EVAL PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8856","description":"REFERRAL TO PHYSICIAN OTOLOGIC EVAL PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRAL TO PHYSICIAN OTOLOGIC EVAL PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8856","description":"REFERRAL TO PHYSICIAN OTOLOGIC EVAL PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRED FOR AN ARTERIO-VENOUS (AV) FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4051F","description":"REFERRED FOR AN ARTERIO-VENOUS (AV) FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRED FOR AN ARTERIO-VENOUS (AV) FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4051F","description":"REFERRED FOR AN ARTERIO-VENOUS (AV) FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRED TO OUTPT CARD REHABILITATION PROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4500F","description":"REFERRED TO OUTPT CARD REHABILITATION PROGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRED TO OUTPT CARD REHABILITATION PROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4500F","description":"REFERRED TO OUTPT CARD REHABILITATION PROGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILL AND MAINTENANCE PUMP DRUG DLVR SYSTEMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96522","description":"REFILL AND MAINTENANCE PUMP DRUG DLVR SYSTEMIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REFILL AND MAINTENANCE PUMP DRUG DLVR SYSTEMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96522","description":"REFILL AND MAINTENANCE PUMP DRUG DLVR SYSTEMIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REFILL and MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95990","description":"REFILL and MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REFILL and MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95990","description":"REFILL and MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REFILLING AND MAINTENANCE PORTABLE PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96521","description":"REFILLING AND MAINTENANCE PORTABLE PUMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REFILLING AND MAINTENANCE PORTABLE PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96521","description":"REFILLING AND MAINTENANCE PORTABLE PUMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REGULATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1353","description":"REGULATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REHAB THERAPY OPTIONS DISCUSSED W/PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4400F","description":"REHAB THERAPY OPTIONS DISCUSSED W/PATIENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REHAB THERAPY OPTIONS DISCUSSED W/PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4400F","description":"REHAB THERAPY OPTIONS DISCUSSED W/PATIENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REIMPLANTATION ANOMALOUS PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33788","description":"REIMPLANTATION ANOMALOUS PULMONARY ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REIMPLANTATION ANOMALOUS PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33788","description":"REIMPLANTATION ANOMALOUS PULMONARY ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION OCULAR IMPLT RNFCMT and / ATTACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65155","description":"REINSERTION OCULAR IMPLT RNFCMT and / ATTACH MUSCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION OCULAR IMPLT RNFCMT and / ATTACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65155","description":"REINSERTION OCULAR IMPLT RNFCMT and / ATTACH MUSCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65150","description":"REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65150","description":"REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION SPINAL FIXATION DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22849","description":"REINSERTION SPINAL FIXATION DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION SPINAL FIXATION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22849","description":"REINSERTION SPINAL FIXATION DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67115","description":"RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67115","description":"RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26593","description":"RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26593","description":"RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE TARSAL TUNNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28035","description":"RELEASE TARSAL TUNNEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE TARSAL TUNNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28035","description":"RELEASE TARSAL TUNNEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE THENAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26508","description":"RELEASE THENAR MUSCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE THENAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26508","description":"RELEASE THENAR MUSCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE/RECESSION HAMSTRING PROXIMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27097","description":"RELEASE/RECESSION HAMSTRING PROXIMAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE/RECESSION HAMSTRING PROXIMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27097","description":"RELEASE/RECESSION HAMSTRING PROXIMAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33223","description":"RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33223","description":"RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATION OF SKIN POCKET FOR PACEMAKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33222","description":"RELOCATION OF SKIN POCKET FOR PACEMAKER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATION OF SKIN POCKET FOR PACEMAKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33222","description":"RELOCATION OF SKIN POCKET FOR PACEMAKER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG ICPMS LT 30 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93297","description":"REM INTERROG ICPMS LT 30 D PHYS/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG ICPMS LT 30 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93297","description":"REM INTERROG ICPMS LT 30 D PHYS/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG PM/LDLS PM LT 90 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93294","description":"REM INTERROG PM/LDLS PM LT 90 D PHYS/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG PM/LDLS PM LT 90 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93294","description":"REM INTERROG PM/LDLS PM LT 90 D PHYS/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG PM/LDLS PM/IDS LT 90 D TECH REVIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93296","description":"REM INTERROG PM/LDLS PM/IDS LT 90 D TECH REVIEW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG PM/LDLS PM/IDS LT 90 D TECH REVIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93296","description":"REM INTERROG PM/LDLS PM/IDS LT 90 D TECH REVIEW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG SCRMS LT 30 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93298","description":"REM INTERROG SCRMS LT 30 D PHYS/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG SCRMS LT 30 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93298","description":"REM INTERROG SCRMS LT 30 D PHYS/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IMAGING MGT RETINAL DISEASE W/I and R UNI/B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92228","description":"REMOTE IMAGING MGT RETINAL DISEASE W/I and R UNI/B","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IMG DX RETINL DIS W/ALYS and REPORT UNI/B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92227","description":"REMOTE IMG DX RETINL DIS W/ALYS and REPORT UNI/B","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANAL SETON OTHER MARKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46030","description":"REMOVAL ANAL SETON OTHER MARKER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANAL SETON OTHER MARKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46030","description":"REMOVAL ANAL SETON OTHER MARKER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANKLE IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27704","description":"REMOVAL ANKLE IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANKLE IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27704","description":"REMOVAL ANKLE IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANTERIOR INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22855","description":"REMOVAL ANTERIOR INSTRUMENTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANTERIOR INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22855","description":"REMOVAL ANTERIOR INSTRUMENTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59871","description":"REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59871","description":"REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21029","description":"REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21029","description":"REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CRNL NRV NSTIM ELTRDS AND PULSE GENERATO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64570","description":"REMOVAL CRNL NRV NSTIM ELTRDS AND PULSE GENERATO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CRNL NRV NSTIM ELTRDS AND PULSE GENERATO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64570","description":"REMOVAL CRNL NRV NSTIM ELTRDS AND PULSE GENERATO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL EMBEDDED FOREIGN BODY EYELID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67938","description":"REMOVAL EMBEDDED FOREIGN BODY EYELID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL EMBEDDED FOREIGN BODY EYELID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67938","description":"REMOVAL EMBEDDED FOREIGN BODY EYELID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20694","description":"REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20694","description":"REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65205","description":"REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65205","description":"REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY DEEP THIGH/KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27372","description":"REMOVAL FOREIGN BODY DEEP THIGH/KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY DEEP THIGH/KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27372","description":"REMOVAL FOREIGN BODY DEEP THIGH/KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28193","description":"REMOVAL FOREIGN BODY FOOT COMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28193","description":"REMOVAL FOREIGN BODY FOOT COMPLICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28192","description":"REMOVAL FOREIGN BODY FOOT DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28192","description":"REMOVAL FOREIGN BODY FOOT DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28190","description":"REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28190","description":"REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30310","description":"REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30310","description":"REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30300","description":"REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30300","description":"REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20520","description":"REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20520","description":"REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY PELVIS/HIP DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27087","description":"REMOVAL FOREIGN BODY PELVIS/HIP DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY PELVIS/HIP DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27087","description":"REMOVAL FOREIGN BODY PELVIS/HIP DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY PHARYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42809","description":"REMOVAL FOREIGN BODY PHARYNX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY PHARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42809","description":"REMOVAL FOREIGN BODY PHARYNX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23330","description":"REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23330","description":"REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24201","description":"REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24201","description":"REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27090","description":"REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27090","description":"REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69210","description":"REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69210","description":"REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57415","description":"REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57415","description":"REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20680","description":"REMOVAL IMPLANT DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20680","description":"REMOVAL IMPLANT DEEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT FROM FINGER/HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26320","description":"REMOVAL IMPLANT FROM FINGER/HAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT FROM FINGER/HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26320","description":"REMOVAL IMPLANT FROM FINGER/HAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20670","description":"REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20670","description":"REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11976","description":"REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11976","description":"REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33241","description":"REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33241","description":"REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36262","description":"REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36262","description":"REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INDWELLING URETERAL STENT PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50384","description":"REMOVAL INDWELLING URETERAL STENT PRQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INDWELLING URETERAL STENT PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50384","description":"REMOVAL INDWELLING URETERAL STENT PRQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTACT BREAST IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19328","description":"REMOVAL INTACT BREAST IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTACT BREAST IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19328","description":"REMOVAL INTACT BREAST IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTACT MAMMARY IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19328","description":"REMOVAL INTACT MAMMARY IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33968","description":"REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33968","description":"REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRAUTERINE DEVICE IUD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58301","description":"REMOVAL INTRAUTERINE DEVICE IUD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRAUTERINE DEVICE IUD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58301","description":"REMOVAL INTRAUTERINE DEVICE IUD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LENS MATERIAL EXTRACAPSULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66940","description":"REMOVAL LENS MATERIAL EXTRACAPSULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LENS MATERIAL EXTRACAPSULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66940","description":"REMOVAL LENS MATERIAL EXTRACAPSULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66930","description":"REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66930","description":"REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32445","description":"REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32445","description":"REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32442","description":"REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32442","description":"REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL MAMMARY IMPLANT MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19330","description":"REMOVAL MAMMARY IMPLANT MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11982","description":"REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11982","description":"REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OCULAR IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65175","description":"REMOVAL OCULAR IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OCULAR IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65175","description":"REMOVAL OCULAR IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF LUNG PNEUMONECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32440","description":"REMOVAL OF LUNG PNEUMONECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF LUNG PNEUMONECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32440","description":"REMOVAL OF LUNG PNEUMONECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50370","description":"REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50370","description":"REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PANCREATIC CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48020","description":"REMOVAL PANCREATIC CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PANCREATIC CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48020","description":"REMOVAL PANCREATIC CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49402","description":"REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49402","description":"REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33233","description":"REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33233","description":"REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22850","description":"REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22850","description":"REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22852","description":"REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22852","description":"REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PROSTHETIC MATRL ABDL WALL FOR INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11008","description":"REMOVAL PROSTHETIC MATRL ABDL WALL FOR INFECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11200","description":"REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23000","description":"REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23000","description":"REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES UNDER ANESTHESIA OTHER SURGEON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15851","description":"REMOVAL SUTURES UNDER ANESTHESIA OTHER SURGEON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15851","description":"REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15851","description":"REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TISS EXPANDER W/O INSERTION PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11971","description":"REMOVAL TISS EXPANDER W/O INSERTION PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11971","description":"REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11971","description":"REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TONG/HALO APPLIED BY ANOTHER INDIVIDUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20665","description":"REMOVAL TONG/HALO APPLIED BY ANOTHER INDIVIDUAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TONGS/HALO APPLIED BY ANOTHER INDIVIDUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20665","description":"REMOVAL TONGS/HALO APPLIED BY ANOTHER INDIVIDUAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TONGS/HALO APPLIED BY ANOTHER INDIVIDUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20665","description":"REMOVAL TONGS/HALO APPLIED BY ANOTHER INDIVIDUAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TUMOR TEMPORAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69970","description":"REMOVAL TUMOR TEMPORAL BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TUMOR TEMPORAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69970","description":"REMOVAL TUMOR TEMPORAL BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TUNNELED INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49422","description":"REMOVAL TUNNELED INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TUNNELED INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49422","description":"REMOVAL TUNNELED INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33977","description":"REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33977","description":"REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33978","description":"REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33978","description":"REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25251","description":"REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25251","description":"REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25250","description":"REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25250","description":"REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL/BIVALVING FULL ARM/FULL LEG CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29705","description":"REMOVAL/BIVALVING FULL ARM/FULL LEG CAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL/BIVALVING FULL ARM/FULL LEG CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29705","description":"REMOVAL/BIVALVING FULL ARM/FULL LEG CAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29700","description":"REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29700","description":"REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE AND REPLACE INDWELL URETERAL STENT TRURTHRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50385","description":"REMOVE AND REPLACE INDWELL URETERAL STENT TRURTHRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE AND REPLACE INDWELL URETERAL STENT TRURTHRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50385","description":"REMOVE AND REPLACE INDWELL URETERAL STENT TRURTHRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE INT DWELL URETERAL STENT TRANSURETHRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50386","description":"REMOVE INT DWELL URETERAL STENT TRANSURETHRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE INT DWELL URETERAL STENT TRANSURETHRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50386","description":"REMOVE INT DWELL URETERAL STENT TRANSURETHRAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMV IMP CERUMEN PHYS SAME DATE AUDIO FUNCT TST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0268","description":"REMV IMP CERUMEN PHYS SAME DATE AUDIO FUNCT TST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMV IMP CERUMEN PHYS SAME DATE AUDIO FUNCT TST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0268","description":"REMV IMP CERUMEN PHYS SAME DATE AUDIO FUNCT TST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53446","description":"REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53446","description":"REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33228","description":"REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33228","description":"REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33229","description":"REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33229","description":"REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33227","description":"REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33227","description":"REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50360","description":"RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50360","description":"RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50365","description":"RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50365","description":"RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL AUTOTRANSPLANTATION REIMPLANTATION KIDNEY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50380","description":"RENAL AUTOTRANSPLANTATION REIMPLANTATION KIDNEY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL AUTOTRANSPLANTATION REIMPLANTATION KIDNEY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50380","description":"RENAL AUTOTRANSPLANTATION REIMPLANTATION KIDNEY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL AUTOTRNSPLJ REIMPLANTATION KIDNEY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50380","description":"RENAL AUTOTRNSPLJ REIMPLANTATION KIDNEY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL BIOPSY PRQ TROCAR/NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50200","description":"RENAL BIOPSY PRQ TROCAR/NEEDLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL BIOPSY PRQ TROCAR/NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50200","description":"RENAL BIOPSY PRQ TROCAR/NEEDLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL BIOPSY SURG EXPOSURE KIDNEY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50205","description":"RENAL BIOPSY SURG EXPOSURE KIDNEY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL BIOPSY SURG EXPOSURE KIDNEY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50205","description":"RENAL BIOPSY SURG EXPOSURE KIDNEY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50551","description":"RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50551","description":"RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL EXPLORATION NOT NECESSITATING OTH SPEC PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50010","description":"RENAL EXPLORATION NOT NECESSITATING OTH SPEC PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL EXPLORATION NOT NECESSITATING OTH SPEC PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50010","description":"RENAL EXPLORATION NOT NECESSITATING OTH SPEC PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL FUNCTION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80069","description":"RENAL FUNCTION PANEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50555","description":"RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50555","description":"RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY FULG and /INC W/WO BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50557","description":"RENAL NDSC NEPHROS/PYELOSTOMY FULG and /INC W/WO BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY FULG and /INC W/WO BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50557","description":"RENAL NDSC NEPHROS/PYELOSTOMY FULG and /INC W/WO BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50562","description":"RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50562","description":"RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50561","description":"RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50561","description":"RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50553","description":"RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50553","description":"RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROTOMY W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50574","description":"RENAL NDSC NEPHROTOMY W/BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROTOMY W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50574","description":"RENAL NDSC NEPHROTOMY W/BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROTOMY W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50570","description":"RENAL NDSC NEPHROTOMY W/WO IRRIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROTOMY W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50570","description":"RENAL NDSC NEPHROTOMY W/WO IRRIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL VEIN RENIN STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80416","description":"RENAL VEIN RENIN STIMULATION PANEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REOP MEDIAST BLEED GFT OCCL VALV DYSFUNC/OTH RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8577","description":"REOP MEDIAST BLEED GFT OCCL VALV DYSFUNC/OTH RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REOP NOT REQ MEDIAST BLEED GFT OCCL/OTH REASN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8578","description":"REOP NOT REQ MEDIAST BLEED GFT OCCL/OTH REASN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REOPENING RECENT LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49002","description":"REOPENING RECENT LAPAROTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REOPENING RECENT LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49002","description":"REOPENING RECENT LAPAROTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANAL FISTULA W/FIBRIN GLUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46706","description":"REPAIR ANAL FISTULA W/FIBRIN GLUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANAL FISTULA W/FIBRIN GLUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46706","description":"REPAIR ANAL FISTULA W/FIBRIN GLUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANORECTAL FISTULA PLUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46707","description":"REPAIR ANORECTAL FISTULA PLUG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANORECTAL FISTULA PLUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46707","description":"REPAIR ANORECTAL FISTULA PLUG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANTERIOR PALATE W/VOMER FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42235","description":"REPAIR ANTERIOR PALATE W/VOMER FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANTERIOR PALATE W/VOMER FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42235","description":"REPAIR ANTERIOR PALATE W/VOMER FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT HAND FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35207","description":"REPAIR BLOOD VESSEL DIRECT HAND FINGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT HAND FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35207","description":"REPAIR BLOOD VESSEL DIRECT HAND FINGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35221","description":"REPAIR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35221","description":"REPAIR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35226","description":"REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35226","description":"REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35201","description":"REPAIR BLOOD VESSEL DIRECT NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35201","description":"REPAIR BLOOD VESSEL DIRECT NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35206","description":"REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35206","description":"REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35251","description":"REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35251","description":"REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35256","description":"REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35256","description":"REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35261","description":"REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35261","description":"REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/VEIN GRAFT NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35231","description":"REPAIR BLOOD VESSEL W/VEIN GRAFT NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/VEIN GRAFT NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35231","description":"REPAIR BLOOD VESSEL W/VEIN GRAFT NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35236","description":"REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35236","description":"REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BROW PTOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67900","description":"REPAIR BROW PTOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BROW PTOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67900","description":"REPAIR BROW PTOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33305","description":"REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33305","description":"REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CARDIAC WOUND W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33300","description":"REPAIR CARDIAC WOUND W/O BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CARDIAC WOUND W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33300","description":"REPAIR CARDIAC WOUND W/O BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CHOANAL ATRESIA INTRANASAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30540","description":"REPAIR CHOANAL ATRESIA INTRANASAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CHOANAL ATRESIA INTRANASAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30540","description":"REPAIR CHOANAL ATRESIA INTRANASAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CHOANAL ATRESIA TRANSPALATINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30545","description":"REPAIR CHOANAL ATRESIA TRANSPALATINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CHOANAL ATRESIA TRANSPALATINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30545","description":"REPAIR CHOANAL ATRESIA TRANSPALATINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CLEFT HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26580","description":"REPAIR CLEFT HAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CLEFT HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26580","description":"REPAIR CLEFT HAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13151","description":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13151","description":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13152","description":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13152","description":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13131","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13131","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13132","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13132","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13133","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13133","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13120","description":"REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13120","description":"REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13121","description":"REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13121","description":"REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13122","description":"REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13122","description":"REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13100","description":"REPAIR COMPLEX TRUNK 1.1-2.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13100","description":"REPAIR COMPLEX TRUNK 1.1-2.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13101","description":"REPAIR COMPLEX TRUNK 2.6-7.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13101","description":"REPAIR COMPLEX TRUNK 2.6-7.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13102","description":"REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13102","description":"REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13153","description":"REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13153","description":"REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35184","description":"REPAIR CONGENITAL AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35184","description":"REPAIR CONGENITAL AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA HEAD AND NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35180","description":"REPAIR CONGENITAL AV FISTULA HEAD AND NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA HEAD AND NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35180","description":"REPAIR CONGENITAL AV FISTULA HEAD AND NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA THORAX and ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35182","description":"REPAIR CONGENITAL AV FISTULA THORAX and ABDOMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA THORAX and ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35182","description":"REPAIR CONGENITAL AV FISTULA THORAX and ABDOMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL PSEUDARTHROSIS TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27727","description":"REPAIR CONGENITAL PSEUDARTHROSIS TIBIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL PSEUDARTHROSIS TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27727","description":"REPAIR CONGENITAL PSEUDARTHROSIS TIBIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DEFECT W/AUTOGRAFT RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25426","description":"REPAIR DEFECT W/AUTOGRAFT RADIUS and ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DEFECT W/AUTOGRAFT RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25426","description":"REPAIR DEFECT W/AUTOGRAFT RADIUS and ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25425","description":"REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25425","description":"REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27676","description":"REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27676","description":"REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION EXCISION TARSAL WEDGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67916","description":"REPAIR ECTROPION EXCISION TARSAL WEDGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION EXCISION TARSAL WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67916","description":"REPAIR ECTROPION EXCISION TARSAL WEDGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67917","description":"REPAIR ECTROPION EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67917","description":"REPAIR ECTROPION EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67914","description":"REPAIR ECTROPION SUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67914","description":"REPAIR ECTROPION SUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION THERMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67915","description":"REPAIR ECTROPION THERMOCAUTERIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION THERMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67915","description":"REPAIR ECTROPION THERMOCAUTERIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTEROCELE ABDOMINAL APPROACH SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57270","description":"REPAIR ENTEROCELE ABDOMINAL APPROACH SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTEROCELE ABDOMINAL APPROACH SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57270","description":"REPAIR ENTEROCELE ABDOMINAL APPROACH SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTEROCELE VAGINAL APPROACH SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57268","description":"REPAIR ENTEROCELE VAGINAL APPROACH SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTEROCELE VAGINAL APPROACH SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57268","description":"REPAIR ENTEROCELE VAGINAL APPROACH SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION EXCISION TARSAL WEDGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67923","description":"REPAIR ENTROPION EXCISION TARSAL WEDGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION EXCISION TARSAL WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67923","description":"REPAIR ENTROPION EXCISION TARSAL WEDGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67924","description":"REPAIR ENTROPION EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67924","description":"REPAIR ENTROPION EXTENSIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67921","description":"REPAIR ENTROPION SUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67921","description":"REPAIR ENTROPION SUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION THERMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67922","description":"REPAIR ENTROPION THERMOCAUTERIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION THERMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67922","description":"REPAIR ENTROPION THERMOCAUTERIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26434","description":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26434","description":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26433","description":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26433","description":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26420","description":"REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26420","description":"REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26418","description":"REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26418","description":"REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON HAND W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26412","description":"REPAIR EXTENSOR TENDON HAND W/GRAFT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON HAND W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26412","description":"REPAIR EXTENSOR TENDON HAND W/GRAFT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26410","description":"REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26410","description":"REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FASCIAL DEFECT LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27656","description":"REPAIR FASCIAL DEFECT LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FASCIAL DEFECT LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27656","description":"REPAIR FASCIAL DEFECT LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27726","description":"REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27726","description":"REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FISTULA OROMAXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30580","description":"REPAIR FISTULA OROMAXILLARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FISTULA OROMAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30580","description":"REPAIR FISTULA OROMAXILLARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FISTULA ORONASAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30600","description":"REPAIR FISTULA ORONASAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FISTULA ORONASAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30600","description":"REPAIR FISTULA ORONASAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27658","description":"REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27658","description":"REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12057","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC GT 30.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12057","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC GT 30.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12055","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 12.6-20.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12055","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 12.6-20.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12051","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12051","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12052","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12052","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 20.1-30.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12056","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 20.1-30.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 20.1-30.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12056","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 20.1-30.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 5.1-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12053","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 5.1-7.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 5.1-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12053","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 5.1-7.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12054","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12054","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12047","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT GT 30.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12047","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT GT 30.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12045","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12045","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12041","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12041","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12042","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12042","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12044","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12044","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12037","description":"REPAIR INTERMEDIATE S/A/T/E GT 30.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12037","description":"REPAIR INTERMEDIATE S/A/T/E GT 30.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12035","description":"REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12035","description":"REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12031","description":"REPAIR INTERMEDIATE S/A/T/E 2.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12031","description":"REPAIR INTERMEDIATE S/A/T/E 2.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12032","description":"REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12032","description":"REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12036","description":"REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12036","description":"REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12034","description":"REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12034","description":"REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26591","description":"REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26591","description":"REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR IRIS CILIARY BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66680","description":"REPAIR IRIS CILIARY BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR IRIS CILIARY BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66680","description":"REPAIR IRIS CILIARY BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION DIAPHRAGM ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39501","description":"REPAIR LACERATION DIAPHRAGM ANY APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION DIAPHRAGM ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39501","description":"REPAIR LACERATION DIAPHRAGM ANY APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION PALATE GT 2 CM/COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42182","description":"REPAIR LACERATION PALATE GT 2 CM/COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION PALATE GT 2 CM/COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42182","description":"REPAIR LACERATION PALATE GT 2 CM/COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION PALATE LT 2 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42180","description":"REPAIR LACERATION PALATE LT 2 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION PALATE LT 2 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42180","description":"REPAIR LACERATION PALATE LT 2 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LATERAL COLLATERAL LIGAMENT ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24343","description":"REPAIR LATERAL COLLATERAL LIGAMENT ELBOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LATERAL COLLATERAL LIGAMENT ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24343","description":"REPAIR LATERAL COLLATERAL LIGAMENT ELBOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LIP FULL THICKNESS LT HALF VERTICAL HEIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40652","description":"REPAIR LIP FULL THICKNESS LT HALF VERTICAL HEIGHT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LIP FULL THICKNESS LT HALF VERTICAL HEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40652","description":"REPAIR LIP FULL THICKNESS LT HALF VERTICAL HEIGHT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LIP FULL THICKNESS VERMILION ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40650","description":"REPAIR LIP FULL THICKNESS VERMILION ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LIP FULL THICKNESS VERMILION ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40650","description":"REPAIR LIP FULL THICKNESS VERMILION ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LUMBAR HERNIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49540","description":"REPAIR LUMBAR HERNIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LUNG HERNIA THROUGH CHEST WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32800","description":"REPAIR LUNG HERNIA THROUGH CHEST WALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LUNG HERNIA THROUGH CHEST WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32800","description":"REPAIR LUNG HERNIA THROUGH CHEST WALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MACRODACTYLIA EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26590","description":"REPAIR MACRODACTYLIA EACH DIGIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MACRODACTYLIA EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26590","description":"REPAIR MACRODACTYLIA EACH DIGIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24345","description":"REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24345","description":"REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MENINGOCELE GT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63702","description":"REPAIR MENINGOCELE GT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MENINGOCELE GT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63702","description":"REPAIR MENINGOCELE GT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MENINGOCELE LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63700","description":"REPAIR MENINGOCELE LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MENINGOCELE LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63700","description":"REPAIR MENINGOCELE LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MYELOMENINGOCELE GT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63706","description":"REPAIR MYELOMENINGOCELE GT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MYELOMENINGOCELE GT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63706","description":"REPAIR MYELOMENINGOCELE GT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MYELOMENINGOCELE LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63704","description":"REPAIR MYELOMENINGOCELE LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MYELOMENINGOCELE LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63704","description":"REPAIR MYELOMENINGOCELE LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NAIL BED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11760","description":"REPAIR NAIL BED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NAIL BED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11760","description":"REPAIR NAIL BED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASAL SEPTAL PERFORATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30630","description":"REPAIR NASAL SEPTAL PERFORATIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASAL SEPTAL PERFORATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30630","description":"REPAIR NASAL SEPTAL PERFORATIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASAL VESTIBULAR STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30465","description":"REPAIR NASAL VESTIBULAR STENOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASAL VESTIBULAR STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30465","description":"REPAIR NASAL VESTIBULAR STENOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASOLABIAL FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42260","description":"REPAIR NASOLABIAL FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASOLABIAL FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42260","description":"REPAIR NASOLABIAL FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24435","description":"REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24435","description":"REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NON/MALUNION HUMERUS W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24430","description":"REPAIR NON/MALUNION HUMERUS W/O GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NON/MALUNION HUMERUS W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24430","description":"REPAIR NON/MALUNION HUMERUS W/O GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION CARPAL BONE EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25431","description":"REPAIR NONUNION CARPAL BONE EACH BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION CARPAL BONE EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25431","description":"REPAIR NONUNION CARPAL BONE EACH BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TARSAL BONES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28320","description":"REPAIR NONUNION/MALUNION TARSAL BONES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TARSAL BONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28320","description":"REPAIR NONUNION/MALUNION TARSAL BONES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TIBIA W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27720","description":"REPAIR NONUNION/MALUNION TIBIA W/O GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TIBIA W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27720","description":"REPAIR NONUNION/MALUNION TIBIA W/O GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27722","description":"REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27722","description":"REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OVAL WINDOW FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69666","description":"REPAIR OVAL WINDOW FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OVAL WINDOW FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69666","description":"REPAIR OVAL WINDOW FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PATENT DUCTUS ARTERIOSUS BY LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33820","description":"REPAIR PATENT DUCTUS ARTERIOSUS BY LIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PATENT DUCTUS ARTERIOSUS BY LIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33820","description":"REPAIR PATENT DUCTUS ARTERIOSUS BY LIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PATENT DUCTUS ARTERIOSUS LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33820","description":"REPAIR PATENT DUCTUS ARTERIOSUS LIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PDA BY DIVISION 18 YEARS and OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33824","description":"REPAIR PDA BY DIVISION 18 YEARS and OLDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PDA BY DIVISION 18 YEARS and OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33824","description":"REPAIR PDA BY DIVISION 18 YEARS and OLDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33822","description":"REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33822","description":"REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21742","description":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21742","description":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21743","description":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21743","description":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATUM/CARINATUM OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21740","description":"REPAIR PECTUS EXCAVATUM/CARINATUM OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATUM/CARINATUM OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21740","description":"REPAIR PECTUS EXCAVATUM/CARINATUM OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27650","description":"REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27650","description":"REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PRIMARY TORN LIGM and /CAPSULE KNEE CRUCIAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27407","description":"REPAIR PRIMARY TORN LIGM and /CAPSULE KNEE CRUCIAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PRIMARY TORN LIGM and /CAPSULE KNEE CRUCIAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27407","description":"REPAIR PRIMARY TORN LIGM and /CAPSULE KNEE CRUCIAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RECTOCELE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45560","description":"REPAIR RECTOCELE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RECTOCELE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45560","description":"REPAIR RECTOCELE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RETINAL DETACHMENT SCLERAL BUCKLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67107","description":"REPAIR RETINAL DETACHMENT SCLERAL BUCKLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RETINAL DETACHMENT SCLERAL BUCKLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67107","description":"REPAIR RETINAL DETACHMENT SCLERAL BUCKLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ROUND WINDOW FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69667","description":"REPAIR ROUND WINDOW FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ROUND WINDOW FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69667","description":"REPAIR ROUND WINDOW FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SCLERAL STAPHYLOMA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66225","description":"REPAIR SCLERAL STAPHYLOMA W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SCLERAL STAPHYLOMA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66225","description":"REPAIR SCLERAL STAPHYLOMA W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27654","description":"REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27654","description":"REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27698","description":"REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27698","description":"REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SPICA BODY CAST/JACKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29720","description":"REPAIR SPICA BODY CAST/JACKET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SPICA BODY CAST/JACKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29720","description":"REPAIR SPICA BODY CAST/JACKET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26562","description":"REPAIR SYNDACTYLY EACH SPACE COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26562","description":"REPAIR SYNDACTYLY EACH SPACE COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26560","description":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26560","description":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS and GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26561","description":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS and GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS and GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26561","description":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS and GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28208","description":"REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28208","description":"REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24341","description":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA TDN/MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24341","description":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA TDN/MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA TDN/MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24341","description":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA TDN/MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR and REFITTING SPECTACLES EXCEPT FOR APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92370","description":"REPAIR and REFITTING SPECTACLES EXCEPT FOR APHAKIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR and REFITTING SPECTACLES EXCEPT FOR APHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92370","description":"REPAIR and REFITTING SPECTACLES EXCEPT FOR APHAKIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL and M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90867","description":"REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL and M","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL and M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90867","description":"REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL and M","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT ALKALINE J CELL HOM BG MON OWN PT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4234","description":"REPL BATT ALKALINE J CELL HOM BG MON OWN PT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT ALKALINE J CELL HOM BG MON OWN PT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4234","description":"REPL BATT ALKALINE J CELL HOM BG MON OWN PT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT ALKALINE NOT J CELL HOM BG MON OWND PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4233","description":"REPL BATT ALKALINE NOT J CELL HOM BG MON OWND PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT ALKALINE NOT J CELL HOM BG MON OWND PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4233","description":"REPL BATT ALKALINE NOT J CELL HOM BG MON OWND PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT LITHIUM MED NECES HOM BG MON OWN PT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4235","description":"REPL BATT LITHIUM MED NECES HOM BG MON OWN PT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT LITHIUM MED NECES HOM BG MON OWN PT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4235","description":"REPL BATT LITHIUM MED NECES HOM BG MON OWN PT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT SILVER OXIDE HOM BG MON OWND PT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4236","description":"REPL BATT SILVER OXIDE HOM BG MON OWND PT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT SILVER OXIDE HOM BG MON OWND PT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4236","description":"REPL BATT SILVER OXIDE HOM BG MON OWND PT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTERY EXT INFUS PUMP ALKALINE 1.5 VOLT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0603","description":"REPL BATTERY EXT INFUS PUMP ALKALINE 1.5 VOLT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTERY EXT INFUS PUMP LITHIUM 3.6 VOLT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0604","description":"REPL BATTERY EXT INFUS PUMP LITHIUM 3.6 VOLT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTERY EXT INFUS PUMP LITHIUM 4.5 VOLT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0605","description":"REPL BATTERY EXT INFUS PUMP LITHIUM 4.5 VOLT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTERY EXT INFUS PUMP SILVER OXIDE 3 V EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0602","description":"REPL BATTERY EXT INFUS PUMP SILVER OXIDE 3 V EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTRY AUTO EXT DEFIB GARMNT TYPE ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0607","description":"REPL BATTRY AUTO EXT DEFIB GARMNT TYPE ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTRY AUTO EXT DEFIB GARMNT TYPE ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0607","description":"REPL BATTRY AUTO EXT DEFIB GARMNT TYPE ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTRY EXT INFUS PUMP SILVER OXIDE 1.5 V EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0601","description":"REPL BATTRY EXT INFUS PUMP SILVER OXIDE 1.5 V EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL COVER WHEELCHAIR SEAT CUSHN/BACK CUSHN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2619","description":"REPL COVER WHEELCHAIR SEAT CUSHN/BACK CUSHN EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL CUSHNS JAW MOTION REHAB SYSTEM PKG SIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1701","description":"REPL CUSHNS JAW MOTION REHAB SYSTEM PKG SIX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL DIAPHRAGM/FCEPLATE TRACHEOSTOMA VALVE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7502","description":"REPL DIAPHRAGM/FCEPLATE TRACHEOSTOMA VALVE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL DIAPHRAGM/FCEPLATE TRACHEOSTOMA VALVE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7502","description":"REPL DIAPHRAGM/FCEPLATE TRACHEOSTOMA VALVE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL ELEC W/AUTO EXT DEFIB GARMNT TYPE ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0609","description":"REPL ELEC W/AUTO EXT DEFIB GARMNT TYPE ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL LENS SHIELD CARTRIDGE LASR SKN PIERC DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4257","description":"REPL LENS SHIELD CARTRIDGE LASR SKN PIERC DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL LENS SHIELD CARTRIDGE LASR SKN PIERC DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4257","description":"REPL LENS SHIELD CARTRIDGE LASR SKN PIERC DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL MSR SCLS JAW MOTION REHAB SYSTEM PKG 200","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1702","description":"REPL MSR SCLS JAW MOTION REHAB SYSTEM PKG 200","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL SFT INTERFCE MATL DYN ADJUSTBL EXT/FLX DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1820","description":"REPL SFT INTERFCE MATL DYN ADJUSTBL EXT/FLX DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL SFT INTERFCE MATL/CUFF BI-DIR STAT DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1821","description":"REPL SFT INTERFCE MATL/CUFF BI-DIR STAT DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKET ABOVE ELBOW/ELBOW DISART MOLD TO PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6884","description":"REPL SOCKET ABOVE ELBOW/ELBOW DISART MOLD TO PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKET BE/WD MOLDED TO PATIENT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6883","description":"REPL SOCKET BE/WD MOLDED TO PATIENT MODEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKET SD/INTERSCAPULAR THOR MOLD PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6885","description":"REPL SOCKET SD/INTERSCAPULAR THOR MOLD PT MODEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKT ABOVE KNEE/KNEE DISARTIC W/ATTCH PLAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5701","description":"REPL SOCKT ABOVE KNEE/KNEE DISARTIC W/ATTCH PLAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL STRAP ANY ORTHOSIS ALL CMPNTS ANY LEN TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4002","description":"REPL STRAP ANY ORTHOSIS ALL CMPNTS ANY LEN TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49451","description":"REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49451","description":"REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49450","description":"REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49450","description":"REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE GIRDLE FOR SPINAL ORTHOSIS CTLSO OR SO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4000","description":"REPLACE GIRDLE FOR SPINAL ORTHOSIS CTLSO OR SO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE LEATHER CUFF KAFO PROXIMAL THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4100","description":"REPLACE LEATHER CUFF KAFO PROXIMAL THIGH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE LEATHER CUFF KAFO-AFO CALF/DISTAL THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4110","description":"REPLACE LEATHER CUFF KAFO-AFO CALF/DISTAL THIGH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE METAL BANDS KAFO PROXIMAL THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4080","description":"REPLACE METAL BANDS KAFO PROXIMAL THIGH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE METAL BANDS KAFO-AFO CALF/DISTAL THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4090","description":"REPLACE METAL BANDS KAFO-AFO CALF/DISTAL THIGH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE MOLDED CALF LACER CSTM FAB ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4050","description":"REPLACE MOLDED CALF LACER CSTM FAB ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE MOLDED THI LACER CSTM FAB ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4040","description":"REPLACE MOLDED THI LACER CSTM FAB ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE NONMOLD CALF LACER CSTM FAB ORTHOS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4055","description":"REPLACE NONMOLD CALF LACER CSTM FAB ORTHOS ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE NONMOLD THI LACER CSTM FAB ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4045","description":"REPLACE NONMOLD THI LACER CSTM FAB ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE PROXIMAL AND DISTAL UPRIGHT FOR KAFO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4070","description":"REPLACE PROXIMAL AND DISTAL UPRIGHT FOR KAFO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE QUADRILAT SOCKET BRIM MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4020","description":"REPLACE QUADRILAT SOCKET BRIM MOLDED PT MODEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE QUADRILATERAL SOCKET BRIM CUSTOM FITTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4030","description":"REPLACE QUADRILATERAL SOCKET BRIM CUSTOM FITTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE SOFT INTERFACE MATERIAL FOOT DROP SPLINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4394","description":"REPLACE SOFT INTERFACE MATERIAL FOOT DROP SPLINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE TRILATERAL SOCKET BRIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4010","description":"REPLACE TRILATERAL SOCKET BRIM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT AORTIC AND PULMON VALVES ROSS PROCEDUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33413","description":"REPLACEMENT AORTIC AND PULMON VALVES ROSS PROCEDUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT AORTIC AND PULMON VALVES ROSS PROCEDUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33413","description":"REPLACEMENT AORTIC AND PULMON VALVES ROSS PROCEDUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT AORTIC VALVE KONNO PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33412","description":"REPLACEMENT AORTIC VALVE KONNO PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT AORTIC VALVE KONNO PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33412","description":"REPLACEMENT AORTIC VALVE KONNO PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT BATTRY PT-OWNED EAR PULSE GEN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4638","description":"REPLACEMENT BATTRY PT-OWNED EAR PULSE GEN EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT BATTRY PT-OWNED EAR PULSE GEN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4638","description":"REPLACEMENT BATTRY PT-OWNED EAR PULSE GEN EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT CONTACT LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92326","description":"REPLACEMENT CONTACT LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT GARMENT USE W/AUTO EXTERNAL DEFIB EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0608","description":"REPLACEMENT GARMENT USE W/AUTO EXTERNAL DEFIB EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49452","description":"REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49452","description":"REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT HANDGRIP CANE CRUTCH OR WALKER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4636","description":"REPLACEMENT HANDGRIP CANE CRUTCH OR WALKER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT HANDGRIP CANE CRUTCH OR WALKER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4636","description":"REPLACEMENT HANDGRIP CANE CRUTCH OR WALKER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33430","description":"REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33430","description":"REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT OF CONTACT LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92326","description":"REPLACEMENT OF CONTACT LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT OF CONTACT LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92326","description":"REPLACEMENT OF CONTACT LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT PAD INFRARED HEATING PAD SYSTEM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4639","description":"REPLACEMENT PAD INFRARED HEATING PAD SYSTEM EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT PAD INFRARED HEATING PAD SYSTEM EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4639","description":"REPLACEMENT PAD INFRARED HEATING PAD SYSTEM EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT PULMONARY VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33475","description":"REPLACEMENT PULMONARY VALVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT PULMONARY VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33475","description":"REPLACEMENT PULMONARY VALVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT SOCKET BELOW KNEE BK MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5700","description":"REPLACEMENT SOCKET BELOW KNEE BK MOLDED PT MODEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT SOFT INTERFACE MATERIAL STATIC AFO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4392","description":"REPLACEMENT SOFT INTERFACE MATERIAL STATIC AFO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TIP CANE CRUTCH WALKER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4637","description":"REPLACEMENT TIP CANE CRUTCH WALKER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TIP CANE CRUTCH WALKER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4637","description":"REPLACEMENT TIP CANE CRUTCH WALKER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TISS EXPANDER PERMANENT PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11970","description":"REPLACEMENT TISS EXPANDER PERMANENT PROSTHESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11970","description":"REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11970","description":"REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TRICUSPID VALVE W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33465","description":"REPLACEMENT TRICUSPID VALVE W/CARD BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TRICUSPID VALVE W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33465","description":"REPLACEMENT TRICUSPID VALVE W/CARD BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION ARM COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20802","description":"REPLANTATION ARM COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION ARM COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20802","description":"REPLANTATION ARM COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION FOOT COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20838","description":"REPLANTATION FOOT COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION FOOT COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20838","description":"REPLANTATION FOOT COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION FOREARM COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20805","description":"REPLANTATION FOREARM COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION FOREARM COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20805","description":"REPLANTATION FOREARM COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION HAND COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20808","description":"REPLANTATION HAND COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION HAND COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20808","description":"REPLANTATION HAND COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT BATTRY MED NECES TRNSQ ELEC STIM OWND PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4630","description":"REPLCMT BATTRY MED NECES TRNSQ ELEC STIM OWND PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT BATTRY MED NECES TRNSQ ELEC STIM OWND PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4630","description":"REPLCMT BATTRY MED NECES TRNSQ ELEC STIM OWND PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT BULB/LAMP ULTRAVIOLET LIGHT TX SYSTEM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4633","description":"REPLCMT BULB/LAMP ULTRAVIOLET LIGHT TX SYSTEM EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT BULB/LAMP ULTRAVIOLET LIGHT TX SYSTEM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4633","description":"REPLCMT BULB/LAMP ULTRAVIOLET LIGHT TX SYSTEM EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT PAD W/MED NECES ALTRNAT PRSS PAD OWND PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4640","description":"REPLCMT PAD W/MED NECES ALTRNAT PRSS PAD OWND PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT PAD W/MED NECES ALTRNAT PRSS PAD OWND PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4640","description":"REPLCMT PAD W/MED NECES ALTRNAT PRSS PAD OWND PT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT SOCKT HIP DISARTIC W/HIP JNT MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5702","description":"REPLCMT SOCKT HIP DISARTIC W/HIP JNT MOLD PT MDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPORT BONE SCINTIGRAPHY W/X-RAY SAME REGION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3570F","description":"REPORT BONE SCINTIGRAPHY W/X-RAY SAME REGION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPORT BONE SCINTIGRAPHY W/X-RAY SAME REGION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3570F","description":"REPORT BONE SCINTIGRAPHY W/X-RAY SAME REGION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43761","description":"REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43761","description":"REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING IO LENS PROSTHESIS REQ INC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66825","description":"REPOSITIONING IO LENS PROSTHESIS REQ INC SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING IO LENS PROSTHESIS REQ INC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66825","description":"REPOSITIONING IO LENS PROSTHESIS REQ INC SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62252","description":"REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62252","description":"REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37192","description":"REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37192","description":"REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REPTILASE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85635","description":"REPTILASE TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32504","description":"RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32504","description":"RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32503","description":"RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32503","description":"RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ DIAPHRAGM W/COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39561","description":"RESCJ DIAPHRAGM W/COMPLEX REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ DIAPHRAGM W/COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39561","description":"RESCJ DIAPHRAGM W/COMPLEX REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ DIAPHRAGM W/SIMPLE REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39560","description":"RESCJ DIAPHRAGM W/SIMPLE REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ DIAPHRAGM W/SIMPLE REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39560","description":"RESCJ DIAPHRAGM W/SIMPLE REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42892","description":"RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42892","description":"RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ LIP GT ONE-FOURTH W/O RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40530","description":"RESCJ LIP GT ONE-FOURTH W/O RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ LIP GT ONE-FOURTH W/O RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40530","description":"RESCJ LIP GT ONE-FOURTH W/O RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58950","description":"RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58950","description":"RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PALATE/EXTENSIVE RESCJ LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42120","description":"RESCJ PALATE/EXTENSIVE RESCJ LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PALATE/EXTENSIVE RESCJ LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42120","description":"RESCJ PALATE/EXTENSIVE RESCJ LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42894","description":"RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42894","description":"RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PRIM PRTL MAL W/BSO and OMNTC RAD DEBULKING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58952","description":"RESCJ PRIM PRTL MAL W/BSO and OMNTC RAD DEBULKING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PRIM PRTL MAL W/BSO and OMNTC RAD DEBULKING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58952","description":"RESCJ PRIM PRTL MAL W/BSO and OMNTC RAD DEBULKING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PRIM PRTL MAL W/BSO and OMNTC TAH and LMPHAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58951","description":"RESCJ PRIM PRTL MAL W/BSO and OMNTC TAH and LMPHAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PRIM PRTL MAL W/BSO and OMNTC TAH and LMPHAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58951","description":"RESCJ PRIM PRTL MAL W/BSO and OMNTC TAH and LMPHAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ TEMPORAL BONE EXTERNAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69535","description":"RESCJ TEMPORAL BONE EXTERNAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ TEMPORAL BONE EXTERNAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69535","description":"RESCJ TEMPORAL BONE EXTERNAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ and BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32501","description":"RESCJ and BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ and BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32501","description":"RESCJ and BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61600","description":"RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61600","description":"RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61601","description":"RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61601","description":"RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61616","description":"RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61616","description":"RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61615","description":"RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61615","description":"RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61605","description":"RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61605","description":"RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61606","description":"RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61606","description":"RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61608","description":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61608","description":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61607","description":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61607","description":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48105","description":"RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48105","description":"RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION CONDYLE DISTAL END PHALANX EACH TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28153","description":"RESECTION CONDYLE DISTAL END PHALANX EACH TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION CONDYLE DISTAL END PHALANX EACH TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28153","description":"RESECTION CONDYLE DISTAL END PHALANX EACH TOE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION ELBOW JOINT ARTHRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24155","description":"RESECTION ELBOW JOINT ARTHRECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION ELBOW JOINT ARTHRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24155","description":"RESECTION ELBOW JOINT ARTHRECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION EXTERNAL CARDIAC TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33130","description":"RESECTION EXTERNAL CARDIAC TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION EXTERNAL CARDIAC TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33130","description":"RESECTION EXTERNAL CARDIAC TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION HUMERAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23195","description":"RESECTION HUMERAL HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION HUMERAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23195","description":"RESECTION HUMERAL HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION MEDIASTINAL TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39220","description":"RESECTION MEDIASTINAL TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION MEDIASTINAL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39220","description":"RESECTION MEDIASTINAL TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION OF MEDIASTINAL CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39200","description":"RESECTION OF MEDIASTINAL CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION OF MEDIASTINAL CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39200","description":"RESECTION OF MEDIASTINAL CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28126","description":"RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28126","description":"RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PERICARDIAL CYST/TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33050","description":"RESECTION PERICARDIAL CYST/TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PERICARDIAL CYST/TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33050","description":"RESECTION PERICARDIAL CYST/TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION RIBS EXTRAPLEURAL ALL STAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32900","description":"RESECTION RIBS EXTRAPLEURAL ALL STAGES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION RIBS EXTRAPLEURAL ALL STAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32900","description":"RESECTION RIBS EXTRAPLEURAL ALL STAGES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION/INCISION SUBVALVULAR TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33415","description":"RESECTION/INCISION SUBVALVULAR TISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION/INCISION SUBVALVULAR TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33415","description":"RESECTION/INCISION SUBVALVULAR TISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION/TRANSPLANTATION LONG TENDON BICEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23440","description":"RESECTION/TRANSPLANTATION LONG TENDON BICEPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION/TRANSPLANTATION LONG TENDON BICEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23440","description":"RESECTION/TRANSPLANTATION LONG TENDON BICEPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1020","description":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1020","description":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SC SHOULDER IMPR SUC CALCU and SC Equal to 0 O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8663","description":"RESIDUAL SC SHOULDER IMPR SUC CALCU and SC Equal to 0 O","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SC SHOULDER IMPR SUC CALCU and SC Equal to 0 O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8663","description":"RESIDUAL SC SHOULDER IMPR SUC CALCU and SC Equal to 0 O","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE E WR HND IMPR NOT MSR RSN NOT GV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8670","description":"RESIDUAL SCORE E WR HND IMPR NOT MSR RSN NOT GV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE E WR HND IMPR NOT MSR RSN NOT GV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8670","description":"RESIDUAL SCORE E WR HND IMPR NOT MSR RSN NOT GV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE ELBOW WRIST HAND IMPAIR SC LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8668","description":"RESIDUAL SCORE ELBOW WRIST HAND IMPAIR SC LT 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE ELBOW WRIST HAND IMPAIR SC LT 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8668","description":"RESIDUAL SCORE ELBOW WRIST HAND IMPAIR SC LT 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR NOT MSR NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8662","description":"RESIDUAL SCORE LOW BACK IMPR NOT MSR NO RSN GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR NOT MSR NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8662","description":"RESIDUAL SCORE LOW BACK IMPR NOT MSR NO RSN GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR SUC CALC and SC Equal to 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8659","description":"RESIDUAL SCORE LOW BACK IMPR SUC CALC and SC Equal to 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR SUC CALC and SC Equal to 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8659","description":"RESIDUAL SCORE LOW BACK IMPR SUC CALC and SC Equal to 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR SUC CALC and SC LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8660","description":"RESIDUAL SCORE LOW BACK IMPR SUC CALC and SC LT 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR SUC CALC and SC LT 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8660","description":"RESIDUAL SCORE LOW BACK IMPR SUC CALC and SC LT 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE SHOULDER IMPR NOT MSR RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8666","description":"RESIDUAL SCORE SHOULDER IMPR NOT MSR RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE SHOULDER IMPR NOT MSR RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8666","description":"RESIDUAL SCORE SHOULDER IMPR NOT MSR RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE SHOULDER IMPR SUC CALC and SC LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8664","description":"RESIDUAL SCORE SHOULDER IMPR SUC CALC and SC LT 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE SHOULDER IMPR SUC CALC and SC LT 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8664","description":"RESIDUAL SCORE SHOULDER IMPR SUC CALC and SC LT 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/BACK-UP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0471","description":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/BACK-UP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/BACKUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0472","description":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/BACKUP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/O BACKU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0470","description":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/O BACKU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/O BACKU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0470","description":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/O BACKU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESP SUCTION PUMP HOME MODEL PRTBLE/STATION ELEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0600","description":"RESP SUCTION PUMP HOME MODEL PRTBLE/STATION ELEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESP SUCTION PUMP HOME MODEL PRTBLE/STATION ELEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0600","description":"RESP SUCTION PUMP HOME MODEL PRTBLE/STATION ELEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY FLOW VOLUME LOOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94375","description":"RESPIRATORY FLOW VOLUME LOOP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY MOTION MANAGEMENT SIMULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77293","description":"RESPIRATORY MOTION MANAGEMENT SIMULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY MOTION MANAGEMENT SIMULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77293","description":"RESPIRATORY MOTION MANAGEMENT SIMULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESRVOR BOTTLE NON-DISPBL W/LG VOL US NEBULIZR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7009","description":"RESRVOR BOTTLE NON-DISPBL W/LG VOL US NEBULIZR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RESRVOR BOTTLE NON-DISPBL W/LG VOL US NEBULIZR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7009","description":"RESRVOR BOTTLE NON-DISPBL W/LG VOL US NEBULIZR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RETICULATED PLATELET ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85055","description":"RETICULATED PLATELET ASSAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RETROBULBAR INJECTION ALCOHOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67505","description":"RETROBULBAR INJECTION ALCOHOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RETROBULBAR INJECTION ALCOHOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67505","description":"RETROBULBAR INJECTION ALCOHOL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RETROBULBAR INJECTION MEDICATION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67500","description":"RETROBULBAR INJECTION MEDICATION SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RETROBULBAR INJECTION MEDICATION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67500","description":"RETROBULBAR INJECTION MEDICATION SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REV/RMV PRPH SAC/GSTRC NPG/RCV DTCH CONN ELTR RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64595","description":"REV/RMV PRPH SAC/GSTRC NPG/RCV DTCH CONN ELTR RA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REV/RMV PRPH SAC/GSTRC NPG/RCV DTCH CONN ELTR RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64595","description":"REV/RMV PRPH SAC/GSTRC NPG/RCV DTCH CONN ELTR RA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVIS PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49426","description":"REVIS PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVIS PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49426","description":"REVIS PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION FEMORAL ANAST OPEN NONAUTOG GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35883","description":"REVISION FEMORAL ANAST OPEN NONAUTOG GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION FEMORAL ANAST OPEN W/AUTOG GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35884","description":"REVISION FEMORAL ANAST OPEN W/AUTOG GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION OF RECONSTRUCTED BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19380","description":"REVISION OF RECONSTRUCTED BREAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION OF RECONSTRUCTED BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19380","description":"REVISION OF RECONSTRUCTED BREAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION OPEN GASTRIC RESTRICTIVE PX NOT DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43848","description":"REVISION OPEN GASTRIC RESTRICTIVE PX NOT DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION PERI-IMPLANT CAPSULE BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19370","description":"REVISION PERI-IMPLANT CAPSULE BREAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION PERI-IMPLANT CAPSULE BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19370","description":"REVISION PERI-IMPLANT CAPSULE BREAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57426","description":"REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57426","description":"REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION RECONSTRUCTED BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19380","description":"REVISION RECONSTRUCTED BREAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION STAPEDECTOMY/STAPEDOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69662","description":"REVISION STAPEDECTOMY/STAPEDOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION STAPEDECTOMY/STAPEDOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69662","description":"REVISION STAPEDECTOMY/STAPEDOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION TRACHEOSTOMY SCAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31830","description":"REVISION TRACHEOSTOMY SCAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION TRACHEOSTOMY SCAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31830","description":"REVISION TRACHEOSTOMY SCAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64569","description":"REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64569","description":"REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43882","description":"REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43882","description":"REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RMVL GASTRIC NSTIM ELTRDE ANTRUM OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43882","description":"REVISION/RMVL GASTRIC NSTIM ELTRDE ANTRUM OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RMVL PERIPHERAL/GASTRIC NPGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64595","description":"REVISION/RMVL PERIPHERAL/GASTRIC NPGR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66185","description":"REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66185","description":"REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25449","description":"REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25449","description":"REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44345","description":"REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44345","description":"REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44340","description":"REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44340","description":"REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44346","description":"REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44346","description":"REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ FEM ANAST BPG GRN OPN W/AUTOG VN PATCH GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35884","description":"REVJ FEM ANAST BPG GRN OPN W/AUTOG VN PATCH GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ FEM ANAST BPG GRN OPN W/AUTOG VN PATCH GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35884","description":"REVJ FEM ANAST BPG GRN OPN W/AUTOG VN PATCH GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ FEM ANAST BPG GRN OPN W/NONAUTOG PATCH GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35883","description":"REVJ FEM ANAST BPG GRN OPN W/NONAUTOG PATCH GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ FEM ANAST BPG GRN OPN W/NONAUTOG PATCH GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35883","description":"REVJ FEM ANAST BPG GRN OPN W/NONAUTOG PATCH GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43860","description":"REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43860","description":"REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43865","description":"REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43865","description":"REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44314","description":"REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44314","description":"REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44312","description":"REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44312","description":"REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36261","description":"REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36261","description":"REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63664","description":"REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63664","description":"REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63663","description":"REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63663","description":"REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35879","description":"REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35879","description":"REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35881","description":"REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35881","description":"REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69601","description":"REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69601","description":"REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69602","description":"REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69602","description":"REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69603","description":"REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69603","description":"REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69604","description":"REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69604","description":"REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36832","description":"REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36832","description":"REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36833","description":"REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36833","description":"REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN GASTRIC RESTRICTIVE PX OTH/THN DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43848","description":"REVJ OPN GASTRIC RESTRICTIVE PX OTH/THN DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN GASTRIC RESTRICTIVE PX OTH/THN DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43848","description":"REVJ OPN GASTRIC RESTRICTIVE PX OTH/THN DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22861","description":"REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC CRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22862","description":"REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC LMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27137","description":"REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27137","description":"REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27134","description":"REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27134","description":"REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27138","description":"REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27138","description":"REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT KNEE ARTHRP FEM AND ENTIRE TIBIAL COMPONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27487","description":"REVJ TOT KNEE ARTHRP FEM AND ENTIRE TIBIAL COMPONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT KNEE ARTHRP FEM AND ENTIRE TIBIAL COMPONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27487","description":"REVJ TOT KNEE ARTHRP FEM AND ENTIRE TIBIAL COMPONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27486","description":"REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27486","description":"REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37183","description":"REVJ TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TRANSVNS INTRHPTC PORTOSYSTEMIC SHNT (TIPS)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37183","description":"REVJ TRANSVNS INTRHPTC PORTOSYSTEMIC SHNT (TIPS)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TRANSVNS INTRHPTC PORTOSYSTEMIC SHNT (TIPS)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37183","description":"REVJ TRANSVNS INTRHPTC PORTOSYSTEMIC SHNT (TIPS)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ UR-CUTAN ANAST RPR FSCAL DFCT AND HERNIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50728","description":"REVJ UR-CUTAN ANAST RPR FSCAL DFCT AND HERNIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ UR-CUTAN ANAST RPR FSCAL DFCT AND HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50728","description":"REVJ UR-CUTAN ANAST RPR FSCAL DFCT AND HERNIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ URINARY-CUTANEOUS ANASTAMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50727","description":"REVJ URINARY-CUTANEOUS ANASTAMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ URINARY-CUTANEOUS ANASTAMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50727","description":"REVJ URINARY-CUTANEOUS ANASTAMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22861","description":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22861","description":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22862","description":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC LMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22862","description":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC LMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL IMPL SPI NPG/RCVR DTCH CONNJ ELTRD RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63688","description":"REVJ/RMVL IMPL SPI NPG/RCVR DTCH CONNJ ELTRD RA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL IMPL SPI NPG/RCVR DTCH CONNJ ELTRD RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63688","description":"REVJ/RMVL IMPL SPI NPG/RCVR DTCH CONNJ ELTRD RA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63688","description":"REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61880","description":"REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61880","description":"REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61888","description":"REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61888","description":"REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL PERIPHERAL NEUROSTIMULATOR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64585","description":"REVJ/RMVL PERIPHERAL NEUROSTIMULATOR ELECTRODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL PERPH NEUROSTIMULATOR ELECTRODE ARRAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64585","description":"REVJ/RMVL PERPH NEUROSTIMULATOR ELECTRODE ARRAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL PERPH NEUROSTIMULATOR ELECTRODE ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64585","description":"REVJ/RMVL PERPH NEUROSTIMULATOR ELECTRODE ARRAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57295","description":"REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57295","description":"REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66250","description":"REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66250","description":"REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RF TRNSMT IMPL SCRL NEURO BOWEL BLADDR MGMT REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8684","description":"RF TRNSMT IMPL SCRL NEURO BOWEL BLADDR MGMT REPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RF TRNSMT USE W/IMPLANTABLE NEUROSTIM RF RECV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8683","description":"RF TRNSMT USE W/IMPLANTABLE NEUROSTIM RF RECV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RFL and MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95991","description":"RFL and MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RFL and MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95991","description":"RFL and MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY HIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3472F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY HIGH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY HIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3472F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY HIGH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY LOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3470F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY LOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY LOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3470F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY LOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY MOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3471F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY MOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY MOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3471F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY MOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID FACTOR QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86430","description":"RHEUMATOID FACTOR QUALITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID FACTOR QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86431","description":"RHEUMATOID FACTOR QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30150","description":"RHINECTOMY PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30150","description":"RHINECTOMY PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30160","description":"RHINECTOMY TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30160","description":"RHINECTOMY TOTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30420","description":"RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30420","description":"RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY INTERMEDIATE REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30435","description":"RHINOPLASTY SECONDARY INTERMEDIATE REVISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY INTERMEDIATE REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30435","description":"RHINOPLASTY SECONDARY INTERMEDIATE REVISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY MAJOR REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30450","description":"RHINOPLASTY SECONDARY MAJOR REVISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY MAJOR REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30450","description":"RHINOPLASTY SECONDARY MAJOR REVISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY MINOR REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30430","description":"RHINOPLASTY SECONDARY MINOR REVISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY MINOR REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30430","description":"RHINOPLASTY SECONDARY MINOR REVISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30462","description":"RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30462","description":"RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINP DFRM W/COLUM LNGTH TIP ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30460","description":"RHINP DFRM W/COLUM LNGTH TIP ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINP DFRM W/COLUM LNGTH TIP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30460","description":"RHINP DFRM W/COLUM LNGTH TIP ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINP PRIM COMPLETE XTRNL PARTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30410","description":"RHINP PRIM COMPLETE XTRNL PARTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINP PRIM COMPLETE XTRNL PARTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30410","description":"RHINP PRIM COMPLETE XTRNL PARTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINP PRIM LAT and ALAR CRTLGS and /ELVTN NASAL TI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30400","description":"RHINP PRIM LAT and ALAR CRTLGS and /ELVTN NASAL TI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINP PRIM LAT and ALAR CRTLGS and /ELVTN NASAL TI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30400","description":"RHINP PRIM LAT and ALAR CRTLGS and /ELVTN NASAL TI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHO(D) IMMUNE GLOBULIN HUMAN MINI-DOSE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90385","description":"RHO(D) IMMUNE GLOBULIN HUMAN MINI-DOSE IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHO(D) IMMUNE GLOBULIN HUMAN MINI-DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90385","description":"RHO(D) IMMUNE GLOBULIN HUMAN MINI-DOSE IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS INTERPRETATION AND REPRT ON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93042","description":"RHYTHM ECG 1-3 LEADS INTERPRETATION AND REPRT ON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS INTERPRETATION AND REPRT ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93042","description":"RHYTHM ECG 1-3 LEADS INTERPRETATION AND REPRT ON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93041","description":"RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93041","description":"RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS W/INTERPRETATION and REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93040","description":"RHYTHM ECG 1-3 LEADS W/INTERPRETATION and REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS W/INTERPRETATION and REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93040","description":"RHYTHM ECG 1-3 LEADS W/INTERPRETATION and REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY CHEEK CHIN AND NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15828","description":"RHYTIDECTOMY CHEEK CHIN AND NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY CHEEK CHIN AND NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15828","description":"RHYTIDECTOMY CHEEK CHIN AND NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY SMAS FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15829","description":"RHYTIDECTOMY SMAS FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY SMAS FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15829","description":"RHYTIDECTOMY SMAS FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RIGHT HEART CATH O2 SATURATION AND CARDIAC OUTPUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93451","description":"RIGHT HEART CATH O2 SATURATION AND CARDIAC OUTPUT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RIGHT HEART CATH O2 SATURATION AND CARDIAC OUTPUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93451","description":"RIGHT HEART CATH O2 SATURATION AND CARDIAC OUTPUT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35697","description":"RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35697","description":"RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RINGERS LACTATE INFUSION UP TO 1000 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7120","description":"RINGERS LACTATE INFUSION UP TO 1000 CC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RINGERS LACTATE INFUSION UP TO 1000 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7120","description":"RINGERS LACTATE INFUSION UP TO 1000 CC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24342","description":"RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24342","description":"RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ F STS CH RSD SC LW BACK IMPR PT NOT APP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8661","description":"RISK-ADJ F STS CH RSD SC LW BACK IMPR PT NOT APP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ F STS CH RSD SC LW BACK IMPR PT NOT APP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8661","description":"RISK-ADJ F STS CH RSD SC LW BACK IMPR PT NOT APP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FCN ST E WR HND IMPR NOT MSR RSN NOT GV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8670","description":"RISK-ADJ FCN ST E WR HND IMPR NOT MSR RSN NOT GV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FCN STS CH RSD SC LB IMPAIR RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8662","description":"RISK-ADJ FCN STS CH RSD SC LB IMPAIR RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FCN STS SHLDR IMPR NOT MSR RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8666","description":"RISK-ADJ FCN STS SHLDR IMPR NOT MSR RSN NOT GIVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNC ST ELBOW WRIST HAND IMPAIR SC LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8668","description":"RISK-ADJ FUNC ST ELBOW WRIST HAND IMPAIR SC LT 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE GT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8647","description":"RISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE GT or equal to","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNC STS ELB WRST HND IMPAIR SC Equal to 0 / GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8667","description":"RISK-ADJ FUNC STS ELB WRST HND IMPAIR SC Equal to 0 / GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STAT LOW LEG FT ANK SCORE Equal to 0 / GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8655","description":"RISK-ADJ FUNCT STAT LOW LEG FT ANK SCORE Equal to 0 / GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE Equal to 0 OR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8651","description":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE Equal to 0 OR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8652","description":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE LT 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STATUS HIP NOT MEAS RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8654","description":"RISK-ADJ FUNCT STATUS HIP NOT MEAS RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STATUS KNEE NOT MEAS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8650","description":"RISK-ADJ FUNCT STATUS KNEE NOT MEAS RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STATUS SHOULDER IMPAIR SCORE LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8664","description":"RISK-ADJ FUNCT STATUS SHOULDER IMPAIR SCORE LT 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STS SHOULDER IMPAIR SCORE Equal to 0/ GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8663","description":"RISK-ADJ FUNCT STS SHOULDER IMPAIR SCORE Equal to 0/ GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FXN STAT CH RSD SC FT/ANK IMPAIR SC LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8656","description":"RISK-ADJ FXN STAT CH RSD SC FT/ANK IMPAIR SC LT 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPAIR SC LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8660","description":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPAIR SC LT 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPR SC Equal to 0 OR G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8659","description":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPR SC Equal to 0 OR G","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67343","description":"RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67343","description":"RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL AND RPLCMT INTLY DWELLING URETERAL STENT PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50382","description":"RMVL AND RPLCMT INTLY DWELLING URETERAL STENT PRQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL AND RPLCMT INTLY DWELLING URETERAL STENT PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50382","description":"RMVL AND RPLCMT INTLY DWELLING URETERAL STENT PRQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL AND RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53448","description":"RMVL AND RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL AND RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53448","description":"RMVL AND RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL AND RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50387","description":"RMVL AND RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL AND RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50387","description":"RMVL AND RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53447","description":"RMVL and RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53447","description":"RMVL and RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33243","description":"RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33243","description":"RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33974","description":"RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33974","description":"RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL BLOOD CLOT ANTERIOR SEGMENT EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65930","description":"RMVL BLOOD CLOT ANTERIOR SEGMENT EYE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL BLOOD CLOT ANTERIOR SEGMENT EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65930","description":"RMVL BLOOD CLOT ANTERIOR SEGMENT EYE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL BONE FLAP/PROSTHETIC PLATE SKULL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62142","description":"RMVL BONE FLAP/PROSTHETIC PLATE SKULL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL BONE FLAP/PROSTHETIC PLATE SKULL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62142","description":"RMVL BONE FLAP/PROSTHETIC PLATE SKULL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62256","description":"RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62256","description":"RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62258","description":"RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62258","description":"RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65436","description":"RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65436","description":"RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65435","description":"RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65435","description":"RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22864","description":"RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22865","description":"RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41805","description":"RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41805","description":"RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41806","description":"RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41806","description":"RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB VESTIBULE MOUTH COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40805","description":"RMVL EMBEDDED FB VESTIBULE MOUTH COMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB VESTIBULE MOUTH COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40805","description":"RMVL EMBEDDED FB VESTIBULE MOUTH COMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB VESTIBULE MOUTH SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40804","description":"RMVL EMBEDDED FB VESTIBULE MOUTH SMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB VESTIBULE MOUTH SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40804","description":"RMVL EMBEDDED FB VESTIBULE MOUTH SMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63746","description":"RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63746","description":"RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65900","description":"RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65900","description":"RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74235","description":"RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74235","description":"RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65235","description":"RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65235","description":"RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65260","description":"RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65260","description":"RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65265","description":"RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65265","description":"RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL AUDITORY CANAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69205","description":"RMVL FB XTRNL AUDITORY CANAL ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL AUDITORY CANAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69205","description":"RMVL FB XTRNL AUDITORY CANAL ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL AUDITORY CANAL W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69200","description":"RMVL FB XTRNL AUDITORY CANAL W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL AUDITORY CANAL W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69200","description":"RMVL FB XTRNL AUDITORY CANAL W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65220","description":"RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65220","description":"RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65222","description":"RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65222","description":"RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65210","description":"RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65210","description":"RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB/DACRYOLITH LACRIMAL PASSAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68530","description":"RMVL FB/DACRYOLITH LACRIMAL PASSAGES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB/DACRYOLITH LACRIMAL PASSAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68530","description":"RMVL FB/DACRYOLITH LACRIMAL PASSAGES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FECAL IMPACTION/FB SPX UNDER ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45915","description":"RMVL FECAL IMPACTION/FB SPX UNDER ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FECAL IMPACTION/FB SPX UNDER ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45915","description":"RMVL FECAL IMPACTION/FB SPX UNDER ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30320","description":"RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30320","description":"RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20525","description":"RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20525","description":"RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27086","description":"RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27086","description":"RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24200","description":"RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24200","description":"RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27091","description":"RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27091","description":"RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33971","description":"RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33971","description":"RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65920","description":"RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65920","description":"RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67120","description":"RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67120","description":"RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67121","description":"RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67121","description":"RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33264","description":"RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33264","description":"RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33262","description":"RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33262","description":"RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33263","description":"RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33263","description":"RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL ASPIR TQ 1 OR GT STAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66840","description":"RMVL LENS MATERIAL ASPIR TQ 1 OR GT STAGES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL ASPIR TQ 1 OR GT STAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66840","description":"RMVL LENS MATERIAL ASPIR TQ 1 OR GT STAGES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL INTRACAPSULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66920","description":"RMVL LENS MATERIAL INTRACAPSULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL INTRACAPSULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66920","description":"RMVL LENS MATERIAL INTRACAPSULAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66852","description":"RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66852","description":"RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66850","description":"RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66850","description":"RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32491","description":"RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32491","description":"RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32484","description":"RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32484","description":"RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32482","description":"RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32482","description":"RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32480","description":"RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32480","description":"RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32488","description":"RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32488","description":"RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32486","description":"RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32486","description":"RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32552","description":"RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32552","description":"RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NFROS TUBE REQ FLUORO GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50389","description":"RMVL NFROS TUBE REQ FLUORO GUIDANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NFROS TUBE REQ FLUORO GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50389","description":"RMVL NFROS TUBE REQ FLUORO GUIDANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49429","description":"RMVL PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49429","description":"RMVL PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62355","description":"RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62355","description":"RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM EPICAR PM AND ELTRDS THORCOM 1 LEAD SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33236","description":"RMVL PRM EPICAR PM AND ELTRDS THORCOM 1 LEAD SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM EPICAR PM AND ELTRDS THORCOM 1 LEAD SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33236","description":"RMVL PRM EPICAR PM AND ELTRDS THORCOM 1 LEAD SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM EPICAR PM AND ELTRDS THORCOM DUAL LEAD SY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33237","description":"RMVL PRM EPICAR PM AND ELTRDS THORCOM DUAL LEAD SY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM EPICAR PM AND ELTRDS THORCOM DUAL LEAD SY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33237","description":"RMVL PRM EPICAR PM AND ELTRDS THORCOM DUAL LEAD SY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33238","description":"RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33238","description":"RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11008","description":"RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11008","description":"RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27488","description":"RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27488","description":"RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19330","description":"RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19330","description":"RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66830","description":"RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66830","description":"RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO and INC 15","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11200","description":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO and INC 15","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO and INC 15","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11200","description":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO and INC 15","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63662","description":"RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63662","description":"RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63661","description":"RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63661","description":"RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62365","description":"RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62365","description":"RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SYNTH ROD and INSJ FLXR TDN GRF H/F EA ROD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26392","description":"RMVL SYNTH ROD and INSJ FLXR TDN GRF H/F EA ROD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SYNTH ROD and INSJ FLXR TDN GRF H/F EA ROD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26392","description":"RMVL SYNTH ROD and INSJ FLXR TDN GRF H/F EA ROD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SYNTH ROD and INSJ XTNSR TDN GRF H/F EA ROD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26416","description":"RMVL SYNTH ROD and INSJ XTNSR TDN GRF H/F EA ROD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SYNTH ROD and INSJ XTNSR TDN GRF H/F EA ROD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26416","description":"RMVL SYNTH ROD and INSJ XTNSR TDN GRF H/F EA ROD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL THIERSCH WIRE/SUTURE ANAL CANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46754","description":"RMVL THIERSCH WIRE/SUTURE ANAL CANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL THIERSCH WIRE/SUTURE ANAL CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46754","description":"RMVL THIERSCH WIRE/SUTURE ANAL CANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22864","description":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22864","description":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22865","description":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22865","description":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSPLANTED PANCREATIC ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48556","description":"RMVL TRANSPLANTED PANCREATIC ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSPLANTED PANCREATIC ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48556","description":"RMVL TRANSPLANTED PANCREATIC ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33234","description":"RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33234","description":"RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSVNS PM ELTRD DUAL LEAD SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33235","description":"RMVL TRANSVNS PM ELTRD DUAL LEAD SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSVNS PM ELTRD DUAL LEAD SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33235","description":"RMVL TRANSVNS PM ELTRD DUAL LEAD SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRNSPLED INTESTINAL ALLOGRAFT COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44137","description":"RMVL TRNSPLED INTESTINAL ALLOGRAFT COMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRNSPLED INTESTINAL ALLOGRAFT COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44137","description":"RMVL TRNSPLED INTESTINAL ALLOGRAFT COMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRNSPLED RENAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50370","description":"RMVL TRNSPLED RENAL ALLOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36590","description":"RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36590","description":"RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36589","description":"RMVL TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36589","description":"RMVL TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33980","description":"RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33980","description":"RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VITREOUS ANT APPR PARTIAL REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67005","description":"RMVL VITREOUS ANT APPR PARTIAL REMOVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VITREOUS ANT APPR PARTIAL REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67005","description":"RMVL VITREOUS ANT APPR PARTIAL REMOVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67010","description":"RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67010","description":"RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11983","description":"RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11983","description":"RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29710","description":"RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29710","description":"RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/REVJ SLING MALE URINARY INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53442","description":"RMVL/REVJ SLING MALE URINARY INCONTINENCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/REVJ SLING MALE URINARY INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53442","description":"RMVL/REVJ SLING MALE URINARY INCONTINENCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/REVJ SLING STRESS INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57287","description":"RMVL/REVJ SLING STRESS INCONTINENCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/REVJ SLING STRESS INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57287","description":"RMVL/REVJ SLING STRESS INCONTINENCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69711","description":"RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69711","description":"RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33244","description":"RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33244","description":"RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RNA TESTING FOR HEP C VIREMIA ORDERED/DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3265F","description":"RNA TESTING FOR HEP C VIREMIA ORDERED/DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNA TESTING FOR HEP C VIREMIA ORDERED/DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3265F","description":"RNA TESTING FOR HEP C VIREMIA ORDERED/DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNL EXPL X NECESSITATING OTH SPEC PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50010","description":"RNL EXPL X NECESSITATING OTH SPEC PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT FULGURATION and /INCISION W/WO BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50576","description":"RNL NDSC NFROT FULGURATION and /INCISION W/WO BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT FULGURATION and /INCISION W/WO BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50576","description":"RNL NDSC NFROT FULGURATION and /INCISION W/WO BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50572","description":"RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50572","description":"RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50575","description":"RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50575","description":"RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50580","description":"RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50580","description":"RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ROCKING BED WITH OR WITHOUT SIDE RAILS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0462","description":"ROCKING BED WITH OR WITHOUT SIDE RAILS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ROCKING BED WITH OR WITHOUT SIDE RAILS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0462","description":"ROCKING BED WITH OR WITHOUT SIDE RAILS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ROLLABOUT CHAIR ANY and ALL TYPES W/CASTERS 5 IN/GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1031","description":"ROLLABOUT CHAIR ANY and ALL TYPES W/CASTERS 5 IN/GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ROLLABOUT CHAIR ANY and ALL TYPES W/CASTERS 5 IN/GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1031","description":"ROLLABOUT CHAIR ANY and ALL TYPES W/CASTERS 5 IN/GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ROM MEAS and REPRT EA XTR EX HAND/EA TRNK SCTJ SPI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95851","description":"ROM MEAS and REPRT EA XTR EX HAND/EA TRNK SCTJ SPI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ROM MEAS and REPRT EA XTR EX HAND/EA TRNK SCTJ SPI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95851","description":"ROM MEAS and REPRT EA XTR EX HAND/EA TRNK SCTJ SPI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ROM MEAS and REPRT HAND W/WO COMPARISON NORMAL SID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95852","description":"ROM MEAS and REPRT HAND W/WO COMPARISON NORMAL SID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ROM MEAS and REPRT HAND W/WO COMPARISON NORMAL SID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95852","description":"ROM MEAS and REPRT HAND W/WO COMPARISON NORMAL SID","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ GT 1 MO AFTER ORIGINAL OPRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35700","description":"ROPRTJ GT 1 MO AFTER ORIGINAL OPRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ GT 1 MO AFTER ORIGINAL OPRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35700","description":"ROPRTJ GT 1 MO AFTER ORIGINAL OPRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ CAB/VALVE PX GT 1 MO AFTER ORIGINAL OPERJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33530","description":"ROPRTJ CAB/VALVE PX GT 1 MO AFTER ORIGINAL OPERJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ CAB/VALVE PX GT 1 MO AFTER ORIGINAL OPERJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33530","description":"ROPRTJ CAB/VALVE PX GT 1 MO AFTER ORIGINAL OPERJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ CRTD TEAEC GT 1 MO AFTER ORIGINAL OPRATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35390","description":"ROPRTJ CRTD TEAEC GT 1 MO AFTER ORIGINAL OPRATIO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ CRTD TEAEC GT 1 MO AFTER ORIGINAL OPRATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35390","description":"ROPRTJ CRTD TEAEC GT 1 MO AFTER ORIGINAL OPRATIO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE FOOT CARE BY PHYS OF DIABETIC PT W/LOPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0247","description":"ROUTINE FOOT CARE BY PHYS OF DIABETIC PT W/LOPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE FOOT CARE BY PHYS OF DIABETIC PT W/LOPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0247","description":"ROUTINE FOOT CARE BY PHYS OF DIABETIC PT W/LOPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OB CARE VAG DLVRY AND POSTPARTUM CARE VB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59610","description":"ROUTINE OB CARE VAG DLVRY AND POSTPARTUM CARE VB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OB CARE VAG DLVRY AND POSTPARTUM CARE VB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59610","description":"ROUTINE OB CARE VAG DLVRY AND POSTPARTUM CARE VB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59618","description":"ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59618","description":"ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78800","description":"RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78800","description":"RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR 2 Plus AREA 1 Plus D IMG/1 AREA IMG GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78801","description":"RP LOCLZJ TUM PLNR 2 Plus AREA 1 Plus D IMG/1 AREA IMG GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR 2 Plus AREA 1 Plus D IMG/1 AREA IMG GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78801","description":"RP LOCLZJ TUM PLNR 2 Plus AREA 1 Plus D IMG/1 AREA IMG GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR WHOLE BODY 2 PLUS DAYS IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78804","description":"RP LOCLZJ TUM PLNR WHOLE BODY 2 PLUS DAYS IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR WHOLE BODY 2 PLUS DAYS IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78804","description":"RP LOCLZJ TUM PLNR WHOLE BODY 2 PLUS DAYS IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78802","description":"RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78802","description":"RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78803","description":"RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78803","description":"RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78803","description":"RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 2 AREA 1D IMG/1 AREA IMG GT 2 Plus D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78831","description":"RP LOCLZJ TUM SPECT 2 AREA 1D IMG/1 AREA IMG GT 2 Plus D","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 2 AREA/SEP ACQUISJ IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78831","description":"RP LOCLZJ TUM SPECT 2 AREA/SEP ACQUISJ IMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 2 AREA/SEP ACQUISJ IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78831","description":"RP LOCLZJ TUM SPECT 2 AREA/SEP ACQUISJ IMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT CT 2AREA 1D IMG/1 AR IMG GT 2 Plus D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78832","description":"RP LOCLZJ TUM SPECT CT 2AREA 1D IMG/1 AR IMG GT 2 Plus D","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT CT 2AREA/SEP ACQUISJ IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78832","description":"RP LOCLZJ TUM SPECT CT 2AREA/SEP ACQUISJ IMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT CT 2AREA/SEP ACQUISJ IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78832","description":"RP LOCLZJ TUM SPECT CT 2AREA/SEP ACQUISJ IMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT W/CT 1 AREA 1 DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78830","description":"RP LOCLZJ TUM SPECT W/CT 1 AREA 1 DAY IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT W/CT 1 AREA/ACQUISJ 1DAY IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78830","description":"RP LOCLZJ TUM SPECT W/CT 1 AREA/ACQUISJ 1DAY IMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT W/CT 1 AREA/ACQUISJ 1DAY IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78830","description":"RP LOCLZJ TUM SPECT W/CT 1 AREA/ACQUISJ 1DAY IMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79403","description":"RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79403","description":"RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INRACAVITARY ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79200","description":"RP THERAPY INRACAVITARY ADMINISTRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INRACAVITARY ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79200","description":"RP THERAPY INRACAVITARY ADMINISTRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79300","description":"RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79300","description":"RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79445","description":"RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79445","description":"RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRA-ARTICULAR ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79440","description":"RP THERAPY INTRA-ARTICULAR ADMINISTRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRA-ARTICULAR ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79440","description":"RP THERAPY INTRA-ARTICULAR ADMINISTRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRAVENOUS ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79101","description":"RP THERAPY INTRAVENOUS ADMINISTRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRAVENOUS ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79101","description":"RP THERAPY INTRAVENOUS ADMINISTRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY ORAL ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79005","description":"RP THERAPY ORAL ADMINISTRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY ORAL ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79005","description":"RP THERAPY ORAL ADMINISTRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY UNLISTED PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79999","description":"RP THERAPY UNLISTED PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY UNLISTED PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79999","description":"RP THERAPY UNLISTED PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50840","description":"RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50840","description":"RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33411","description":"RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33411","description":"RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33406","description":"RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33406","description":"RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33410","description":"RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33410","description":"RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62143","description":"RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62143","description":"RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT CATH CTR VAD SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36578","description":"RPLCMT CATH CTR VAD SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT CATH CTR VAD SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36578","description":"RPLCMT CATH CTR VAD SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36580","description":"RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36580","description":"RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36585","description":"RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36585","description":"RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CTR VAD W/SUBQ PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36583","description":"RPLCMT COMPL TUN CTR VAD W/SUBQ PMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CTR VAD W/SUBQ PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36583","description":"RPLCMT COMPL TUN CTR VAD W/SUBQ PMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CTR VAD W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36582","description":"RPLCMT COMPL TUN CTR VAD W/SUBQ PORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CTR VAD W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36582","description":"RPLCMT COMPL TUN CTR VAD W/SUBQ PORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36581","description":"RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36581","description":"RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63744","description":"RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63744","description":"RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69717","description":"RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69717","description":"RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33405","description":"RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33405","description":"RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33983","description":"RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33983","description":"RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33981","description":"RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33981","description":"RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62194","description":"RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62194","description":"RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/IRRIGATION VENTRICULAR CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62225","description":"RPLCMT/IRRIGATION VENTRICULAR CATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/IRRIGATION VENTRICULAR CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62225","description":"RPLCMT/IRRIGATION VENTRICULAR CATHETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62230","description":"RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62230","description":"RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20816","description":"RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20816","description":"RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20822","description":"RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20822","description":"RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20824","description":"RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20824","description":"RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20827","description":"RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20827","description":"RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLMCT OSSEOINTEGRATE IMPLNT W/O MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69717","description":"RPLMCT OSSEOINTEGRATE IMPLNT W/O MASTOIDECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AND RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26548","description":"RPR AND RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AND RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26548","description":"RPR AND RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR and DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68340","description":"RPR and DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR and DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68340","description":"RPR and DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 TORN LIGM and /CAPSL KNE COLTRL and CRUCIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27409","description":"RPR 1 TORN LIGM and /CAPSL KNE COLTRL and CRUCIATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 TORN LIGM and /CAPSL KNE COLTRL and CRUCIATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27409","description":"RPR 1 TORN LIGM and /CAPSL KNE COLTRL and CRUCIATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33218","description":"RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33218","description":"RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 VNTRC W/O/F OBSTRCJ and AORTIC ARCH HYPOPLAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33619","description":"RPR 1 VNTRC W/O/F OBSTRCJ and AORTIC ARCH HYPOPLAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 VNTRC W/O/F OBSTRCJ and AORTIC ARCH HYPOPLAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33619","description":"RPR 1 VNTRC W/O/F OBSTRCJ and AORTIC ARCH HYPOPLAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST FEM HERNIA ANY AGE INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49553","description":"RPR 1ST FEM HERNIA ANY AGE INCARCERATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST FEM HERNIA ANY AGE INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49553","description":"RPR 1ST FEM HERNIA ANY AGE INCARCERATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST FEM HRNA ANY AGE REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49550","description":"RPR 1ST FEM HRNA ANY AGE REDUCIBLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST FEM HRNA ANY AGE REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49550","description":"RPR 1ST FEM HRNA ANY AGE REDUCIBLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49507","description":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT INCARCERATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49507","description":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT INCARCERATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49505","description":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT REDUCIBLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49505","description":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT REDUCIBLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49501","description":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49501","description":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49500","description":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49500","description":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA FULL TERM INFT LT 6 MO INCARCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49496","description":"RPR 1ST INGUN HRNA FULL TERM INFT LT 6 MO INCARCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA FULL TERM INFT LT 6 MO INCARCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49496","description":"RPR 1ST INGUN HRNA FULL TERM INFT LT 6 MO INCARCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA FULL TERM INFT LT 6 MO RDC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49495","description":"RPR 1ST INGUN HRNA FULL TERM INFT LT 6 MO RDC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA FULL TERM INFT LT 6 MO RDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49495","description":"RPR 1ST INGUN HRNA FULL TERM INFT LT 6 MO RDC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49492","description":"RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49492","description":"RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA PRETERM INFT RDC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49491","description":"RPR 1ST INGUN HRNA PRETERM INFT RDC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA PRETERM INFT RDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49491","description":"RPR 1ST INGUN HRNA PRETERM INFT RDC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33612","description":"RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33612","description":"RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33611","description":"RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33611","description":"RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33220","description":"RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33220","description":"RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35190","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35190","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA HEAD and NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35188","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA HEAD and NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA HEAD and NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35188","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA HEAD and NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA THORAX and ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35189","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA THORAX and ABDOMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA THORAX and ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35189","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA THORAX and ABDOMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AND REFITG SPECTACLES EXCEPT APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92370","description":"RPR AND REFITG SPECTACLES EXCEPT APHAKIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33507","description":"RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33507","description":"RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33505","description":"RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33505","description":"RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART FROM PULM ART TO AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33506","description":"RPR ANOM CORONARY ART FROM PULM ART TO AORTA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART FROM PULM ART TO AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33506","description":"RPR ANOM CORONARY ART FROM PULM ART TO AORTA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33504","description":"RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33504","description":"RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33502","description":"RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33502","description":"RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33503","description":"RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33503","description":"RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ATRIAL and VENTRIC SEPTAL DFCT DIR/PATCH CLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33647","description":"RPR ATRIAL and VENTRIC SEPTAL DFCT DIR/PATCH CLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ATRIAL and VENTRIC SEPTAL DFCT DIR/PATCH CLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33647","description":"RPR ATRIAL and VENTRIC SEPTAL DFCT DIR/PATCH CLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33641","description":"RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33641","description":"RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67902","description":"RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67902","description":"RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS FRONTALIS MUSC SUTR/OTH MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67901","description":"RPR BLEPHAROPTOSIS FRONTALIS MUSC SUTR/OTH MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS FRONTALIS MUSC SUTR/OTH MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67901","description":"RPR BLEPHAROPTOSIS FRONTALIS MUSC SUTR/OTH MATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67903","description":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67903","description":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67904","description":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67904","description":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67906","description":"RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67906","description":"RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35221","description":"RPR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35211","description":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35211","description":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35216","description":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35216","description":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35226","description":"RPR BLOOD VESSEL DIRECT LOWER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35241","description":"RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35241","description":"RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35246","description":"RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35246","description":"RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35271","description":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35271","description":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35276","description":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35276","description":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35266","description":"RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35266","description":"RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67908","description":"RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67908","description":"RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35286","description":"RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35286","description":"RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35281","description":"RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35281","description":"RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33615","description":"RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33615","description":"RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33610","description":"RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33610","description":"RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33608","description":"RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33608","description":"RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY CMBN ABDL and SACROPRNL W/GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46748","description":"RPR CLOACAL ANOMALY CMBN ABDL and SACROPRNL W/GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY CMBN ABDL and SACROPRNL W/GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46748","description":"RPR CLOACAL ANOMALY CMBN ABDL and SACROPRNL W/GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY CMBN ABDL AND SACROPRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46746","description":"RPR CLOACAL ANOMALY CMBN ABDL AND SACROPRNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY CMBN ABDL AND SACROPRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46746","description":"RPR CLOACAL ANOMALY CMBN ABDL AND SACROPRNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY SACROPERINEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46744","description":"RPR CLOACAL ANOMALY SACROPERINEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY SACROPERINEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46744","description":"RPR CLOACAL ANOMALY SACROPERINEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26540","description":"RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26540","description":"RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPL AV CANAL W/WO PROSTC VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33670","description":"RPR COMPL AV CANAL W/WO PROSTC VALVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPL AV CANAL W/WO PROSTC VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33670","description":"RPR COMPL AV CANAL W/WO PROSTC VALVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33617","description":"RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33617","description":"RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPLEX RETINA DETACH VITRECT AND MEMBRANE PEEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67113","description":"RPR COMPLEX RETINA DETACH VITRECT AND MEMBRANE PEEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPLEX RETINA DETACH VITRECT AND MEMBRANE PEEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67113","description":"RPR COMPLEX RETINA DETACH VITRECT AND MEMBRANE PEEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CONGENITAL AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35184","description":"RPR CONGENITAL AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CONGENITAL AV FISTULA THORAX AND ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35182","description":"RPR CONGENITAL AV FISTULA THORAX AND ABDOMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33732","description":"RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33732","description":"RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33500","description":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33500","description":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33501","description":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33501","description":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36576","description":"RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36576","description":"RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39540","description":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39540","description":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39541","description":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39541","description":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27675","description":"RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27675","description":"RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63707","description":"RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63707","description":"RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63709","description":"RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63709","description":"RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62120","description":"RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62120","description":"RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27664","description":"RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27664","description":"RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27665","description":"RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27665","description":"RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27659","description":"RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27659","description":"RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR GRF-ENTERIC FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35870","description":"RPR GRF-ENTERIC FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR GRF-ENTERIC FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35870","description":"RPR GRF-ENTERIC FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46740","description":"RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46740","description":"RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/FSTL TABDL and SACROPRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46742","description":"RPR HI IMPRF ANUS W/FSTL TABDL and SACROPRNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/FSTL TABDL and SACROPRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46742","description":"RPR HI IMPRF ANUS W/FSTL TABDL and SACROPRNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/O FISTULA CMBN APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46735","description":"RPR HI IMPRF ANUS W/O FISTULA CMBN APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/O FISTULA CMBN APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46735","description":"RPR HI IMPRF ANUS W/O FISTULA CMBN APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46730","description":"RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46730","description":"RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33853","description":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33853","description":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33852","description":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/O BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33852","description":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/O BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33853","description":"RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33852","description":"RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/O BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46712","description":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46712","description":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46710","description":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46710","description":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33660","description":"RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33660","description":"RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR INGUN HERNIA SLIDING ANY AGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49525","description":"RPR INGUN HERNIA SLIDING ANY AGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR INGUN HERNIA SLIDING ANY AGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49525","description":"RPR INGUN HERNIA SLIDING ANY AGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12046","description":"RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12046","description":"RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33665","description":"RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33665","description":"RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC 2.5 CM OR LT MOUTH and /ANT TWO-THIRDS TONG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41250","description":"RPR LAC 2.5 CM OR LT MOUTH and /ANT TWO-THIRDS TONG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC 2.5 CM OR LT MOUTH and /ANT TWO-THIRDS TONG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41250","description":"RPR LAC 2.5 CM OR LT MOUTH and /ANT TWO-THIRDS TONG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC 2.5 CM OR LT PST ONE-THIRD TONGUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41251","description":"RPR LAC 2.5 CM OR LT PST ONE-THIRD TONGUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC 2.5 CM OR LT PST ONE-THIRD TONGUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41251","description":"RPR LAC 2.5 CM OR LT PST ONE-THIRD TONGUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC APPL TISSUE GLUE WOUND CORNEA and /SCLERA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65286","description":"RPR LAC APPL TISSUE GLUE WOUND CORNEA and /SCLERA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC APPL TISSUE GLUE WOUND CORNEA and /SCLERA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65286","description":"RPR LAC APPL TISSUE GLUE WOUND CORNEA and /SCLERA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC MOBLJ and REARGMT W/HOSPIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65273","description":"RPR LAC CJNC MOBLJ and REARGMT W/HOSPIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC MOBLJ and REARGMT W/HOSPIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65273","description":"RPR LAC CJNC MOBLJ and REARGMT W/HOSPIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC MOBLJ and REARGMT W/O HOSPITALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65272","description":"RPR LAC CJNC MOBLJ and REARGMT W/O HOSPITALIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC MOBLJ and REARGMT W/O HOSPITALIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65272","description":"RPR LAC CJNC MOBLJ and REARGMT W/O HOSPITALIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65270","description":"RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65270","description":"RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORN and /SCLRA PERF W/REPOS/RESCJ UVEAL T","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65285","description":"RPR LAC CORN and /SCLRA PERF W/REPOS/RESCJ UVEAL T","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORN and /SCLRA PERF W/REPOS/RESCJ UVEAL T","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65285","description":"RPR LAC CORN and /SCLRA PERF W/REPOS/RESCJ UVEAL T","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65275","description":"RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65275","description":"RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORNEA and /SCLERA PERFOR X INVG UVEAL TIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65280","description":"RPR LAC CORNEA and /SCLERA PERFOR X INVG UVEAL TIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORNEA and /SCLERA PERFOR X INVG UVEAL TIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65280","description":"RPR LAC CORNEA and /SCLERA PERFOR X INVG UVEAL TIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC TONGUE FLOOR MOUTH GT 2.6 CM/CPLX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41252","description":"RPR LAC TONGUE FLOOR MOUTH GT 2.6 CM/CPLX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC TONGUE FLOOR MOUTH GT 2.6 CM/CPLX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41252","description":"RPR LAC TONGUE FLOOR MOUTH GT 2.6 CM/CPLX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49606","description":"RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49606","description":"RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49605","description":"RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49605","description":"RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LIP FTH OVER ONE-HALF VERT HEIGHT/COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40654","description":"RPR LIP FTH OVER ONE-HALF VERT HEIGHT/COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LIP FTH OVER ONE-HALF VERT HEIGHT/COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40654","description":"RPR LIP FTH OVER ONE-HALF VERT HEIGHT/COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LIP FULL THICKNESS HALF OR LT VERTICAL HEIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40652","description":"RPR LIP FULL THICKNESS HALF OR LT VERTICAL HEIGHT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LIP FULL THICKNESS VERMILION ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40650","description":"RPR LIP FULL THICKNESS VERMILION ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LIP FULL THKNS GT ONE-HALF VERT HEIGHT/COMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40654","description":"RPR LIP FULL THKNS GT ONE-HALF VERT HEIGHT/COMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46715","description":"RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46715","description":"RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LW IMPERFORATE ANUS W/TRPOS FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46716","description":"RPR LW IMPERFORATE ANUS W/TRPOS FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LW IMPERFORATE ANUS W/TRPOS FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46716","description":"RPR LW IMPERFORATE ANUS W/TRPOS FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39503","description":"RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39503","description":"RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53449","description":"RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53449","description":"RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33496","description":"RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33496","description":"RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON-UNION MTCRPL/PHALANX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26546","description":"RPR NON-UNION MTCRPL/PHALANX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON-UNION MTCRPL/PHALANX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26546","description":"RPR NON-UNION MTCRPL/PHALANX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27472","description":"RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27472","description":"RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL FEMUR DSTL H/N W/O GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27470","description":"RPR NON/MAL FEMUR DSTL H/N W/O GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL FEMUR DSTL H/N W/O GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27470","description":"RPR NON/MAL FEMUR DSTL H/N W/O GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27725","description":"RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27725","description":"RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27724","description":"RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27724","description":"RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MALUNION METARSAL W/WO BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28322","description":"RPR NON/MALUNION METARSAL W/WO BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MALUNION METARSAL W/WO BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28322","description":"RPR NON/MALUNION METARSAL W/WO BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION SCAPHOID CARPAL B1 W/WO RDL STYLODC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25440","description":"RPR NONUNION SCAPHOID CARPAL B1 W/WO RDL STYLODC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION SCAPHOID CARPAL B1 W/WO RDL STYLODC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25440","description":"RPR NONUNION SCAPHOID CARPAL B1 W/WO RDL STYLODC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION SCAPHOID CARPAL BNE W/WO RDL STYLEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25440","description":"RPR NONUNION SCAPHOID CARPAL BNE W/WO RDL STYLEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS and ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25420","description":"RPR NONUNION/MALUNION RADIUS and ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS and ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25420","description":"RPR NONUNION/MALUNION RADIUS and ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS and ULNA W/O AUTOGRAF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25415","description":"RPR NONUNION/MALUNION RADIUS and ULNA W/O AUTOGRAF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS and ULNA W/O AUTOGRAF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25415","description":"RPR NONUNION/MALUNION RADIUS and ULNA W/O AUTOGRAF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25405","description":"RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25405","description":"RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25400","description":"RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25400","description":"RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49610","description":"RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49610","description":"RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49611","description":"RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49611","description":"RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33926","description":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33926","description":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33925","description":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33925","description":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43337","description":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43337","description":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43336","description":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43336","description":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43332","description":"RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43332","description":"RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43335","description":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43335","description":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43334","description":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43334","description":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PATENT DUXUS ARTERIOSUS DIV 18 YR AND OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33824","description":"RPR PATENT DUXUS ARTERIOSUS DIV 18 YR AND OLDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PATENT DUXUS ARTERIOSUS DIV UNDER 18 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33822","description":"RPR PATENT DUXUS ARTERIOSUS DIV UNDER 18 YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33545","description":"RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33545","description":"RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27696","description":"RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27696","description":"RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27695","description":"RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27695","description":"RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27652","description":"RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27652","description":"RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY TORN LIGM and /CAPSULE KNEE COLLATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27405","description":"RPR PRIMARY TORN LIGM and /CAPSULE KNEE COLLATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY TORN LIGM and /CAPSULE KNEE COLLATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27405","description":"RPR PRIMARY TORN LIGM and /CAPSULE KNEE COLLATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33917","description":"RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33917","description":"RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33920","description":"RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33920","description":"RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT FEM HERNIA REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49555","description":"RPR RECRT FEM HERNIA REDUCIBLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT FEM HERNIA REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49555","description":"RPR RECRT FEM HERNIA REDUCIBLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT FEM HRNA INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49557","description":"RPR RECRT FEM HRNA INCARCERATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT FEM HRNA INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49557","description":"RPR RECRT FEM HRNA INCARCERATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49520","description":"RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49520","description":"RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT INGUN HERNIA ANY AGE INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49521","description":"RPR RECRT INGUN HERNIA ANY AGE INCARCERATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT INGUN HERNIA ANY AGE INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49521","description":"RPR RECRT INGUN HERNIA ANY AGE INCARCERATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67101","description":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67101","description":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67105","description":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67105","description":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67110","description":"RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67110","description":"RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67108","description":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67108","description":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38115","description":"RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38115","description":"RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA ANEURYSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33720","description":"RPR SINUS VALSALVA ANEURYSM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA ANEURYSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33720","description":"RPR SINUS VALSALVA ANEURYSM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33702","description":"RPR SINUS VALSALVA FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33702","description":"RPR SINUS VALSALVA FISTULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33710","description":"RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33710","description":"RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49600","description":"RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49600","description":"RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68330","description":"RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68330","description":"RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68335","description":"RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68335","description":"RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC and RNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38780","description":"RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC and RNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC and RNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38780","description":"RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC and RNL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28200","description":"RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28200","description":"RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRIST SEC 1 EA TDN/MUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25263","description":"RPR TDN/MUSC FLXR F/ARM and /WRIST SEC 1 EA TDN/MUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRIST SEC 1 EA TDN/MUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25263","description":"RPR TDN/MUSC FLXR F/ARM and /WRIST SEC 1 EA TDN/MUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRISTSEC FR GRF EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25265","description":"RPR TDN/MUSC FLXR F/ARM and /WRISTSEC FR GRF EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRISTSEC FR GRF EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25265","description":"RPR TDN/MUSC FLXR F/ARM and /WRISTSEC FR GRF EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRST PRIM 1 EA TDN/MU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25260","description":"RPR TDN/MUSC FLXR F/ARM and /WRST PRIM 1 EA TDN/MU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRST PRIM 1 EA TDN/MU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25260","description":"RPR TDN/MUSC FLXR F/ARM and /WRST PRIM 1 EA TDN/MU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRIST PRIM 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25270","description":"RPR TDN/MUSC XTNSR F/ARM and /WRIST PRIM 1 EA TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRIST PRIM 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25270","description":"RPR TDN/MUSC XTNSR F/ARM and /WRIST PRIM 1 EA TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRIST SEC 1 EA TDN/MU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25272","description":"RPR TDN/MUSC XTNSR F/ARM and /WRIST SEC 1 EA TDN/MU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRIST SEC 1 EA TDN/MU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25272","description":"RPR TDN/MUSC XTNSR F/ARM and /WRIST SEC 1 EA TDN/MU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRST SEC FR GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25274","description":"RPR TDN/MUSC XTNSR F/ARM and /WRST SEC FR GRF EA TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRST SEC FR GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25274","description":"RPR TDN/MUSC XTNSR F/ARM and /WRST SEC FR GRF EA TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28202","description":"RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28202","description":"RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON SHEATH EXTENSOR F/ARM and /WRIST W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25275","description":"RPR TENDON SHEATH EXTENSOR F/ARM and /WRIST W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON SHEATH EXTENSOR F/ARM and /WRIST W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25275","description":"RPR TENDON SHEATH EXTENSOR F/ARM and /WRIST W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28210","description":"RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28210","description":"RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33781","description":"RPR TGA AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33781","description":"RPR TGA AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULM ART RCNSTJ W/CLOSURE VSD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33780","description":"RPR TGA AORTIC PULM ART RCNSTJ W/CLOSURE VSD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULM ART RCNSTJ W/CLOSURE VSD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33780","description":"RPR TGA AORTIC PULM ART RCNSTJ W/CLOSURE VSD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33779","description":"RPR TGA AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33779","description":"RPR TGA AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULMONARY ARTERY RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33778","description":"RPR TGA AORTIC PULMONARY ARTERY RECONSTRUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULMONARY ARTERY RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33778","description":"RPR TGA AORTIC PULMONARY ARTERY RECONSTRUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATR BAFFLE PX CARD BYP RPR SBPULM OBSTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33777","description":"RPR TGA ATR BAFFLE PX CARD BYP RPR SBPULM OBSTRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATR BAFFLE PX CARD BYP RPR SBPULM OBSTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33777","description":"RPR TGA ATR BAFFLE PX CARD BYP RPR SBPULM OBSTRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX CARD BYP RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33775","description":"RPR TGA ATRIAL BAFFLE PX CARD BYP RMVL PULM BAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX CARD BYP RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33775","description":"RPR TGA ATRIAL BAFFLE PX CARD BYP RMVL PULM BAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX CARD BYP W/CLOSURE VSD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33776","description":"RPR TGA ATRIAL BAFFLE PX CARD BYP W/CLOSURE VSD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX CARD BYP W/CLOSURE VSD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33776","description":"RPR TGA ATRIAL BAFFLE PX CARD BYP W/CLOSURE VSD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33774","description":"RPR TGA ATRIAL BAFFLE PX W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33774","description":"RPR TGA ATRIAL BAFFLE PX W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA W/VSD and SUBPULM STEN W/O SURG ENLGMNT VSD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33770","description":"RPR TGA W/VSD and SUBPULM STEN W/O SURG ENLGMNT VSD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA W/VSD and SUBPULM STEN W/O SURG ENLGMNT VSD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33770","description":"RPR TGA W/VSD and SUBPULM STEN W/O SURG ENLGMNT VSD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA W/VSD and SUBPULM STEN W/SURG ENLGMNT VSD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33771","description":"RPR TGA W/VSD and SUBPULM STEN W/SURG ENLGMNT VSD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA W/VSD and SUBPULM STEN W/SURG ENLGMNT VSD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33771","description":"RPR TGA W/VSD and SUBPULM STEN W/SURG ENLGMNT VSD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGV AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33781","description":"RPR TGV AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGV AORTIC P-ART RCNSTJ W/CLSR V-SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33780","description":"RPR TGV AORTIC P-ART RCNSTJ W/CLSR V-SEPTL DFCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGV AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33779","description":"RPR TGV AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33877","description":"RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33877","description":"RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GREAT VSLS ATR BAFFLE W/RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33775","description":"RPR TRPOS GREAT VSLS ATR BAFFLE W/RMVL PULM BAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GREAT VSLS ATRIAL BAFFLE PX W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33774","description":"RPR TRPOS GREAT VSLS ATRIAL BAFFLE PX W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GREAT VSLS W/ENLGMNT V-SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33771","description":"RPR TRPOS GREAT VSLS W/ENLGMNT V-SEPTL DFCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GREAT VSLS W/O ENLGMNT V-SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33770","description":"RPR TRPOS GREAT VSLS W/O ENLGMNT V-SEPTL DFCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GRT VESSEL AORTIC PULMONARY ART RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33778","description":"RPR TRPOS GRT VESSEL AORTIC PULMONARY ART RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GRT VSL ATR BAFFLE W/BYP SBPULM OBSTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33777","description":"RPR TRPOS GRT VSL ATR BAFFLE W/BYP SBPULM OBSTRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GRT VSL ATR BAFFLE W/CLSR V-SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33776","description":"RPR TRPOS GRT VSL ATR BAFFLE W/CLSR V-SEPTL DFCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36575","description":"RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36575","description":"RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33414","description":"RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33414","description":"RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR WND EXTRAOCULAR MUSCLE TENDON and /TENON CAPSU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65290","description":"RPR WND EXTRAOCULAR MUSCLE TENDON and /TENON CAPSU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR WND EXTRAOCULAR MUSCLE TENDON and /TENON CAPSU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65290","description":"RPR WND EXTRAOCULAR MUSCLE TENDON and /TENON CAPSU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26428","description":"RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26428","description":"RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26426","description":"RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26426","description":"RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26352","description":"RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26352","description":"RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26350","description":"RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26350","description":"RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26358","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26358","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26356","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26357","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26356","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26357","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26370","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26370","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26372","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26372","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26373","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26373","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/TRAUMATIC AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35190","description":"RPR/TRAUMATIC AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/TRAUMATIC AV FISTULA HEAD and NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35188","description":"RPR/TRAUMATIC AV FISTULA HEAD and NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/TRAUMATIC AV FISTULA THORAX and ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35189","description":"RPR/TRAUMATIC AV FISTULA THORAX and ABDOMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33226","description":"RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33226","description":"RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33215","description":"RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33215","description":"RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36597","description":"RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36597","description":"RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RS ELBOW WRIST/HAND IMPR SUC CALC and SCORE Equal to 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8667","description":"RS ELBOW WRIST/HAND IMPR SUC CALC and SCORE Equal to 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS ELBOW WRIST/HAND IMPR SUC CALC and SCORE Equal to 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8667","description":"RS ELBOW WRIST/HAND IMPR SUC CALC and SCORE Equal to 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT NOT MEASURED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8654","description":"RS HIP IMPAIRMENT NOT MEASURED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT NOT MEASURED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8654","description":"RS HIP IMPAIRMENT NOT MEASURED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT SUC CALCULATED and SCORE Equal to 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8651","description":"RS HIP IMPAIRMENT SUC CALCULATED and SCORE Equal to 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT SUC CALCULATED and SCORE Equal to 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8651","description":"RS HIP IMPAIRMENT SUC CALCULATED and SCORE Equal to 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT SUCCESSFULLY CAL and SCORE LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8652","description":"RS HIP IMPAIRMENT SUCCESSFULLY CAL and SCORE LT 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT SUCCESSFULLY CAL and SCORE LT 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8652","description":"RS HIP IMPAIRMENT SUCCESSFULLY CAL and SCORE LT 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPAIRMENT NOT MEASURED NO RSN GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8650","description":"RS KNEE IMPAIRMENT NOT MEASURED NO RSN GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPAIRMENT NOT MEASURED NO RSN GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8650","description":"RS KNEE IMPAIRMENT NOT MEASURED NO RSN GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPR SUC CAL and SCR LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8648","description":"RS KNEE IMPR SUC CAL and SCR LT 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPR SUC CAL and SCR LT 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8648","description":"RS KNEE IMPR SUC CAL and SCR LT 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPR SUC CALC and SCORE WAS Equal to 0 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8647","description":"RS KNEE IMPR SUC CALC and SCORE WAS Equal to 0 OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPR SUC CALC and SCORE WAS Equal to 0 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8647","description":"RS KNEE IMPR SUC CALC and SCORE WAS Equal to 0 OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LOW LEG FOOT/ANKLE IMPR SUC CALC and SC Equal to 0 O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8655","description":"RS LOW LEG FOOT/ANKLE IMPR SUC CALC and SC Equal to 0 O","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LOW LEG FOOT/ANKLE IMPR SUC CALC and SC Equal to 0 O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8655","description":"RS LOW LEG FOOT/ANKLE IMPR SUC CALC and SC Equal to 0 O","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LOWER LEG FOOT/ANKLE IMPR SUC CALC and SC LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8656","description":"RS LOWER LEG FOOT/ANKLE IMPR SUC CALC and SC LT 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LOWER LEG FOOT/ANKLE IMPR SUC CALC and SC LT 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8656","description":"RS LOWER LEG FOOT/ANKLE IMPR SUC CALC and SC LT 0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LW LEG FT/ANK IMPR NOT MEASURED NO RSN GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8658","description":"RS LW LEG FT/ANK IMPR NOT MEASURED NO RSN GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LW LEG FT/ANK IMPR NOT MEASURED NO RSN GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8658","description":"RS LW LEG FT/ANK IMPR NOT MEASURED NO RSN GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSK-A FXN STS CH RSD SC FT/ANK IMPR NO MSR N RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8658","description":"RSK-A FXN STS CH RSD SC FT/ANK IMPR NO MSR N RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37193","description":"RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37193","description":"RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RUSSELL VIPER VENOM TIME DILUTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85613","description":"RUSSELL VIPER VENOM TIME DILUTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RUSSELL VIPER VENON TIME UNDILUTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85612","description":"RUSSELL VIPER VENON TIME UNDILUTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90681","description":"RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90681","description":"RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90680","description":"RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90680","description":"RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1160F","description":"RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1160F","description":"RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FITG CONTACT CORNEAL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92311","description":"RX AND FITG CONTACT CORNEAL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FITG CONTACT CORNEAL LENS APHAKIA BOTH EYES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92312","description":"RX AND FITG CONTACT CORNEAL LENS APHAKIA BOTH EYES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FITG CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92313","description":"RX AND FITG CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX CONTACT CORNEAL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92315","description":"RX CONTACT CORNEAL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX CONTACT CORNEAL LENS APHAKIA BOTH EYES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92316","description":"RX CONTACT CORNEAL LENS APHAKIA BOTH EYES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX CONTACT CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92317","description":"RX CONTACT CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92607","description":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV 1ST HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92607","description":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV 1ST HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92608","description":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV EA 30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92608","description":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV EA 30 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92315","description":"RX and FITG C-LENS TECH CRNL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92315","description":"RX and FITG C-LENS TECH CRNL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS APHAKIA BOTH EYES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92316","description":"RX and FITG C-LENS TECH CRNL LENS APHAKIA BOTH EYES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS APHAKIA BOTH EYES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92316","description":"RX and FITG C-LENS TECH CRNL LENS APHAKIA BOTH EYES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92311","description":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92311","description":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA OU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92312","description":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA OU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA OU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92312","description":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA OU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92313","description":"RX and FITG CONTACT LENS CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92313","description":"RX and FITG CONTACT LENS CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS TECH CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92317","description":"RX and FITG CONTACT LENS TECH CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS TECH CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92317","description":"RX and FITG CONTACT LENS TECH CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95954","description":"RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95954","description":"RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Radial keratotomy","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65771","description":"Radial keratotomy","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Radial keratotomy","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65771","description":"Radial keratotomy","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Red cell survival study","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78130","description":"Red cell survival study","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Red cell survival study","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78130","description":"Red cell survival study","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Repair lumbar hernia","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49540","description":"Repair lumbar hernia","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Repair lumbar hernia","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49540","description":"Repair lumbar hernia","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Replace high roll cuff","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4060","description":"Replace high roll cuff","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Replace pretibial shell","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4130","description":"Replace pretibial shell","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Reptilase test","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85635","description":"Reptilase test","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Respiratory flow volume loop","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94375","description":"Respiratory flow volume loop","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Respiratory flow volume loop","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94375","description":"Respiratory flow volume loop","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOSIS FLEXIBLE CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0622","description":"SACROILIAC ORTHOSIS FLEXIBLE CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOSIS FLEXIBLE PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0621","description":"SACROILIAC ORTHOSIS FLEXIBLE PREFABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOSIS RIGD/SEMI-RIGD PANELS CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0624","description":"SACROILIAC ORTHOSIS RIGD/SEMI-RIGD PANELS CUSTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOSIS RIGID/SEMI-RIGID PANL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0623","description":"SACROILIAC ORTHOSIS RIGID/SEMI-RIGID PANL PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CNCRNS SCR PROV AND IF POS THEN DOC MIT REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9922","description":"SAFETY CNCRNS SCR PROV AND IF POS THEN DOC MIT REC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CNCRNS SCR PROV AND IF POS THEN DOC MIT REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9922","description":"SAFETY CNCRNS SCR PROV AND IF POS THEN DOC MIT REC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CONCERNS SCR POS SCR W/O PROV MIT REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9926","description":"SAFETY CONCERNS SCR POS SCR W/O PROV MIT REC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CONCERNS SCR POS SCR W/O PROV MIT REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9926","description":"SAFETY CONCERNS SCR POS SCR W/O PROV MIT REC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CONCERNS SCREEN PROVIDED AND NEGATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9923","description":"SAFETY CONCERNS SCREEN PROVIDED AND NEGATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CONCERNS SCREEN PROVIDED AND NEGATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9923","description":"SAFETY CONCERNS SCREEN PROVIDED AND NEGATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CONCERNS SCREENING NOT PROVIDED RSN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9925","description":"SAFETY CONCERNS SCREENING NOT PROVIDED RSN NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CONCERNS SCREENING NOT PROVIDED RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9925","description":"SAFETY CONCERNS SCREENING NOT PROVIDED RSN NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY COUNSELING DEMENTIA ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6102F","description":"SAFETY COUNSELING DEMENTIA ORDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY COUNSELING DEMENTIA ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6102F","description":"SAFETY COUNSELING DEMENTIA ORDERED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY COUNSELING DEMENTIA PROVIDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6101F","description":"SAFETY COUNSELING DEMENTIA PROVIDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY COUNSELING DEMENTIA PROVIDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6101F","description":"SAFETY COUNSELING DEMENTIA PROVIDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY VEST WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0980","description":"SAFETY VEST WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76831","description":"SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76831","description":"SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND FUNCTION STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78232","description":"SALIVARY GLAND FUNCTION STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND FUNCTION STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78232","description":"SALIVARY GLAND FUNCTION STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78230","description":"SALIVARY GLAND IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78230","description":"SALIVARY GLAND IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND IMAGING SERIAL IMAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78231","description":"SALIVARY GLAND IMAGING SERIAL IMAGES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND IMAGING SERIAL IMAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78231","description":"SALIVARY GLAND IMAGING SERIAL IMAGES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58700","description":"SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58700","description":"SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58720","description":"SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58720","description":"SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58770","description":"SALPINGOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58770","description":"SALPINGOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SAPHENOPOPLITEAL VEIN ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34530","description":"SAPHENOPOPLITEAL VEIN ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SAPHENOPOPLITEAL VEIN ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34530","description":"SAPHENOPOPLITEAL VEIN ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SATISFACTION W/CARE ACHV W/I 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0916","description":"SATISFACTION W/CARE ACHV W/I 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SATISFACTION W/CARE ACHV W/I 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0916","description":"SATISFACTION W/CARE ACHV W/I 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SATISFACTION W/CARE NOT ACHV 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0918","description":"SATISFACTION W/CARE NOT ACHV 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SATISFACTION W/CARE NOT ACHV 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0918","description":"SATISFACTION W/CARE NOT ACHV 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL CARE/DAY 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99231","description":"SBSQ HOSPITAL CARE/DAY 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL CARE/DAY 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99232","description":"SBSQ HOSPITAL CARE/DAY 25 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL CARE/DAY 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99233","description":"SBSQ HOSPITAL CARE/DAY 35 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99233","description":"SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99233","description":"SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99232","description":"SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99232","description":"SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99231","description":"SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99231","description":"SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE INFANT PBW 2,501-5,000 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99480","description":"SBSQ INTENSIVE CARE INFANT PBW 2,501-5,000 GRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE INFANT PBW 2,501-5,000 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99480","description":"SBSQ INTENSIVE CARE INFANT PBW 2,501-5,000 GRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE LBW INFANT 1,500-2,500 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99479","description":"SBSQ INTENSIVE CARE LBW INFANT 1,500-2,500 GRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE LBW INFANT 1,500-2,500 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99479","description":"SBSQ INTENSIVE CARE LBW INFANT 1,500-2,500 GRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE VLBW INFANT LT 1,500 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99478","description":"SBSQ INTENSIVE CARE VLBW INFANT LT 1,500 GRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE VLBW INFANT LT 1,500 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99478","description":"SBSQ INTENSIVE CARE VLBW INFANT LT 1,500 GRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURS FACIL CARE/DAY UNSTABL/NEW PROB 35 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99310","description":"SBSQ NURS FACIL CARE/DAY UNSTABL/NEW PROB 35 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACIL CARE/DAY MINOR COMPLJ 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99308","description":"SBSQ NURSING FACIL CARE/DAY MINOR COMPLJ 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACIL CARE/DAY NEW PROBLEM 25 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99309","description":"SBSQ NURSING FACIL CARE/DAY NEW PROBLEM 25 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99310","description":"SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99310","description":"SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99308","description":"SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99308","description":"SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99309","description":"SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99309","description":"SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99307","description":"SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99307","description":"SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE/DAY E/M STABLE 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99307","description":"SBSQ NURSING FACILITY CARE/DAY E/M STABLE 10 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTIMICROBIAL AGT DISK METHOD PER PLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87184","description":"SC STD ANTIMICROBIAL AGT DISK METHOD PER PLATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT AGAR DILUTION METHOD PER AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87181","description":"SC STD ANTMCRB AGT AGAR DILUTION METHOD PER AGT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT ENZYME DETCJ PER ENZYME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87185","description":"SC STD ANTMCRB AGT ENZYME DETCJ PER ENZYME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87188","description":"SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87188","description":"SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MICRODILUTION/AGAR DILUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87186","description":"SC STD ANTMCRB AGT MICRODILUTION/AGAR DILUTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MICRODILUTION/AGAR MLC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87187","description":"SC STD ANTMCRB AGT MICRODILUTION/AGAR MLC EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MYOBACTERIA PROPORTION METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87190","description":"SC STD ANTMCRB AGT MYOBACTERIA PROPORTION METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCAPULOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23400","description":"SCAPULOPEXY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCAPULOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23400","description":"SCAPULOPEXY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCHED INTERDISCIPLINARY TEAM CONF W/PT PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0175","description":"SCHED INTERDISCIPLINARY TEAM CONF W/PT PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCHED INTERDISCIPLINARY TEAM CONF W/PT PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0175","description":"SCHED INTERDISCIPLINARY TEAM CONF W/PT PRESENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL REINFORCEMENT SPX W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67255","description":"SCLERAL REINFORCEMENT SPX W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL REINFORCEMENT SPX W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67255","description":"SCLERAL REINFORCEMENT SPX W/GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL REINFORCEMENT SPX W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67250","description":"SCLERAL REINFORCEMENT SPX W/O GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL REINFORCEMENT SPX W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67250","description":"SCLERAL REINFORCEMENT SPX W/O GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCOPE KNEE REMV FB/SHAV TM OTH SURG DIFF CMPRTMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0289","description":"SCOPE KNEE REMV FB/SHAV TM OTH SURG DIFF CMPRTMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCOPE KNEE REMV FB/SHAV TM OTH SURG DIFF CMPRTMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0289","description":"SCOPE KNEE REMV FB/SHAV TM OTH SURG DIFF CMPRTMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCR CLIN DEPR DOC POS and F/U PLAN IS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8431","description":"SCR CLIN DEPR DOC POS and F/U PLAN IS DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CLIN DEPR DOC POS and F/U PLAN IS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8431","description":"SCR CLIN DEPR DOC POS and F/U PLAN IS DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH CERV/VAG MNL SCR and RSCR UND PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0143","description":"SCR CYTOPATH CERV/VAG MNL SCR and RSCR UND PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH CERV/VAG MNL SCR and RSCR UND PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0143","description":"SCR CYTOPATH CERV/VAG MNL SCR and RSCR UND PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH CERV/VAG SCR AUTO and MNL RSCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0145","description":"SCR CYTOPATH CERV/VAG SCR AUTO and MNL RSCR PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH CERV/VAG SCR AUTO and MNL RSCR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0145","description":"SCR CYTOPATH CERV/VAG SCR AUTO and MNL RSCR PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH CERV/VAG SCR CYTOTECH UND PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0123","description":"SCR CYTOPATH CERV/VAG SCR CYTOTECH UND PHYS SUPV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH CERV/VAG SCR CYTOTECH UND PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0123","description":"SCR CYTOPATH CERV/VAG SCR CYTOTECH UND PHYS SUPV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH CERV/VAG THIN LAY PREP INTEPR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0124","description":"SCR CYTOPATH CERV/VAG THIN LAY PREP INTEPR PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH CERV/VAG THIN LAY PREP INTEPR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0124","description":"SCR CYTOPATH CERV/VAG THIN LAY PREP INTEPR PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH CERV/VAG THIN LAY SCR AUTO UND PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0144","description":"SCR CYTOPATH CERV/VAG THIN LAY SCR AUTO UND PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH CERV/VAG THIN LAY SCR AUTO UND PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0144","description":"SCR CYTOPATH CERV/VAG THIN LAY SCR AUTO UND PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH SMER CERV/VAG MNL RSCR INTEPR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0141","description":"SCR CYTOPATH SMER CERV/VAG MNL RSCR INTEPR PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH SMER CERV/VAG MNL RSCR INTEPR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0141","description":"SCR CYTOPATH SMER CERV/VAG MNL RSCR INTEPR PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH SMERS CERV/VAG AUTO SYS W/MNL RESCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0148","description":"SCR CYTOPATH SMERS CERV/VAG AUTO SYS W/MNL RESCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH SMERS CERV/VAG AUTO SYS W/MNL RESCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0148","description":"SCR CYTOPATH SMERS CERV/VAG AUTO SYS W/MNL RESCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH SMERS CERV/VAG AUTO UND PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0147","description":"SCR CYTOPATH SMERS CERV/VAG AUTO UND PHYS SUPV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH SMERS CERV/VAG AUTO UND PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0147","description":"SCR CYTOPATH SMERS CERV/VAG AUTO UND PHYS SUPV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCR DX F DGTL/DBT MAMMO RSLT NOT DOC and REV RSN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9900","description":"SCR DX F DGTL/DBT MAMMO RSLT NOT DOC and REV RSN NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR DX F DGTL/DBT MAMMO RSLT NOT DOC and REV RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9900","description":"SCR DX F DGTL/DBT MAMMO RSLT NOT DOC and REV RSN NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR DX FILM DIGITAL/DBT MAMMO RESULTS DOC and REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9899","description":"SCR DX FILM DIGITAL/DBT MAMMO RESULTS DOC and REV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR DX FILM DIGITAL/DBT MAMMO RESULTS DOC and REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9899","description":"SCR DX FILM DIGITAL/DBT MAMMO RESULTS DOC and REV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR HCV INF NOT RECV W/I 12 MO PR RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9386","description":"SCR HCV INF NOT RECV W/I 12 MO PR RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR HCV INF NOT RECV W/I 12 MO PR RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9386","description":"SCR HCV INF NOT RECV W/I 12 MO PR RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREEN DEPR DOC POS F/U PLN NOT DOC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8511","description":"SCREEN DEPR DOC POS F/U PLN NOT DOC RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREEN DEPR DOC POS F/U PLN NOT DOC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8511","description":"SCREEN DEPR DOC POS F/U PLN NOT DOC RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREEN PERFORM DOC VACC NOT INDICATED/PT REFUSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9281","description":"SCREEN PERFORM DOC VACC NOT INDICATED/PT REFUSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREEN PERFORM DOC VACC NOT INDICATED/PT REFUSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9281","description":"SCREEN PERFORM DOC VACC NOT INDICATED/PT REFUSAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING DEPRESSION DOC NEG A F/U PLAN NOT RQR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8510","description":"SCREENING DEPRESSION DOC NEG A F/U PLAN NOT RQR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING DEPRESSION DOC NEG A F/U PLAN NOT RQR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8510","description":"SCREENING DEPRESSION DOC NEG A F/U PLAN NOT RQR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING DIGITAL BREAST TOMOSYNTHESIS BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77063","description":"SCREENING DIGITAL BREAST TOMOSYNTHESIS BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING DIGITAL BREAST TOMOSYNTHESIS BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77063","description":"SCREENING DIGITAL BREAST TOMOSYNTHESIS BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING FOR DEPR NOT COMPL DOCUMENT PT REASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8433","description":"SCREENING FOR DEPR NOT COMPL DOCUMENT PT REASON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING FOR DEPR NOT COMPL DOCUMENT PT REASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8433","description":"SCREENING FOR DEPR NOT COMPL DOCUMENT PT REASON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING FOR DEPR NOT COMPL DOCUMENTED REASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8433","description":"SCREENING FOR DEPR NOT COMPL DOCUMENTED REASON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING FOR DEPRESSION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3725F","description":"SCREENING FOR DEPRESSION PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING FOR DEPRESSION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3725F","description":"SCREENING FOR DEPRESSION PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77067","description":"SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77067","description":"SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING MAMMOGRAPHY RESULTS DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3014F","description":"SCREENING MAMMOGRAPHY RESULTS DOC AND REV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING MAMMOGRAPHY RESULTS DOC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3014F","description":"SCREENING MAMMOGRAPHY RESULTS DOC AND REV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING PERF AND POS AND PROVISION RECOMMENDATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9919","description":"SCREENING PERF AND POS AND PROVISION RECOMMENDATIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING PERF AND POS AND PROVISION RECOMMENDATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9919","description":"SCREENING PERF AND POS AND PROVISION RECOMMENDATIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING PERFORMED AND NEGATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9920","description":"SCREENING PERFORMED AND NEGATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING PERFORMED AND NEGATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9920","description":"SCREENING PERFORMED AND NEGATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TEST PURE TONE AIR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92551","description":"SCREENING TEST PURE TONE AIR ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TEST PURE TONE AIR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92551","description":"SCREENING TEST PURE TONE AIR ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99173","description":"SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99173","description":"SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TSTS DIABETES MELLITUS RVWD RQSTD ORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3754F","description":"SCREENING TSTS DIABETES MELLITUS RVWD RQSTD ORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TSTS DIABETES MELLITUS RVWD RQSTD ORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3754F","description":"SCREENING TSTS DIABETES MELLITUS RVWD RQSTD ORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEARCH PRIOR CMPL DICOM IMAGES NOT CMPL SYS RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9344","description":"SEARCH PRIOR CMPL DICOM IMAGES NOT CMPL SYS RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEARCH PRIOR CMPL DICOM IMAGES NOT CMPL SYS RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9344","description":"SEARCH PRIOR CMPL DICOM IMAGES NOT CMPL SYS RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEARCH PRIOR CT EXT HC FAC/ENT 12-MO PRI TO IMAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9341","description":"SEARCH PRIOR CT EXT HC FAC/ENT 12-MO PRI TO IMAG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEARCH PRIOR CT EXT HC FAC/ENT 12-MO PRI TO IMAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9341","description":"SEARCH PRIOR CT EXT HC FAC/ENT 12-MO PRI TO IMAG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT ATTACHMENT WALKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0156","description":"SEAT ATTACHMENT WALKER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEAT HT LT 17/ Equal to TO OR GT 21 IN LTWT/ULTRALTWT WHLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0056","description":"SEAT HT LT 17/ Equal to TO OR GT 21 IN LTWT/ULTRALTWT WHLC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEAT LIFT MECHANISM ELECTRIC ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0627","description":"SEAT LIFT MECHANISM ELECTRIC ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEAT LIFT MECHANISM NON-ELECTRIC ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0629","description":"SEAT LIFT MECHANISM NON-ELECTRIC ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49900","description":"SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49900","description":"SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37186","description":"SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37186","description":"SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61619","description":"SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61619","description":"SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV/COMPLIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13160","description":"SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV/COMPLIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13160","description":"SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13160","description":"SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21275","description":"SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21275","description":"SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61618","description":"SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61618","description":"SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEDIMENTATION RATE RBC AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85652","description":"SEDIMENTATION RATE RBC AUTOMATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEDIMENTATION RATE RBC NON-AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85651","description":"SEDIMENTATION RATE RBC NON-AUTOMATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEU APPLINC PNEU COMPRS IN 2 FULL LEGS TRNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0670","description":"SEG PNEU APPLINC PNEU COMPRS IN 2 FULL LEGS TRNK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS CHEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0657","description":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS CHEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS CHEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0657","description":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS CHEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0656","description":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS TRUNK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0656","description":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS TRUNK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0668","description":"SEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL ARM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0667","description":"SEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0669","description":"SEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC FULL ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0672","description":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC FULL ARM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC FULL LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0671","description":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC FULL LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC HALF LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0673","description":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC HALF LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEIZURE TYPE FREQUENCY DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1200F","description":"SEIZURE TYPE FREQUENCY DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEIZURE TYPE FREQUENCY DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1200F","description":"SEIZURE TYPE FREQUENCY DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELECT PICTURE AUDIOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92583","description":"SELECT PICTURE AUDIOMETRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SELF-ADHERENT BANDGE WDTH GT or equal to 3 and LT 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6454","description":"SELF-ADHERENT BANDGE WDTH GT or equal to 3 and LT 5","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SELF-ADHERENT BANDGE WDTH GT or equal to 3 and LT 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6454","description":"SELF-ADHERENT BANDGE WDTH GT or equal to 3 and LT 5","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SELF-ADHERENT BANDGE WDTH GT or equal to 5 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6455","description":"SELF-ADHERENT BANDGE WDTH GT or equal to 5 IN PER YARD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SELF-ADHERENT BANDGE WDTH GT or equal to 5 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6455","description":"SELF-ADHERENT BANDGE WDTH GT or equal to 5 IN PER YARD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SELF-ADHERENT BANDGE WDTH LT or equal to 3 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6453","description":"SELF-ADHERENT BANDGE WDTH LT or equal to 3 IN PER YARD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SELF-ADHERENT BANDGE WDTH LT or equal to 3 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6453","description":"SELF-ADHERENT BANDGE WDTH LT or equal to 3 IN PER YARD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SELF-CARE EDUCATION PROVIDED TO PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4450F","description":"SELF-CARE EDUCATION PROVIDED TO PATIENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-CARE EDUCATION PROVIDED TO PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4450F","description":"SELF-CARE EDUCATION PROVIDED TO PATIENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97535","description":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97535","description":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEMEN ALYS MOTILITY and CNT X W/HUHNER TST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89310","description":"SEMEN ALYS MOTILITY and CNT X W/HUHNER TST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEMEN ALYS PRESENCE and /MOTILITY SPRM HUHNER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89300","description":"SEMEN ALYS PRESENCE and /MOTILITY SPRM HUHNER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEMEN ANALY; PRES/MOT EXCLD HUHNER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0027","description":"SEMEN ANALY; PRES/MOT EXCLD HUHNER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEMEN ANALY; PRES/MOT EXCLD HUHNER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0027","description":"SEMEN ANALY; PRES/MOT EXCLD HUHNER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEMEN ANALYSIS SPERM PRESENCE and /MOTILITY SPRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89321","description":"SEMEN ANALYSIS SPERM PRESENCE and /MOTILITY SPRM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEMEN ANALYSIS STRICT MORPHOLOGIC CRITERIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89322","description":"SEMEN ANALYSIS STRICT MORPHOLOGIC CRITERIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEMEN ANALYSIS VOLUME COUNT MOTILITY DIFFERENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89320","description":"SEMEN ANALYSIS VOLUME COUNT MOTILITY DIFFERENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-RECLIN WHLCHAIR; DTACHBLE ARMS ELEV LEGREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1110","description":"SEMI-RECLIN WHLCHAIR; DTACHBLE ARMS ELEV LEGREST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-RECLIN WHLCHAIR; DTACHBLE ARMS ELEV LEGREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1110","description":"SEMI-RECLIN WHLCHAIR; DTACHBLE ARMS ELEV LEGREST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-RECLIN WHLCHAIR; FIX ARMS DTACHBLE LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1100","description":"SEMI-RECLIN WHLCHAIR; FIX ARMS DTACHBLE LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-RECLIN WHLCHAIR; FIX ARMS DTACHBLE LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1100","description":"SEMI-RECLIN WHLCHAIR; FIX ARMS DTACHBLE LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SENSORINEURAL ACUITY LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92575","description":"SENSORINEURAL ACUITY LEVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SENSORINEURAL ACUITY LEVEL TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92575","description":"SENSORINEURAL ACUITY LEVEL TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SENSORINEURAL ACUITY LEVEL TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92575","description":"SENSORINEURAL ACUITY LEVEL TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I and R SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92060","description":"SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I and R SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I and R SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92060","description":"SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I and R SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97533","description":"SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97533","description":"SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8878","description":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8878","description":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTINEL LYMPH NODE BX NOT PERF REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8882","description":"SENTINEL LYMPH NODE BX NOT PERF REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTINEL LYMPH NODE BX NOT PERF REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8882","description":"SENTINEL LYMPH NODE BX NOT PERF REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEPTAL/OTHER INTRANASAL DERMATOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30620","description":"SEPTAL/OTHER INTRANASAL DERMATOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEPTAL/OTHER INTRANASAL DERMATOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30620","description":"SEPTAL/OTHER INTRANASAL DERMATOPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30520","description":"SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30520","description":"SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23170","description":"SEQUESTRECTOMY CLAVICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY CLAVICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23170","description":"SEQUESTRECTOMY CLAVICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY FOREARM and /WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25145","description":"SEQUESTRECTOMY FOREARM and /WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY FOREARM and /WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25145","description":"SEQUESTRECTOMY FOREARM and /WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY HUMERAL HEAD SURGERY NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23174","description":"SEQUESTRECTOMY HUMERAL HEAD SURGERY NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY HUMERAL HEAD TO SURGICAL NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23174","description":"SEQUESTRECTOMY HUMERAL HEAD TO SURGICAL NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY HUMERAL HEAD TO SURGICAL NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23174","description":"SEQUESTRECTOMY HUMERAL HEAD TO SURGICAL NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY OLECRANON PROCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24138","description":"SEQUESTRECTOMY OLECRANON PROCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY OLECRANON PROCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24138","description":"SEQUESTRECTOMY OLECRANON PROCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY RADIAL HEAD OR NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24136","description":"SEQUESTRECTOMY RADIAL HEAD OR NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY RADIAL HEAD OR NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24136","description":"SEQUESTRECTOMY RADIAL HEAD OR NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY SCAPULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23172","description":"SEQUESTRECTOMY SCAPULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY SCAPULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23172","description":"SEQUESTRECTOMY SCAPULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY SHAFT/DISTAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24134","description":"SEQUESTRECTOMY SHAFT/DISTAL HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY SHAFT/DISTAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24134","description":"SEQUESTRECTOMY SHAFT/DISTAL HUMERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92100","description":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92100","description":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92100","description":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SERUM BACTERICIDAL TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87197","description":"SERUM BACTERICIDAL TITER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SERUM LEVELS CALCUM PHOSPH PARATHYR AND LIPID PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3278F","description":"SERUM LEVELS CALCUM PHOSPH PARATHYR AND LIPID PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM LEVELS CALCUM PHOSPH PARATHYR AND LIPID PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3278F","description":"SERUM LEVELS CALCUM PHOSPH PARATHYR AND LIPID PR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM SCREENING PCT REACTIVE ANTIBODY QUICK METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86808","description":"SERUM SCREENING PCT REACTIVE ANTIBODY QUICK METH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SERUM SCREENING PCT REACTIVE ANTIBODY STANDRD METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86807","description":"SERUM SCREENING PCT REACTIVE ANTIBODY STANDRD METH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE OCCUP THERAP HOME HLTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0152","description":"SERVICE OCCUP THERAP HOME HLTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE OCCUP THERAP HOME HLTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0152","description":"SERVICE OCCUP THERAP HOME HLTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE OT ASSIST HOME HEALTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0158","description":"SERVICE OT ASSIST HOME HEALTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE OT ASSIST HOME HEALTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0158","description":"SERVICE OT ASSIST HOME HEALTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE PHYS THERAP HOME HLTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0151","description":"SERVICE PHYS THERAP HOME HLTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE PHYS THERAP HOME HLTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0151","description":"SERVICE PHYS THERAP HOME HLTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE SLP HH EST/DEL SPCH-LANG PATH MP EA 15 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0161","description":"SERVICE SLP HH EST/DEL SPCH-LANG PATH MP EA 15 M","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE SLP HH EST/DEL SPCH-LANG PATH MP EA 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0161","description":"SERVICE SLP HH EST/DEL SPCH-LANG PATH MP EA 15 M","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES OT HOME HEALTH EST/DEL OT MP EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0160","description":"SERVICES OT HOME HEALTH EST/DEL OT MP EA 15 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES OT HOME HEALTH EST/DEL OT MP EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0160","description":"SERVICES OT HOME HEALTH EST/DEL OT MP EA 15 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9473","description":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9473","description":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9475","description":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9475","description":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9476","description":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9476","description":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PT ASSIST HOME HEALTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0157","description":"SERVICES PT ASSIST HOME HEALTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PT ASSIST HOME HEALTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0157","description":"SERVICES PT ASSIST HOME HEALTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PT HOME HEALTH EST/DEL PT MP EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0159","description":"SERVICES PT HOME HEALTH EST/DEL PT MP EA 15 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PT HOME HEALTH EST/DEL PT MP EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0159","description":"SERVICES PT HOME HEALTH EST/DEL PT MP EA 15 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SESAMOIDECTOMY FIRST TOE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28315","description":"SESAMOIDECTOMY FIRST TOE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SESAMOIDECTOMY FIRST TOE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28315","description":"SESAMOIDECTOMY FIRST TOE SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26185","description":"SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26185","description":"SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65860","description":"SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65860","description":"SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65870","description":"SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65870","description":"SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65880","description":"SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65880","description":"SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65875","description":"SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65875","description":"SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65865","description":"SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65865","description":"SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING TARSORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67710","description":"SEVERING TARSORRHAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING TARSORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67710","description":"SEVERING TARSORRHAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING VITREOUS STRANS LASER 1 OR GT STAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67031","description":"SEVERING VITREOUS STRANS LASER 1 OR GT STAGES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING VITREOUS STRANS LASER 1 OR GT STAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67031","description":"SEVERING VITREOUS STRANS LASER 1 OR GT STAGES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERITY OF ANGINA ASSESSED BY LEVEL OF ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1010F","description":"SEVERITY OF ANGINA ASSESSED BY LEVEL OF ACTIVITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERITY OF ANGINA ASSESSED BY LEVEL OF ACTIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1010F","description":"SEVERITY OF ANGINA ASSESSED BY LEVEL OF ACTIVITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHFO ABDUCT PSTN THOR CMPNT AND SUPP BAR CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3978","description":"SEWHFO ABDUCT PSTN THOR CMPNT AND SUPP BAR CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEWHFO ABDUCT PSTN THOR CMPNT W/O JOINTS CUS FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3976","description":"SEWHFO ABDUCT PSTN THOR CMPNT W/O JOINTS CUS FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEWHFO SHOULD CAP DESIGN CUSTOM FAB ELASTIC BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3977","description":"SEWHFO SHOULD CAP DESIGN CUSTOM FAB ELASTIC BAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEWHFO SHOULDER CAP DESIGN W/O JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3975","description":"SEWHFO SHOULDER CAP DESIGN W/O JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCT PSTN AIRPLANE DESN PREFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3960","description":"SEWHO ABDUCT PSTN AIRPLANE DESN PREFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCT PSTN ERBS PALS DESN PRFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3962","description":"SEWHO ABDUCT PSTN ERBS PALS DESN PRFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCT PSTN THOR CMPNT AND SUPP BAR CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3973","description":"SEWHO ABDUCT PSTN THOR CMPNT AND SUPP BAR CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCTION POSITIONING W/O JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3967","description":"SEWHO ABDUCTION POSITIONING W/O JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO SHOULDER CAP DESIGN CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3971","description":"SEWHO SHOULDER CAP DESIGN CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO SHOULDER CAP DESIGN W/O JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3961","description":"SEWHO SHOULDER CAP DESIGN W/O JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEX CHROMATIN IDENTIFICATION BARR BODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88130","description":"SEX CHROMATIN IDENTIFICATION BARR BODIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEX CHROMATIN IDENTJ PERIPHERAL BLOOD SMEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88140","description":"SEX CHROMATIN IDENTJ PERIPHERAL BLOOD SMEAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEXA BN DNSITY STDY 1 OR GT SITE; APPNDICULR SKEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0130","description":"SEXA BN DNSITY STDY 1 OR GT SITE; APPNDICULR SKEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SEXA BN DNSITY STDY 1 OR GT SITE; APPNDICULR SKEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0130","description":"SEXA BN DNSITY STDY 1 OR GT SITE; APPNDICULR SKEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SFTY ENCLOS FRME/CANOPY USE W/HOSP BED ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0316","description":"SFTY ENCLOS FRME/CANOPY USE W/HOSP BED ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SFTY ENCLOS FRME/CANOPY USE W/HOSP BED ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0316","description":"SFTY ENCLOS FRME/CANOPY USE W/HOSP BED ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX DIRED SBMCSL NJX ANY SBST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45335","description":"SGMDSC FLX DIRED SBMCSL NJX ANY SBST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX DIRED SBMCSL NJX ANY SBST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45335","description":"SGMDSC FLX DIRED SBMCSL NJX ANY SBST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45338","description":"SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45338","description":"SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45337","description":"SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45337","description":"SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHARE DECISION CONSERVATIV TX PRIOR PROC NOT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9297","description":"SHARE DECISION CONSERVATIV TX PRIOR PROC NOT DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHARE DECISION CONSERVATIV TX PRIOR PROC NOT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9297","description":"SHARE DECISION CONSERVATIV TX PRIOR PROC NOT DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11313","description":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM GT 2.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11313","description":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM GT 2.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11310","description":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11310","description":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11308","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM GT 2.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11308","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM GT 2.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11305","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11305","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11306","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11306","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11307","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11307","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11300","description":"SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11300","description":"SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHLDR DISARTIC MOLD SOCKET INTRL LOCK ELB FORARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6300","description":"SHLDR DISARTIC MOLD SOCKET INTRL LOCK ELB FORARM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHLDR DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6960","description":"SHLDR DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHLDR DISRTC MOLD SCKT ENDOSKEL W/SFT PROS TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6550","description":"SHLDR DISRTC MOLD SCKT ENDOSKEL W/SFT PROS TISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHOCK ABSORBER FOR MANUAL WHEELCHAIR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1015","description":"SHOCK ABSORBER FOR MANUAL WHEELCHAIR EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHOCK ABSORBER FOR POWER WHEELCHAIR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1016","description":"SHOCK ABSORBER FOR POWER WHEELCHAIR EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95926","description":"SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95926","description":"SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95927","description":"SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95927","description":"SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD UPR AND LOW LIMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95938","description":"SHORT-LATENCY SOMATOSENS EP STD UPR AND LOW LIMB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD UPR AND LOW LIMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95938","description":"SHORT-LATENCY SOMATOSENS EP STD UPR AND LOW LIMB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95925","description":"SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95925","description":"SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHORTENING TENDON EXTENSOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26477","description":"SHORTENING TENDON EXTENSOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHORTENING TENDON EXTENSOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26477","description":"SHORTENING TENDON EXTENSOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHORTENING TENDON FLEXOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26479","description":"SHORTENING TENDON FLEXOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHORTENING TENDON FLEXOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26479","description":"SHORTENING TENDON FLEXOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER DISART PASSIVE REST SHOULDER CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6320","description":"SHOULDER DISART PASSIVE REST SHOULDER CAP ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER DISARTIC PASSIVE REST COMPLETE PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6310","description":"SHOULDER DISARTIC PASSIVE REST COMPLETE PROSTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS ABDUCT PSTN THOR COMP CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3674","description":"SHOULDER ORTHOSIS ABDUCT PSTN THOR COMP CUSTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS ACROMIO/CLAVICULAR PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3670","description":"SHOULDER ORTHOSIS ACROMIO/CLAVICULAR PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS FIG 8 ABDUCT RESTRAINER PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3650","description":"SHOULDER ORTHOSIS FIG 8 ABDUCT RESTRAINER PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS FIG 8 ABDUCT RESTRAINER PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3650","description":"SHOULDER ORTHOSIS FIG 8 ABDUCT RESTRAINER PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS FIG 8 CANVAS WEBBING PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3660","description":"SHOULDER ORTHOSIS FIG 8 CANVAS WEBBING PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS FIG 8 CANVAS WEBBING PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3660","description":"SHOULDER ORTHOSIS FIG 8 CANVAS WEBBING PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS JOINT DESIGN W/O JNTS CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3671","description":"SHOULDER ORTHOSIS JOINT DESIGN W/O JNTS CUSTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS VEST ABDUCT RESTRAINER PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3675","description":"SHOULDER ORTHOSIS VEST ABDUCT RESTRAINER PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDR DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6965","description":"SHOULDR DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHOWER COVER ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0501","description":"SHOWER COVER ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHOWER COVER ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0501","description":"SHOWER COVER ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT ASCENDING AORTA PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33755","description":"SHUNT ASCENDING AORTA PULMONARY ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT ASCENDING AORTA TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33755","description":"SHUNT ASCENDING AORTA TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT ASCENDING AORTA TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33755","description":"SHUNT ASCENDING AORTA TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT CENTRAL W/PROSTHETIC GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33764","description":"SHUNT CENTRAL W/PROSTHETIC GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT CENTRAL W/PROSTHETIC GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33764","description":"SHUNT CENTRAL W/PROSTHETIC GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT DESCENDING AORTA PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33762","description":"SHUNT DESCENDING AORTA PULMONARY ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT DESCENDING AORTA TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33762","description":"SHUNT DESCENDING AORTA TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT DESCENDING AORTA TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33762","description":"SHUNT DESCENDING AORTA TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUBCLAVIAN PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33750","description":"SHUNT SUBCLAVIAN PULMONARY ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUBCLAVIAN TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33750","description":"SHUNT SUBCLAVIAN TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUBCLAVIAN TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33750","description":"SHUNT SUBCLAVIAN TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA PULM ARTERY BOTH LUNGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33767","description":"SHUNT SUPERIOR VENA CAVA PULM ARTERY BOTH LUNGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA PULMONARY ART 1 LUNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33766","description":"SHUNT SUPERIOR VENA CAVA PULMONARY ART 1 LUNG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA TO PULM ARTERY BTH LNGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33767","description":"SHUNT SUPERIOR VENA CAVA TO PULM ARTERY BTH LNGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA TO PULM ARTERY BTH LNGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33767","description":"SHUNT SUPERIOR VENA CAVA TO PULM ARTERY BTH LNGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA TO PULMONARY ART 1 LUNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33766","description":"SHUNT SUPERIOR VENA CAVA TO PULMONARY ART 1 LUNG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA TO PULMONARY ART 1 LUNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33766","description":"SHUNT SUPERIOR VENA CAVA TO PULMONARY ART 1 LUNG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75809","description":"SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75809","description":"SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11311","description":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11311","description":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11312","description":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11312","description":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11303","description":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM GT 2.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11303","description":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM GT 2.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11301","description":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11301","description":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11302","description":"SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11302","description":"SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70390","description":"SIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70390","description":"SIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42340","description":"SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42340","description":"SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42335","description":"SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42335","description":"SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42330","description":"SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42330","description":"SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SICKLING RBC REDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85660","description":"SICKLING RBC REDUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45334","description":"SIGMOIDOSCOPY FLX CONTROL BLEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45334","description":"SIGMOIDOSCOPY FLX CONTROL BLEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45330","description":"SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45330","description":"SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX NDSC US XM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45341","description":"SIGMOIDOSCOPY FLX NDSC US XM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX NDSC US XM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45341","description":"SIGMOIDOSCOPY FLX NDSC US XM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX TNDSC BALO DILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45340","description":"SIGMOIDOSCOPY FLX TNDSC BALO DILAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX TNDSC BALO DILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45340","description":"SIGMOIDOSCOPY FLX TNDSC BALO DILAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45342","description":"SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45342","description":"SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45331","description":"SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45331","description":"SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45332","description":"SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45332","description":"SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45333","description":"SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45333","description":"SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45350","description":"SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45350","description":"SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93278","description":"SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93278","description":"SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE CYSTOMETROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51725","description":"SIMPLE CYSTOMETROGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61700","description":"SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61700","description":"SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61702","description":"SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61702","description":"SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12018","description":"SIMPLE REPAIR F/E/E/N/L/M GT 30.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12018","description":"SIMPLE REPAIR F/E/E/N/L/M GT 30.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12016","description":"SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12016","description":"SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12011","description":"SIMPLE REPAIR F/E/E/N/L/M 2.5CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12011","description":"SIMPLE REPAIR F/E/E/N/L/M 2.5CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12013","description":"SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12013","description":"SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12017","description":"SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12017","description":"SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12014","description":"SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12014","description":"SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12015","description":"SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12015","description":"SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK GT 30.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12007","description":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK GT 30.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK GT 30.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12007","description":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK GT 30.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12001","description":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12001","description":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12004","description":"SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12004","description":"SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE UROFLOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51736","description":"SIMPLE UROFLOMETRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE UROFLOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51736","description":"SIMPLE UROFLOMETRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE AXIS KNEE SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5341","description":"SINGLE AXIS KNEE SACH FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSITIS CAUSED BY/PRES CAUSED BY BACTERIAL INF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9364","description":"SINUSITIS CAUSED BY/PRES CAUSED BY BACTERIAL INF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSITIS CAUSED BY/PRES CAUSED BY BACTERIAL INF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9364","description":"SINUSITIS CAUSED BY/PRES CAUSED BY BACTERIAL INF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92546","description":"SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92546","description":"SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31086","description":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31086","description":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31087","description":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31087","description":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31081","description":"SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31081","description":"SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31084","description":"SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31084","description":"SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31085","description":"SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31085","description":"SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31032","description":"SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31032","description":"SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31051","description":"SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31051","description":"SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT UNI 3 OR GT PARANSL SINUSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31090","description":"SINUSOT UNI 3 OR GT PARANSL SINUSES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT UNI 3 OR GT PARANSL SINUSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31090","description":"SINUSOT UNI 3 OR GT PARANSL SINUSES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31080","description":"SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31080","description":"SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRONTAL EXTERNAL SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31070","description":"SINUSOTOMY FRONTAL EXTERNAL SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRONTAL EXTERNAL SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31070","description":"SINUSOTOMY FRONTAL EXTERNAL SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31075","description":"SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31075","description":"SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31020","description":"SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31020","description":"SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31030","description":"SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31030","description":"SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY SPHENOID W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31050","description":"SINUSOTOMY SPHENOID W/WO BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY SPHENOID W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31050","description":"SINUSOTOMY SPHENOID W/WO BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIROLIMUS ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7520","description":"SIROLIMUS ORAL 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIROLIMUS ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7520","description":"SIROLIMUS ORAL 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SITZ TYPE BATH/EQP PRTBLE USED W/FAUCET ATTCHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0161","description":"SITZ TYPE BATH/EQP PRTBLE USED W/FAUCET ATTCHS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SITZ TYPE BATH/EQP PRTBLE USED W/WO COMMODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0160","description":"SITZ TYPE BATH/EQP PRTBLE USED W/WO COMMODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SIX VOLT BATTERY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7360","description":"SIX VOLT BATTERY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKILLED SERVICE RN M AND E PLAN OF CARE; EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0162","description":"SKILLED SERVICE RN M AND E PLAN OF CARE; EA 15 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKILLED SERVICE RN M AND E PLAN OF CARE; EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0162","description":"SKILLED SERVICE RN M AND E PLAN OF CARE; EA 15 MINS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER WIPES OR SWABS EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5120","description":"SKIN BARRIER WIPES OR SWABS EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER WIPES OR SWABS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5120","description":"SKIN BARRIER WIPES OR SWABS EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER; SOLID 4 FOUR OR EQUIVALENT; EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4362","description":"SKIN BARRIER; SOLID 4 FOUR OR EQUIVALENT; EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER; SOLID 4 FOUR OR EQUIVALENT; EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4362","description":"SKIN BARRIER; SOLID 4 FOUR OR EQUIVALENT; EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER; SOLID 6 X 6 OR EQUIVALENT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5121","description":"SKIN BARRIER; SOLID 6 X 6 OR EQUIVALENT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER; SOLID 6 X 6 OR EQUIVALENT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5121","description":"SKIN BARRIER; SOLID 6 X 6 OR EQUIVALENT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER; SOLID 8 X 8 OR EQUIVALENT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5122","description":"SKIN BARRIER; SOLID 8 X 8 OR EQUIVALENT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER; SOLID 8 X 8 OR EQUIVALENT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5122","description":"SKIN BARRIER; SOLID 8 X 8 OR EQUIVALENT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PIERCING DEVICE CLCT CAPILLARY BLD LASER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0620","description":"SKIN PIERCING DEVICE CLCT CAPILLARY BLD LASER EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PIERCING DEVICE CLCT CAPILLARY BLD LASER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0620","description":"SKIN PIERCING DEVICE CLCT CAPILLARY BLD LASER EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTCT WC SEAT CUSH WIDTH 22 IN OR GT ANY DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2623","description":"SKIN PROTCT WC SEAT CUSH WIDTH 22 IN OR GT ANY DEPTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTECT and POSITIONING WC CUSH WIDTH LT 22 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2624","description":"SKIN PROTECT and POSITIONING WC CUSH WIDTH LT 22 IN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTECT and POSITIONING WC CUSH WIDTH 22 IN OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2625","description":"SKIN PROTECT and POSITIONING WC CUSH WIDTH 22 IN OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTECT WC SEAT CUSH WIDTH LT 22 IN ANY DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2622","description":"SKIN PROTECT WC SEAT CUSH WIDTH LT 22 IN ANY DEPTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST HISTOPLASMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86510","description":"SKIN TEST HISTOPLASMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST TUBERCULOSIS INTRADERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86580","description":"SKIN TEST TUBERCULOSIS INTRADERMAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST UNLISTED ANTIGEN EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86486","description":"SKIN TEST UNLISTED ANTIGEN EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTCT and PSTN WC SEAT CUSHN WDTH 22 IN/GT DPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2608","description":"SKN PROTCT and PSTN WC SEAT CUSHN WDTH 22 IN/GT DPTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTECT and PSTN WC SEAT CUSHN WDTH LT 22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2607","description":"SKN PROTECT and PSTN WC SEAT CUSHN WDTH LT 22 IN DEPTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTECTION WC SEAT CUSHN WDTH 22 IN/GT DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2604","description":"SKN PROTECTION WC SEAT CUSHN WDTH 22 IN/GT DEPTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTECTION WC SEAT CUSHN WIDTH LT 22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2603","description":"SKN PROTECTION WC SEAT CUSHN WIDTH LT 22 IN DEPTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S and I BIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36252","description":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S and I BIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S and I BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36252","description":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S and I BIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S and I UN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36251","description":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S and I UN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S and I UN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36251","description":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S and I UN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36015","description":"SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36015","description":"SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36011","description":"SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36011","description":"SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT VEN SYS 2ND ORDER OR GT SLCTV BRANC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36012","description":"SLCTV CATH PLMT VEN SYS 2ND ORDER OR GT SLCTV BRANC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT VEN SYS 2ND ORDER OR GT SLCTV BRANC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36012","description":"SLCTV CATH PLMT VEN SYS 2ND ORDER OR GT SLCTV BRANC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36014","description":"SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36014","description":"SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36216","description":"SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36216","description":"SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36246","description":"SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36246","description":"SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 3RD Plus ORD SLCTV ABDL PEL/LXTR BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36247","description":"SLCTV CATHJ 3RD Plus ORD SLCTV ABDL PEL/LXTR BRNCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 3RD Plus ORD SLCTV ABDL PEL/LXTR BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36247","description":"SLCTV CATHJ 3RD Plus ORD SLCTV ABDL PEL/LXTR BRNCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 3RD Plus ORD SLCTV THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36217","description":"SLCTV CATHJ 3RD Plus ORD SLCTV THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 3RD Plus ORD SLCTV THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36217","description":"SLCTV CATHJ 3RD Plus ORD SLCTV THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36245","description":"SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36245","description":"SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36215","description":"SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36215","description":"SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 2ND Plus ORD ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36248","description":"SLCTV CATHJ EA 2ND Plus ORD ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 2ND Plus ORD ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36248","description":"SLCTV CATHJ EA 2ND Plus ORD ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 2ND Plus ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36218","description":"SLCTV CATHJ EA 2ND Plus ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 2ND Plus ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36218","description":"SLCTV CATHJ EA 2ND Plus ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP APNEA SX NOT ASSESSED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8841","description":"SLEEP APNEA SX NOT ASSESSED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP APNEA SX NOT ASSESSED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8841","description":"SLEEP APNEA SX NOT ASSESSED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP APNEA SYMP ASSESS PRES/ABS SNOR DAY SSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8839","description":"SLEEP APNEA SYMP ASSESS PRES/ABS SNOR DAY SSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP APNEA SYMP ASSESS PRES/ABS SNOR DAY SSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8839","description":"SLEEP APNEA SYMP ASSESS PRES/ABS SNOR DAY SSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95806","description":"SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95806","description":"SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP STD REC VNTJ RESPIR ECG/HRT RATE and O2 ATTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95807","description":"SLEEP STD REC VNTJ RESPIR ECG/HRT RATE and O2 ATTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP STD REC VNTJ RESPIR ECG/HRT RATE and O2 ATTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95807","description":"SLEEP STD REC VNTJ RESPIR ECG/HRT RATE and O2 ATTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLING OPERATION STRESS INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57288","description":"SLING OPERATION STRESS INCONTINENCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLING OPERATION STRESS INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57288","description":"SLING OPERATION STRESS INCONTINENCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLING OPRATION CORRJ MALE URINARY INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53440","description":"SLING OPRATION CORRJ MALE URINARY INCONTINENCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLING OPRATION CORRJ MALE URINARY INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53440","description":"SLING OPRATION CORRJ MALE URINARY INCONTINENCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLING OR SEAT PATIENT LIFT CANVAS OR NYLON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0621","description":"SLING OR SEAT PATIENT LIFT CANVAS OR NYLON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLINGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4565","description":"SLINGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95800","description":"SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95800","description":"SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95801","description":"SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95801","description":"SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SMALL VOLUME NONFILTR PNEUMATIC NEBULIZER DISPBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7004","description":"SMALL VOLUME NONFILTR PNEUMATIC NEBULIZER DISPBL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SMALL VOLUME NONFILTR PNEUMATIC NEBULIZER DISPBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7004","description":"SMALL VOLUME NONFILTR PNEUMATIC NEBULIZER DISPBL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9016","description":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9016","description":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKING AND 2ND HAND SMOKE IN THE HOME ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1031F","description":"SMOKING AND 2ND HAND SMOKE IN THE HOME ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKING AND 2ND HAND SMOKE IN THE HOME ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1031F","description":"SMOKING AND 2ND HAND SMOKE IN THE HOME ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12002","description":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12002","description":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12005","description":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12005","description":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12006","description":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12006","description":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC CPLX SPEC STAIN OVA AND PARASITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87209","description":"SMR PRIM SRC CPLX SPEC STAIN OVA AND PARASITS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC FLUORESCENT and /AFS BCT FNGI PARASIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87206","description":"SMR PRIM SRC FLUORESCENT and /AFS BCT FNGI PARASIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC GRAM/GIEMSA STAIN BCT FUNGI/CELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87205","description":"SMR PRIM SRC GRAM/GIEMSA STAIN BCT FUNGI/CELL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC WET MOUNT NFCT AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87210","description":"SMR PRIM SRC WET MOUNT NFCT AGT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SNIP INCISION LACRIMAL PUNCTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68440","description":"SNIP INCISION LACRIMAL PUNCTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SNIP INCISION LACRIMAL PUNCTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68440","description":"SNIP INCISION LACRIMAL PUNCTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SOCL WRK AND PSYCH SRVC EA 15 MIN FACE-TO-FACE IND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0409","description":"SOCL WRK AND PSYCH SRVC EA 15 MIN FACE-TO-FACE IND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SOCL WRK AND PSYCH SRVC EA 15 MIN FACE-TO-FACE IND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0409","description":"SOCL WRK AND PSYCH SRVC EA 15 MIN FACE-TO-FACE IND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SODIUM SERUM PLASMA OR WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84295","description":"SODIUM SERUM PLASMA OR WHOLE BLOOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SOFT INTERFACE FOR HELMET REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A8004","description":"SOFT INTERFACE FOR HELMET REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SOFT INTERFACE FOR HELMET REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8004","description":"SOFT INTERFACE FOR HELMET REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SOLE WEDGE BETWEEN SOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3370","description":"SOLE WEDGE BETWEEN SOLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SOLE WEDGE OUTSIDE SOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3360","description":"SOLE WEDGE OUTSIDE SOLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SP RSLT DEMST FEV1/FVC LT 70 PCT FEV LT 60 PCT P and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8924","description":"SP RSLT DEMST FEV1/FVC LT 70 PCT FEV LT 60 PCT P and","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC DIGTIZD GT 20 MINS LT or equal to 40 MINS RE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2504","description":"SPCH GEN DEVC DIGTIZD GT 20 MINS LT or equal to 40 MINS RE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC DIGTIZD GT 20 MINS LT or equal to 40 MINS RE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2504","description":"SPCH GEN DEVC DIGTIZD GT 20 MINS LT or equal to 40 MINS RE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC DIGTIZD GT 8 MINS LT or equal to 20 MINS R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2502","description":"SPCH GEN DEVC DIGTIZD GT 8 MINS LT or equal to 20 MINS R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC DIGTIZD GT 8 MINS LT or equal to 20 MINS R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2502","description":"SPCH GEN DEVC DIGTIZD GT 8 MINS LT or equal to 20 MINS R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC SYNTHESIZD MX METH MESS AND DEVC ACCSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2510","description":"SPCH GEN DEVC SYNTHESIZD MX METH MESS AND DEVC ACCSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC SYNTHESIZD MX METH MESS AND DEVC ACCSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2510","description":"SPCH GEN DEVC SYNTHESIZD MX METH MESS AND DEVC ACCSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC SYNTHSIZD REQ MESS SPELL AND CNTCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2508","description":"SPCH GEN DEVC SYNTHSIZD REQ MESS SPELL AND CNTCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC SYNTHSIZD REQ MESS SPELL AND CNTCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2508","description":"SPCH GEN DEVC SYNTHSIZD REQ MESS SPELL AND CNTCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPCL STN 2 I and R EXCPT MICROORG/ENZYME/IMCYT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88313","description":"SPCL STN 2 I and R EXCPT MICROORG/ENZYME/IMCYT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS GT 16 LT or equal to 48 SQ W/O ADHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6252","description":"SPCLTY ABSORB DRESS GT 16 LT or equal to 48 SQ W/O ADHES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS GT 16 LT or equal to 48 SQ W/O ADHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6252","description":"SPCLTY ABSORB DRESS GT 16 LT or equal to 48 SQ W/O ADHES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL GT 16 LT or equal to 48 SQ W/","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6255","description":"SPCLTY ABSORB DRESS STERL GT 16 LT or equal to 48 SQ W/","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL GT 16 LT or equal to 48 SQ W/","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6255","description":"SPCLTY ABSORB DRESS STERL GT 16 LT or equal to 48 SQ W/","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL GT 48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6253","description":"SPCLTY ABSORB DRESS STERL GT 48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL GT 48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6253","description":"SPCLTY ABSORB DRESS STERL GT 48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6254","description":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT ADHES BORDR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6254","description":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT ADHES BORDR EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6251","description":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT NO ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6251","description":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT NO ADHES BORDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPEC DOSIM ONLY PRESCRIBED TREATING PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77331","description":"SPEC DOSIM ONLY PRESCRIBED TREATING PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPEC DOSIM ONLY PRESCRIBED TREATING PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77331","description":"SPEC DOSIM ONLY PRESCRIBED TREATING PHYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPEC MEDICAL RADJ PHYSICS CONSLTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77370","description":"SPEC MEDICAL RADJ PHYSICS CONSLTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPEC MEDICAL RADJ PHYSICS CONSLTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77370","description":"SPEC MEDICAL RADJ PHYSICS CONSLTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANAT LOC LUNG NOT NSCLC/NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9424","description":"SPEC SITE OTH THAN ANAT LOC LUNG NOT NSCLC/NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANAT LOC LUNG NOT NSCLC/NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9424","description":"SPEC SITE OTH THAN ANAT LOC LUNG NOT NSCLC/NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANAT LOC LUNG/NOT CLASS NSCLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9285","description":"SPEC SITE OTH THAN ANAT LOC LUNG/NOT CLASS NSCLC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANAT LOC LUNG/NOT CLASS NSCLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9285","description":"SPEC SITE OTH THAN ANAT LOC LUNG/NOT CLASS NSCLC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANATOMIC LOCATION PRIM TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8723","description":"SPEC SITE OTH THAN ANATOMIC LOCATION PRIM TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANATOMIC LOCATION PRIM TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8723","description":"SPEC SITE OTH THAN ANATOMIC LOCATION PRIM TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN LOC LUNG/NOT CLASS PRIM NSCLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9420","description":"SPEC SITE OTH THAN LOC LUNG/NOT CLASS PRIM NSCLC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN LOC LUNG/NOT CLASS PRIM NSCLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9420","description":"SPEC SITE OTH THAN LOC LUNG/NOT CLASS PRIM NSCLC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THN LUNG NOT CLASS NSCLC/NSCLC-NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9291","description":"SPEC SITE OTH THN LUNG NOT CLASS NSCLC/NSCLC-NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THN LUNG NOT CLASS NSCLC/NSCLC-NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9291","description":"SPEC SITE OTH THN LUNG NOT CLASS NSCLC/NSCLC-NOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77321","description":"SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77321","description":"SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL BACK HEIGHT FOR WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1228","description":"SPECIAL BACK HEIGHT FOR WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL BACK HEIGHT FOR WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1228","description":"SPECIAL BACK HEIGHT FOR WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL HEIGHT ARMS FOR WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1227","description":"SPECIAL HEIGHT ARMS FOR WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAIN GROUP 1 MICROORGANISMS I AND R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88312","description":"SPECIAL STAIN GROUP 1 MICROORGANISMS I AND R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAIN I AND R GROUP III ENZYME CONSITUENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88319","description":"SPECIAL STAIN I AND R GROUP III ENZYME CONSITUENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAIN I and R HISTOCHEMICAL W/FROZEN TISSU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88314","description":"SPECIAL STAIN I and R HISTOCHEMICAL W/FROZEN TISSU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL TREATMENT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77470","description":"SPECIAL TREATMENT PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL TREATMENT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77470","description":"SPECIAL TREATMENT PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL WHEELCHAIR SEAT DEPTH BY UPHOLSTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1297","description":"SPECIAL WHEELCHAIR SEAT DEPTH BY UPHOLSTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL WHEELCHAIR SEAT HEIGHT FROM FLOOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1296","description":"SPECIAL WHEELCHAIR SEAT HEIGHT FROM FLOOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL WHLCHAIR SEAT DEPTH AND OR WIDTH CONSTRUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1298","description":"SPECIAL WHLCHAIR SEAT DEPTH AND OR WIDTH CONSTRUCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPECIFIC GRAVITY EXCEPT URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84315","description":"SPECIFIC GRAVITY EXCEPT URINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8797","description":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8797","description":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMC LOCATION PROSTATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8798","description":"SPECIMEN SITE OTH THAN ANATOMC LOCATION PROSTATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMC LOCATION PROSTATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8798","description":"SPECIMEN SITE OTH THAN ANATOMC LOCATION PROSTATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9295","description":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9430","description":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9295","description":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9430","description":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECTROPHOTOMETRY ANALYT NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84311","description":"SPECTROPHOTOMETRY ANALYT NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AUDIOMETRY THRESHOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92555","description":"SPEECH AUDIOMETRY THRESHOLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AUDIOMETRY THRESHOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92555","description":"SPEECH AUDIOMETRY THRESHOLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92556","description":"SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92556","description":"SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH GEN DEVC DIGITIZED LT or equal to 8 MINS REC TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2500","description":"SPEECH GEN DEVC DIGITIZED LT or equal to 8 MINS REC TIME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH GEN DEVC DIGITIZED LT or equal to 8 MINS REC TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2500","description":"SPEECH GEN DEVC DIGITIZED LT or equal to 8 MINS REC TIME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH GEN DEVICE DIGITIZED GT 40 MINS REC TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2506","description":"SPEECH GEN DEVICE DIGITIZED GT 40 MINS REC TIME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH GEN DEVICE DIGITIZED GT 40 MINS REC TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2506","description":"SPEECH GEN DEVICE DIGITIZED GT 40 MINS REC TIME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH GEN SOFTWARE PROG PC/PERS DIGITAL ASSIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2511","description":"SPEECH GEN SOFTWARE PROG PC/PERS DIGITAL ASSIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPERM ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89325","description":"SPERM ANTIBODIES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPERM EVALUATION CERVICAL MUCOUS PENETRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89330","description":"SPERM EVALUATION CERVICAL MUCOUS PENETRATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPERM EVALUATION HAMSTER PENETRATION TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89329","description":"SPERM EVALUATION HAMSTER PENETRATION TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPERM EVALUATION RETROGRADE EJACULATION URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89331","description":"SPERM EVALUATION RETROGRADE EJACULATION URINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46760","description":"SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46760","description":"SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46080","description":"SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46080","description":"SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46750","description":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46750","description":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46751","description":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46751","description":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL LEVATOR MUSC IMBRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46761","description":"SPHNCTROP ANAL LEVATOR MUSC IMBRCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL LEVATOR MUSC IMBRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46761","description":"SPHNCTROP ANAL LEVATOR MUSC IMBRCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY RESULTS DOCUMENTED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3023F","description":"SPIROMETRY RESULTS DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY RESULTS DOCUMENTED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3023F","description":"SPIROMETRY RESULTS DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY RESULTS DOCUMENTED FEV1/FVC LT 70 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8924","description":"SPIROMETRY RESULTS DOCUMENTED FEV1/FVC LT 70 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY RESULTS DOCUMENTED FEV1/FVC LT 70 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8924","description":"SPIROMETRY RESULTS DOCUMENTED FEV1/FVC LT 70 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY TEST RESULTS FEV/FVC GT or equal to 70 PCT W/","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3027F","description":"SPIROMETRY TEST RESULTS FEV/FVC GT or equal to 70 PCT W/","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY TEST RESULTS FEV/FVC GT or equal to 70 PCT W/","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3027F","description":"SPIROMETRY TEST RESULTS FEV/FVC GT or equal to 70 PCT W/","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY TEST RESULTS FEV/FVC LT 70 PCT W/COPD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3025F","description":"SPIROMETRY TEST RESULTS FEV/FVC LT 70 PCT W/COPD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY TEST RESULTS FEV/FVC LT 70 PCT W/COPD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3025F","description":"SPIROMETRY TEST RESULTS FEV/FVC LT 70 PCT W/COPD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL EXT NON-INS RX INFUS PMP SYR T CART STERL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0552","description":"SPL EXT NON-INS RX INFUS PMP SYR T CART STERL EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLEEN IMAGING ONLY W/WO VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78185","description":"SPLEEN IMAGING ONLY W/WO VASCULAR FLOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLEEN IMAGING ONLY W/WO VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78185","description":"SPLEEN IMAGING ONLY W/WO VASCULAR FLOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38102","description":"SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38102","description":"SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLENECTOMY PARTIAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38101","description":"SPLENECTOMY PARTIAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLENECTOMY PARTIAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38101","description":"SPLENECTOMY PARTIAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLENECTOMY TOTAL EN BLOC W/OTHER PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38101","description":"SPLENECTOMY TOTAL EN BLOC W/OTHER PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLENECTOMY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38100","description":"SPLENECTOMY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLENECTOMY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38100","description":"SPLENECTOMY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLENOPORTOGRAPY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75810","description":"SPLENOPORTOGRAPY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLENOPORTOGRAPY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75810","description":"SPLENOPORTOGRAPY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM OR LT /1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15120","description":"SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM OR LT /1 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15121","description":"SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLIT AGRFT T/A/L 1ST 100 CM/ and /1 PCT BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15100","description":"SPLIT AGRFT T/A/L 1ST 100 CM/ and /1 PCT BDY INFT/CHLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLIT AGRFT T/A/L EA 100 CM/EA 1 PCT BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15101","description":"SPLIT AGRFT T/A/L EA 100 CM/EA 1 PCT BDY INFT/CHLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT /1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15120","description":"SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT /1 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT /1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15120","description":"SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT /1 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15121","description":"SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15121","description":"SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15100","description":"SPLT AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT BDY INFT/CHLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15100","description":"SPLT AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT BDY INFT/CHLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15101","description":"SPLT AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15101","description":"SPLT AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94010","description":"SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94010","description":"SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPOKE PROTECTORS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0065","description":"SPOKE PROTECTORS EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPONTANEOUS NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92541","description":"SPONTANEOUS NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPONTANEOUS NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92541","description":"SPONTANEOUS NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPRING-POWERED DEVICE FOR LANCET EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4258","description":"SPRING-POWERED DEVICE FOR LANCET EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPRING-POWERED DEVICE FOR LANCET EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4258","description":"SPRING-POWERED DEVICE FOR LANCET EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SPUTUM OBTAINING SPEC AEROSOL INDUCED TX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89220","description":"SPUTUM OBTAINING SPEC AEROSOL INDUCED TX SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9342","description":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9342","description":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC CLINICAL SOCIAL WORKER HH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0155","description":"SRVC CLINICAL SOCIAL WORKER HH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SRVC CLINICAL SOCIAL WORKER HH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0155","description":"SRVC CLINICAL SOCIAL WORKER HH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SRVC HH/HOSPICE AIDE IN HH/HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0156","description":"SRVC HH/HOSPICE AIDE IN HH/HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SRVC HH/HOSPICE AIDE IN HH/HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0156","description":"SRVC HH/HOSPICE AIDE IN HH/HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9477","description":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9477","description":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9474","description":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9474","description":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9478","description":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9478","description":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF QUAL PHARMACIST HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9479","description":"SRVC PERF QUAL PHARMACIST HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF QUAL PHARMACIST HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9479","description":"SRVC PERF QUAL PHARMACIST HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC SPCH and LANG PATH HOME HLTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0153","description":"SRVC SPCH and LANG PATH HOME HLTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SRVC SPCH and LANG PATH HOME HLTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0153","description":"SRVC SPCH and LANG PATH HOME HLTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STAB PHLEBT VARICOSE VEINS 1 XTR GT 20 INCS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37766","description":"STAB PHLEBT VARICOSE VEINS 1 XTR GT 20 INCS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STAB PHLEBT VARICOSE VEINS 1 XTR GT 20 INCS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37766","description":"STAB PHLEBT VARICOSE VEINS 1 XTR GT 20 INCS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37765","description":"STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37765","description":"STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STAGE BREAST CANCER GREATER THAN T1N0M0/T2N0M0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8881","description":"STAGE BREAST CANCER GREATER THAN T1N0M0/T2N0M0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAGE BREAST CANCER GREATER THAN T1N0M0/T2N0M0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8881","description":"STAGE BREAST CANCER GREATER THAN T1N0M0/T2N0M0","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAGGERED SPONDAIC WORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92572","description":"STAGGERED SPONDAIC WORD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STAGGERED SPONDAIC WORD TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92572","description":"STAGGERED SPONDAIC WORD TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STAGGERED SPONDAIC WORD TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92572","description":"STAGGERED SPONDAIC WORD TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STAND/RACK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1355","description":"STAND/RACK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STANDARD HEMI WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0002","description":"STANDARD HEMI WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STANDARD HEMI WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0002","description":"STANDARD HEMI WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STANDARD SIZE FOOTPLATE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0042","description":"STANDARD SIZE FOOTPLATE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STANDARD WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0001","description":"STANDARD WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STANDARD-WEIGHT FRAME MOTORIZED/POWER WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0010","description":"STANDARD-WEIGHT FRAME MOTORIZED/POWER WHEELCHAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STANDARDIZED COGNITIVE PERFORMANCE TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96125","description":"STANDARDIZED COGNITIVE PERFORMANCE TESTING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STANDARDIZED COGNITIVE PERFORMANCE TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96125","description":"STANDARDIZED COGNITIVE PERFORMANCE TESTING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STAPEDECTOMY/STAPEDOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69660","description":"STAPEDECTOMY/STAPEDOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STAPEDECTOMY/STAPEDOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69660","description":"STAPEDECTOMY/STAPEDOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69661","description":"STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69661","description":"STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STAPES MOBILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69650","description":"STAPES MOBILIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STAPES MOBILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69650","description":"STAPES MOBILIZATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SER STR SHOULDER DVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1841","description":"STATIC PROG STR/PT ACTUAL SER STR SHOULDER DVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SER STR SHOULDER DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1841","description":"STATIC PROG STR/PT ACTUAL SER STR SHOULDER DVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR ANKLE DVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1816","description":"STATIC PROG STR/PT ACTUAL SERIAL STR ANKLE DVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR ANKLE DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1816","description":"STATIC PROG STR/PT ACTUAL SERIAL STR ANKLE DVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR ELBOW DVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1801","description":"STATIC PROG STR/PT ACTUAL SERIAL STR ELBOW DVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR ELBOW DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1801","description":"STATIC PROG STR/PT ACTUAL SERIAL STR ELBOW DVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR FOREARM DVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1818","description":"STATIC PROG STR/PT ACTUAL SERIAL STR FOREARM DVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR FOREARM DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1818","description":"STATIC PROG STR/PT ACTUAL SERIAL STR FOREARM DVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR KNEE DVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1811","description":"STATIC PROG STR/PT ACTUAL SERIAL STR KNEE DVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR KNEE DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1811","description":"STATIC PROG STR/PT ACTUAL SERIAL STR KNEE DVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH ANKLE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1816","description":"STATIC PROGRESSIVE STRETCH ANKLE DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH ELBOW DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1801","description":"STATIC PROGRESSIVE STRETCH ELBOW DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH FOREARM DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1818","description":"STATIC PROGRESSIVE STRETCH FOREARM DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH KNEE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1811","description":"STATIC PROGRESSIVE STRETCH KNEE DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH SHOULDER DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1841","description":"STATIC PROGRESSIVE STRETCH SHOULDER DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH TOE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1831","description":"STATIC PROGRESSIVE STRETCH TOE DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH TOE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1831","description":"STATIC PROGRESSIVE STRETCH TOE DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH WRIST DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1806","description":"STATIC PROGRESSIVE STRETCH WRIST DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH WRIST DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1806","description":"STATIC PROGRESSIVE STRETCH WRIST DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC/DYNAMIC ANK FOOT ORTHOSIS PREFAB CSTM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4396","description":"STATIC/DYNAMIC ANK FOOT ORTHOSIS PREFAB CSTM FIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIC/DYNAMIC ANKL FOOT ORTHOSIS MIN AMB PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4397","description":"STATIC/DYNAMIC ANKL FOOT ORTHOSIS MIN AMB PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIN MEDICATION PRESCRIBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8816","description":"STATIN MEDICATION PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN MEDICATION PRESCRIBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8816","description":"STATIN MEDICATION PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN THERAPY NOT PRESCRIBED D/C RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8817","description":"STATIN THERAPY NOT PRESCRIBED D/C RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN THERAPY NOT PRESCRIBED D/C RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8817","description":"STATIN THERAPY NOT PRESCRIBED D/C RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN THERAPY RXD/CURRENTLY TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4013F","description":"STATIN THERAPY RXD/CURRENTLY TAKEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN THERAPY RXD/CURRENTLY TAKEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4013F","description":"STATIN THERAPY RXD/CURRENTLY TAKEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATION COMPRS GASOUS O2 SYS RENT;FLWMTR HUMIDFR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0424","description":"STATION COMPRS GASOUS O2 SYS RENT;FLWMTR HUMIDFR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATION LQD O2 SYS RENT; FLWMTR HUMIDFR NEBULIZR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0439","description":"STATION LQD O2 SYS RENT; FLWMTR HUMIDFR NEBULIZR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIONARY O2 CONTENTS GAS 1 MO SUPPLY Equal to 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0441","description":"STATIONARY O2 CONTENTS GAS 1 MO SUPPLY Equal to 1 UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STATIONARY O2 CONTENTS LQD 1 MO SUPPLY Equal to 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0442","description":"STATIONARY O2 CONTENTS LQD 1 MO SUPPLY Equal to 1 UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STD-WT FRME MOTRIZD/PWR WHLCHAIR W/PROG CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0011","description":"STD-WT FRME MOTRIZD/PWR WHLCHAIR W/PROG CNTRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STEM CELLS TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86367","description":"STEM CELLS TOTAL COUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STENGER TEST PURE TONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92565","description":"STENGER TEST PURE TONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STENGER TEST PURE TONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92565","description":"STENGER TEST PURE TONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STENGER TEST SPEECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92577","description":"STENGER TEST SPEECH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STENGER TEST SPEECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92577","description":"STENGER TEST SPEECH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STENT COATED/COVERED WITH DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1874","description":"STENT COATED/COVERED WITH DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BODY RADIATION DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77373","description":"STEREOTACTIC BODY RADIATION DELIVERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BODY RADIATION MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77435","description":"STEREOTACTIC BODY RADIATION MANAGEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BODY RADIATION MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77435","description":"STEREOTACTIC BODY RADIATION MANAGEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BODY RADIATION TREATMENT DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77373","description":"STEREOTACTIC BODY RADIATION TREATMENT DELIVERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BODY RADIATION TREATMENT DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77373","description":"STEREOTACTIC BODY RADIATION TREATMENT DELIVERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61750","description":"STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61750","description":"STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC COMPUTER ASSISTED PX SPINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61783","description":"STEREOTACTIC COMPUTER ASSISTED PX SPINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC COMPUTER ASSISTED PX SPINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61783","description":"STEREOTACTIC COMPUTER ASSISTED PX SPINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61798","description":"STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61798","description":"STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61796","description":"STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61796","description":"STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 SPINAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63620","description":"STEREOTACTIC RADIOSURGERY 1 SPINAL LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 SPINAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63620","description":"STEREOTACTIC RADIOSURGERY 1 SPINAL LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63621","description":"STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63621","description":"STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77432","description":"STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77432","description":"STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STERIL WATER SALINE and OR DXT DILUENT/FLUSH 10 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4216","description":"STERIL WATER SALINE and OR DXT DILUENT/FLUSH 10 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STERIL WATER SALINE and OR DXT DILUENT/FLUSH 10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4216","description":"STERIL WATER SALINE and OR DXT DILUENT/FLUSH 10 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STERILE WATER/SALINE 500 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4217","description":"STERILE WATER/SALINE 500 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STERILE WATER/SALINE 500 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4217","description":"STERILE WATER/SALINE 500 ML","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STERNAL DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21627","description":"STERNAL DEBRIDEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STIMULUS EVOKED RESPONSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51792","description":"STIMULUS EVOKED RESPONSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STIMULUS EVOKED RESPONSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51792","description":"STIMULUS EVOKED RESPONSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STOCKING SUPPORTER GRIPS PREFAB OFF SHELF SET 4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0982","description":"STOCKING SUPPORTER GRIPS PREFAB OFF SHELF SET 4","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STOMA CAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5055","description":"STOMA CAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STOMA PLUG OR SEAL ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5081","description":"STOMA PLUG OR SEAL ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STOMA PLUG OR SEAL ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5081","description":"STOMA PLUG OR SEAL ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59525","description":"STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59525","description":"STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67318","description":"STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67318","description":"STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS EXPL and /RPR DETACHED EXTROCULAR MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67340","description":"STRABISMUS EXPL and /RPR DETACHED EXTROCULAR MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS EXPL and /RPR DETACHED EXTROCULAR MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67340","description":"STRABISMUS EXPL and /RPR DETACHED EXTROCULAR MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67334","description":"STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67334","description":"STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67331","description":"STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67331","description":"STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67311","description":"STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67311","description":"STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 1 VER MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67314","description":"STRABISMUS RECESSION/RESCJ 1 VER MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 1 VER MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67314","description":"STRABISMUS RECESSION/RESCJ 1 VER MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67312","description":"STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67312","description":"STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67316","description":"STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67316","description":"STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67332","description":"STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67332","description":"STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING ANKLE and /FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29540","description":"STRAPPING ANKLE and /FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING ANKLE and /FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29540","description":"STRAPPING ANKLE and /FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING ELBOW/WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29260","description":"STRAPPING ELBOW/WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING ELBOW/WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29260","description":"STRAPPING ELBOW/WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING HAND/FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29280","description":"STRAPPING HAND/FINGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING HAND/FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29280","description":"STRAPPING HAND/FINGER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING HIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29520","description":"STRAPPING HIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING HIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29520","description":"STRAPPING HIP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29530","description":"STRAPPING KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29530","description":"STRAPPING KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING SHOULDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29240","description":"STRAPPING SHOULDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING SHOULDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29240","description":"STRAPPING SHOULDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29200","description":"STRAPPING THORAX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29200","description":"STRAPPING THORAX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING TOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29550","description":"STRAPPING TOES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING TOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29550","description":"STRAPPING TOES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING UNNA BOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29580","description":"STRAPPING UNNA BOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING UNNA BOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29580","description":"STRAPPING UNNA BOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STREPTOKINASE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86590","description":"STREPTOKINASE ANTIBODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT and I/MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61751","description":"STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT and I/MR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT and I/MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61751","description":"STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT and I/MR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61781","description":"STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61781","description":"STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61782","description":"STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61782","description":"STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61760","description":"STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61760","description":"STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61863","description":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61863","description":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61864","description":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61864","description":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61867","description":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61867","description":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61868","description":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61868","description":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61770","description":"STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61770","description":"STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61799","description":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61799","description":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61797","description":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61797","description":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63610","description":"STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63610","description":"STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STUMP ELONGATION UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24935","description":"STUMP ELONGATION UPPER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"STUMP ELONGATION UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24935","description":"STUMP ELONGATION UPPER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D GT or equal to 100SCM 1ST 100SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15277","description":"SUB GRFT F/S/N/H/F/G/M/D GT or equal to 100SCM 1ST 100SQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D GT or equal to 100SCM 1ST 100SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15277","description":"SUB GRFT F/S/N/H/F/G/M/D GT or equal to 100SCM 1ST 100SQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D GT or equal to 100SCM ADL 100SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15278","description":"SUB GRFT F/S/N/H/F/G/M/D GT or equal to 100SCM ADL 100SQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D GT or equal to 100SCM ADL 100SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15278","description":"SUB GRFT F/S/N/H/F/G/M/D GT or equal to 100SCM ADL 100SQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM 1ST 25 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15275","description":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM 1ST 25 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM 1ST 25 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15275","description":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM 1ST 25 SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM EA ADDL25SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15276","description":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM EA ADDL25SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM EA ADDL25SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15276","description":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM EA ADDL25SQ CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCONJUNCTIVAL INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68200","description":"SUBCONJUNCTIVAL INJECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCONJUNCTIVAL INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68200","description":"SUBCONJUNCTIVAL INJECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS HORMONE PELLET IMPLANTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11980","description":"SUBCUTANEOUS HORMONE PELLET IMPLANTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS HORMONE PELLET IMPLANTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11980","description":"SUBCUTANEOUS HORMONE PELLET IMPLANTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96370","description":"SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96370","description":"SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96369","description":"SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96369","description":"SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61531","description":"SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61531","description":"SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61000","description":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61000","description":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61001","description":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61001","description":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBMUCOSAL ABLTJ TONGUE RF 1 OR GT SITES PR SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41530","description":"SUBMUCOSAL ABLTJ TONGUE RF 1 OR GT SITES PR SESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBMUCOSAL ABLTJ TONGUE RF 1 OR GT SITES PR SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41530","description":"SUBMUCOSAL ABLTJ TONGUE RF 1 OR GT SITES PR SESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30140","description":"SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30140","description":"SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99462","description":"SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99462","description":"SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99469","description":"SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99469","description":"SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96371","description":"SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96371","description":"SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT EVALUATION CONDITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1121F","description":"SUBSEQUENT EVALUATION CONDITION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT EVALUATION CONDITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1121F","description":"SUBSEQUENT EVALUATION CONDITION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT INTENSIVE CARE INFANT LT 1500 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99478","description":"SUBSEQUENT INTENSIVE CARE INFANT LT 1500 GRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT INTENSIVE CARE INFANT 1500-2500 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99479","description":"SUBSEQUENT INTENSIVE CARE INFANT 1500-2500 GRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT INTENSIVE CARE INFANT 2501-5000 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99480","description":"SUBSEQUENT INTENSIVE CARE INFANT 2501-5000 GRAMS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99476","description":"SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99476","description":"SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT PRENATAL CARE VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0502F","description":"SUBSEQUENT PRENATAL CARE VISIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT PRENATAL CARE VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0502F","description":"SUBSEQUENT PRENATAL CARE VISIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT VISIT FOR EPISODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0526F","description":"SUBSEQUENT VISIT FOR EPISODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT VISIT FOR EPISODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0526F","description":"SUBSEQUENT VISIT FOR EPISODE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99472","description":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99472","description":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBTEMPORAL CRANIAL DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61340","description":"SUBTEMPORAL CRANIAL DECOMPRESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBTEMPORAL CRANIAL DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61340","description":"SUBTEMPORAL CRANIAL DECOMPRESSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY HEAD AND NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15876","description":"SUCTION ASSISTED LIPECTOMY HEAD AND NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY HEAD AND NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15876","description":"SUCTION ASSISTED LIPECTOMY HEAD AND NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15879","description":"SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15879","description":"SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15877","description":"SUCTION ASSISTED LIPECTOMY TRUNK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15877","description":"SUCTION ASSISTED LIPECTOMY TRUNK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15878","description":"SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15878","description":"SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS CHROMATOGRAPHIC TLC/PAPER CHROMATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84375","description":"SUGARS CHROMATOGRAPHIC TLC/PAPER CHROMATOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS MONO DI AND OLIGOS 1 QUALITATAIVE EACH SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84376","description":"SUGARS MONO DI AND OLIGOS 1 QUALITATAIVE EACH SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS MONO DI AND OLIGOS 1 QUANTITATIVE EACH SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84378","description":"SUGARS MONO DI AND OLIGOS 1 QUANTITATIVE EACH SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS MONO DI AND OLIGOS MLT QUALITATIVE EACH SPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84377","description":"SUGARS MONO DI AND OLIGOS MLT QUALITATIVE EACH SPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS MONO DI AND OLIGOS MLT QUANTITATIVE EA SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84379","description":"SUGARS MONO DI AND OLIGOS MLT QUANTITATIVE EA SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDE RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3085F","description":"SUICIDE RISK ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDE RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3085F","description":"SUICIDE RISK ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION HANDLING LOADING RADIATION SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77790","description":"SUPERVISION HANDLING LOADING RADIATION SOURCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION HANDLING LOADING RADIATION SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77790","description":"SUPERVISION HANDLING LOADING RADIATION SOURCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES FOR MAINT NON-INS RX INFUS CATH PER WK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4221","description":"SUPPLIES FOR MAINT NON-INS RX INFUS CATH PER WK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES FOR MAINT NON-INS RX INFUS CATH PER WK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4221","description":"SUPPLIES FOR MAINT NON-INS RX INFUS CATH PER WK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58180","description":"SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58180","description":"SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPRAHYOID LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38700","description":"SUPRAHYOID LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPRAHYOID LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38700","description":"SUPRAHYOID LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36253","description":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36254","description":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36253","description":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36254","description":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77789","description":"SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77789","description":"SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31820","description":"SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31820","description":"SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31825","description":"SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31825","description":"SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA 2ND STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46285","description":"SURG TX ANAL FISTULA 2ND STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA 2ND STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46285","description":"SURG TX ANAL FISTULA 2ND STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA INTERSPHINCTERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46275","description":"SURG TX ANAL FISTULA INTERSPHINCTERIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA INTERSPHINCTERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46275","description":"SURG TX ANAL FISTULA INTERSPHINCTERIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46270","description":"SURG TX ANAL FISTULA SUBQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46270","description":"SURG TX ANAL FISTULA SUBQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG VENTRICULAR RSTRJ PX W/PROSTC PATCH PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33548","description":"SURG VENTRICULAR RSTRJ PX W/PROSTC PATCH PFRMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG VENTRICULAR RSTRJ PX W/PROSTC PATCH PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33548","description":"SURG VENTRICULAR RSTRJ PX W/PROSTC PATCH PFRMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29826","description":"SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29826","description":"SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29828","description":"SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29828","description":"SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29806","description":"SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29806","description":"SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29821","description":"SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29821","description":"SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29824","description":"SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29824","description":"SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29822","description":"SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29822","description":"SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29820","description":"SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29820","description":"SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29819","description":"SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29819","description":"SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29807","description":"SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29807","description":"SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER W/LSS and RESCJ ADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29825","description":"SURGICAL ARTHROSCOPY SHOULDER W/LSS and RESCJ ADS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER W/LSS and RESCJ ADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29825","description":"SURGICAL ARTHROSCOPY SHOULDER W/LSS and RESCJ ADS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29827","description":"SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29827","description":"SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29823","description":"SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3 Plus","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29823","description":"SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3 Plus","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL DRESSING HOLDER NON-REUSABLE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4461","description":"SURGICAL DRESSING HOLDER NON-REUSABLE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL DRESSING HOLDER NON-REUSABLE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4461","description":"SURGICAL DRESSING HOLDER NON-REUSABLE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL DRESSING HOLDER REUSABLE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4463","description":"SURGICAL DRESSING HOLDER REUSABLE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL DRESSING HOLDER REUSABLE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4463","description":"SURGICAL DRESSING HOLDER REUSABLE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PATH PROSTATE NEEDLE BIOPSY ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0416","description":"SURGICAL PATH PROSTATE NEEDLE BIOPSY ANY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PATH PROSTATE NEEDLE BIOPSY ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0416","description":"SURGICAL PATH PROSTATE NEEDLE BIOPSY ANY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PROCEDURES INCL USE OF SILICONE OIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9756","description":"SURGICAL PROCEDURES INCL USE OF SILICONE OIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PROCEDURES INCL USE OF SILICONE OIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9756","description":"SURGICAL PROCEDURES INCL USE OF SILICONE OIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PROCEDURES THAT INCL USE SILICONE OIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9757","description":"SURGICAL PROCEDURES THAT INCL USE SILICONE OIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PROCEDURES THAT INCL USE SILICONE OIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9757","description":"SURGICAL PROCEDURES THAT INCL USE SILICONE OIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL SITE INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9312","description":"SURGICAL SITE INFECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL SITE INFECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9312","description":"SURGICAL SITE INFECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTBILTY STDY ANTIMICRBIAL AGNT AGAR DILUTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87181","description":"SUSCEPTBILTY STDY ANTIMICRBIAL AGNT AGAR DILUTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTIBILITY STUDY ANTIMICROBIAL DISK METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87184","description":"SUSCEPTIBILITY STUDY ANTIMICROBIAL DISK METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTIBILITY STUDY ANTIMICROBIAL ENZYME DETCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87185","description":"SUSCEPTIBILITY STUDY ANTIMICROBIAL ENZYME DETCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87186","description":"SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTIBLTY STDY ANTMCRB MICRO/AGAR DILUTJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87187","description":"SUSCEPTIBLTY STDY ANTMCRB MICRO/AGAR DILUTJ EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTIBLTY STDY ANTMCRB MYCOBACT PROPORJ MTHD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87190","description":"SUSCEPTIBLTY STDY ANTMCRB MYCOBACT PROPORJ MTHD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64832","description":"SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64832","description":"SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR ESOPHGL WND/INJ CRV APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43410","description":"SUTR ESOPHGL WND/INJ CRV APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR ESOPHGL WND/INJ CRV APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43410","description":"SUTR ESOPHGL WND/INJ CRV APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43415","description":"SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43415","description":"SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27381","description":"SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27381","description":"SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44605","description":"SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44605","description":"SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44604","description":"SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44604","description":"SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69740","description":"SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69740","description":"SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69745","description":"SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69745","description":"SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64857","description":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64857","description":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64856","description":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64856","description":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27386","description":"SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27386","description":"SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33321","description":"SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33321","description":"SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33320","description":"SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33320","description":"SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67935","description":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67935","description":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67930","description":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67930","description":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38382","description":"SUTR and /LIG THORACIC DUCT ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38382","description":"SUTR and /LIG THORACIC DUCT ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT CERVICAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38380","description":"SUTR and /LIG THORACIC DUCT CERVICAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT CERVICAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38380","description":"SUTR and /LIG THORACIC DUCT CERVICAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT THORACIC APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38381","description":"SUTR and /LIG THORACIC DUCT THORACIC APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT THORACIC APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38381","description":"SUTR and /LIG THORACIC DUCT THORACIC APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64834","description":"SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64834","description":"SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE MEDIAN MOTOR THENAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64835","description":"SUTURE 1 NERVE MEDIAN MOTOR THENAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE MEDIAN MOTOR THENAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64835","description":"SUTURE 1 NERVE MEDIAN MOTOR THENAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE ULNAR MOTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64836","description":"SUTURE 1 NERVE ULNAR MOTOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE ULNAR MOTOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64836","description":"SUTURE 1 NERVE ULNAR MOTOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE BRACHIAL PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64861","description":"SUTURE BRACHIAL PLEXUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE BRACHIAL PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64861","description":"SUTURE BRACHIAL PLEXUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64831","description":"SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64831","description":"SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EACH ADDITIONAL NERVE HAND/FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64837","description":"SUTURE EACH ADDITIONAL NERVE HAND/FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EACH ADDITIONAL NERVE HAND/FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64837","description":"SUTURE EACH ADDITIONAL NERVE HAND/FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EACH ADDITIONAL PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64859","description":"SUTURE EACH ADDITIONAL PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EACH ADDITIONAL PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64859","description":"SUTURE EACH ADDITIONAL PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47900","description":"SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47900","description":"SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE FACIAL NERVE EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64864","description":"SUTURE FACIAL NERVE EXTRACRANIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE FACIAL NERVE EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64864","description":"SUTURE FACIAL NERVE EXTRACRANIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64865","description":"SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64865","description":"SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE INFRAPATELLAR TENDON PRIMARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27380","description":"SUTURE INFRAPATELLAR TENDON PRIMARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE INFRAPATELLAR TENDON PRIMARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27380","description":"SUTURE INFRAPATELLAR TENDON PRIMARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66682","description":"SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66682","description":"SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE LUMBAR PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64862","description":"SUTURE LUMBAR PLEXUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE LUMBAR PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64862","description":"SUTURE LUMBAR PLEXUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE MESENTERY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44850","description":"SUTURE MESENTERY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE MESENTERY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44850","description":"SUTURE MESENTERY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ SECONDARY/DELAYED SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64872","description":"SUTURE NERVE REQ SECONDARY/DELAYED SUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ SECONDARY/DELAYED SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64872","description":"SUTURE NERVE REQ SECONDARY/DELAYED SUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ SHORTENING BONE EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64876","description":"SUTURE NERVE REQ SHORTENING BONE EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ SHORTENING BONE EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64876","description":"SUTURE NERVE REQ SHORTENING BONE EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64874","description":"SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64874","description":"SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE PHARYNX WOUND/INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42900","description":"SUTURE PHARYNX WOUND/INJURY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE PHARYNX WOUND/INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42900","description":"SUTURE PHARYNX WOUND/INJURY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE POSTERIOR TIBIAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64840","description":"SUTURE POSTERIOR TIBIAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE POSTERIOR TIBIAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64840","description":"SUTURE POSTERIOR TIBIAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27385","description":"SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27385","description":"SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33322","description":"SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33322","description":"SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE SCIATIC NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64858","description":"SUTURE SCIATIC NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE SCIATIC NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64858","description":"SUTURE SCIATIC NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TONGUE LIP MICROGNATHIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41510","description":"SUTURE TONGUE LIP MICROGNATHIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TONGUE LIP MICROGNATHIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41510","description":"SUTURE TONGUE LIP MICROGNATHIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TRACHEAL WOUND/INJURY CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31800","description":"SUTURE TRACHEAL WOUND/INJURY CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TRACHEAL WOUND/INJURY CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31800","description":"SUTURE TRACHEAL WOUND/INJURY CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31805","description":"SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31805","description":"SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SWEAT COLLECTION IONTOPHORESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89230","description":"SWEAT COLLECTION IONTOPHORESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SWINGAWAY DETACHABLE FOOTRESTS REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0052","description":"SWINGAWAY DETACHABLE FOOTRESTS REPL ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64802","description":"SYMPATHECTOMY CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64802","description":"SYMPATHECTOMY CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY CERVICOTHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64804","description":"SYMPATHECTOMY CERVICOTHORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY CERVICOTHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64804","description":"SYMPATHECTOMY CERVICOTHORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64820","description":"SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64820","description":"SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64818","description":"SYMPATHECTOMY LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64818","description":"SYMPATHECTOMY LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY RADIAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64821","description":"SYMPATHECTOMY RADIAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY RADIAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64821","description":"SYMPATHECTOMY RADIAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY SUPERFICIAL PALMAR ARCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64823","description":"SYMPATHECTOMY SUPERFICIAL PALMAR ARCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY SUPERFICIAL PALMAR ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64823","description":"SYMPATHECTOMY SUPERFICIAL PALMAR ARCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64809","description":"SYMPATHECTOMY THORACOLUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64809","description":"SYMPATHECTOMY THORACOLUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY ULNAR ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64822","description":"SYMPATHECTOMY ULNAR ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY ULNAR ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64822","description":"SYMPATHECTOMY ULNAR ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50540","description":"SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50540","description":"SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPT CAROT STENOS IPSIL CAROT TIA/STRK LT 120DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9006F","description":"SYMPT CAROT STENOS IPSIL CAROT TIA/STRK LT 120DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPT CAROT STENOS IPSIL CAROT TIA/STRK LT 120DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9006F","description":"SYMPT CAROT STENOS IPSIL CAROT TIA/STRK LT 120DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOM MANAGEMENT PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0555F","description":"SYMPTOM MANAGEMENT PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOM MANAGEMENT PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0555F","description":"SYMPTOM MANAGEMENT PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOMS IMPROVED/CONSIST W/TXMNT GOAL ASSESSMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1450F","description":"SYMPTOMS IMPROVED/CONSIST W/TXMNT GOAL ASSESSMNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOMS IMPROVED/CONSIST W/TXMNT GOAL ASSESSMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1450F","description":"SYMPTOMS IMPROVED/CONSIST W/TXMNT GOAL ASSESSMNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOMS SHOW CLIN IMPRTNT DROP SINCE ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1451F","description":"SYMPTOMS SHOW CLIN IMPRTNT DROP SINCE ASSESSMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOMS SHOW CLIN IMPRTNT DROP SINCE ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1451F","description":"SYMPTOMS SHOW CLIN IMPRTNT DROP SINCE ASSESSMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNDACTYLIZATION TOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28280","description":"SYNDACTYLIZATION TOES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNDACTYLIZATION TOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28280","description":"SYNDACTYLIZATION TOES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY CARPOMETACARPAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26130","description":"SYNOVECTOMY CARPOMETACARPAL JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY CARPOMETACARPAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26130","description":"SYNOVECTOMY CARPOMETACARPAL JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25118","description":"SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25118","description":"SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28072","description":"SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28072","description":"SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28088","description":"SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28088","description":"SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY TENDON SHEATH FOOT FLEXOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28086","description":"SYNOVECTOMY TENDON SHEATH FOOT FLEXOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY TENDON SHEATH FOOT FLEXOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28086","description":"SYNOVECTOMY TENDON SHEATH FOOT FLEXOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNTHETIC SENTENCE IDENTIFICATION TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92576","description":"SYNTHETIC SENTENCE IDENTIFICATION TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNTHETIC SENTENCE IDENTIFICATION TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92576","description":"SYNTHETIC SENTENCE IDENTIFICATION TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28070","description":"SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28070","description":"SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT MTCARPHLNGL JT W/INTRNSC RLS and XTNSR HOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26135","description":"SYNVCT MTCARPHLNGL JT W/INTRNSC RLS and XTNSR HOOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT MTCARPHLNGL JT W/INTRNSC RLS and XTNSR HOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26135","description":"SYNVCT MTCARPHLNGL JT W/INTRNSC RLS and XTNSR HOOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26140","description":"SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26140","description":"SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT TDN SHTH RAD FLXR TDN PALM and /FNGR EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26145","description":"SYNVCT TDN SHTH RAD FLXR TDN PALM and /FNGR EA TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT TDN SHTH RAD FLXR TDN PALM and /FNGR EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26145","description":"SYNVCT TDN SHTH RAD FLXR TDN PALM and /FNGR EA TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25119","description":"SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25119","description":"SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS SCREENING DOCUMENTED AS DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3512F","description":"SYPHILIS SCREENING DOCUMENTED AS DONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS SCREENING DOCUMENTED AS DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3512F","description":"SYPHILIS SCREENING DOCUMENTED AS DONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86592","description":"SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS TEST QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86593","description":"SYPHILIS TEST QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIAL TX NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4132F","description":"SYSTEMIC ANTIMICROBIAL TX NOT PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIAL TX NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4132F","description":"SYSTEMIC ANTIMICROBIAL TX NOT PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIAL TX PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4131F","description":"SYSTEMIC ANTIMICROBIAL TX PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIAL TX PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4131F","description":"SYSTEMIC ANTIMICROBIAL TX PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIALS NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9959","description":"SYSTEMIC ANTIMICROBIALS NOT PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIALS NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9959","description":"SYSTEMIC ANTIMICROBIALS NOT PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIALS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9961","description":"SYSTEMIC ANTIMICROBIALS PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIALS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9961","description":"SYSTEMIC ANTIMICROBIALS PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC CORTICOSTEROIDS NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4136F","description":"SYSTEMIC CORTICOSTEROIDS NOT PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC CORTICOSTEROIDS NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4136F","description":"SYSTEMIC CORTICOSTEROIDS NOT PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC CORTICOSTEROIDS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4135F","description":"SYSTEMIC CORTICOSTEROIDS PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC CORTICOSTEROIDS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4135F","description":"SYSTEMIC CORTICOSTEROIDS PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Select picture audiometry","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92583","description":"Select picture audiometry","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Select picture audiometry","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92583","description":"Select picture audiometry","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Simple cystometrogram","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51725","description":"Simple cystometrogram","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Simple cystometrogram","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51725","description":"Simple cystometrogram","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Sitz bath chair","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0162","description":"Sitz bath chair","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Slings","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4565","description":"Slings","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Slings","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4565","description":"Slings","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Standard wheelchair","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0001","description":"Standard wheelchair","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Standard wheelchair","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0001","description":"Standard wheelchair","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Sternal debridement","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21627","description":"Sternal debridement","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Sternal debridement","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21627","description":"Sternal debridement","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Stoma cap","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5055","description":"Stoma cap","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Stoma cap","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5055","description":"Stoma cap","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Synthetic sheepskin pad","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0188","description":"Synthetic sheepskin pad","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"T CELLS ABSOLUTE CD4 AND CD8 COUNT RATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86360","description":"T CELLS ABSOLUTE CD4 AND CD8 COUNT RATIO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"T CELLS ABSOLUTE CD4 COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86361","description":"T CELLS ABSOLUTE CD4 COUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"T CELLS TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86359","description":"T CELLS TOTAL COUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS IMMEDIATE RELEASE ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7507","description":"TACROLIMUS IMMEDIATE RELEASE ORAL 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS IMMEDIATE RELEASE ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7507","description":"TACROLIMUS IMMEDIATE RELEASE ORAL 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS PARENTERAL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7525","description":"TACROLIMUS PARENTERAL 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS PARENTERAL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7525","description":"TACROLIMUS PARENTERAL 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TALECTOMY ASTRAGALECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28130","description":"TALECTOMY ASTRAGALECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TALECTOMY ASTRAGALECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28130","description":"TALECTOMY ASTRAGALECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TAMOXIFEN OR AROMATASE INHIBITOR (AI) RXD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4179F","description":"TAMOXIFEN OR AROMATASE INHIBITOR (AI) RXD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAMOXIFEN OR AROMATASE INHIBITOR (AI) RXD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4179F","description":"TAMOXIFEN OR AROMATASE INHIBITOR (AI) RXD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAPE NON-WATERPROOF PER 18 SQUARE INCHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4450","description":"TAPE NON-WATERPROOF PER 18 SQUARE INCHES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TAPE NON-WATERPROOF PER 18 SQUARE INCHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4450","description":"TAPE NON-WATERPROOF PER 18 SQUARE INCHES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TAPE WATERPROOF PER 18 SQUARE INCHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4452","description":"TAPE WATERPROOF PER 18 SQUARE INCHES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TAPE WATERPROOF PER 18 SQUARE INCHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4452","description":"TAPE WATERPROOF PER 18 SQUARE INCHES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION 6.0 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11920","description":"TATTOOING INCL MICROPIGMENTATION 6.0 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION 6.0 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11920","description":"TATTOOING INCL MICROPIGMENTATION 6.0 CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11921","description":"TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11921","description":"TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION EA 20.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11922","description":"TATTOOING INCL MICROPIGMENTATION EA 20.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION EA 20.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11922","description":"TATTOOING INCL MICROPIGMENTATION EA 20.0 CM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86481","description":"TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86480","description":"TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TB SCR AND RSLT INTRP WI 12 MO PRI TO INIT BIO DZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1003","description":"TB SCR AND RSLT INTRP WI 12 MO PRI TO INIT BIO DZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCR AND RSLT INTRP WI 12 MO PRI TO INIT BIO DZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1003","description":"TB SCR AND RSLT INTRP WI 12 MO PRI TO INIT BIO DZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCR PFRMD and INTRPD W/IN 6 MO INITIATION RA THER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3455F","description":"TB SCR PFRMD and INTRPD W/IN 6 MO INITIATION RA THER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCR PFRMD and INTRPD W/IN 6 MO INITIATION RA THER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3455F","description":"TB SCR PFRMD and INTRPD W/IN 6 MO INITIATION RA THER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCREEN NOT PERF/RSLT NOT INTEPR RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1005","description":"TB SCREEN NOT PERF/RSLT NOT INTEPR RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCREEN NOT PERF/RSLT NOT INTEPR RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1005","description":"TB SCREEN NOT PERF/RSLT NOT INTEPR RSN NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCRNG DONE INTRPD LT 6 MOS START RA THXPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3455F","description":"TB SCRNG DONE INTRPD LT 6 MOS START RA THXPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TBS DXA/OTHER IMG CALCULATION W/I and R FX RISK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77089","description":"TBS DXA/OTHER IMG CALCULATION W/I and R FX RISK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TBS DXA/OTHER IMG CALCULATION W/I and R FX RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77089","description":"TBS DXA/OTHER IMG CALCULATION W/I and R FX RISK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TBS INTERPRETATION and REPORT FX RISK BY OTHER QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77092","description":"TBS INTERPRETATION and REPORT FX RISK BY OTHER QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TBS INTERPRETATION and REPORT FX RISK BY OTHER QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77092","description":"TBS INTERPRETATION and REPORT FX RISK BY OTHER QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TBS TECHL PREP and TRANSMIS DATA ALYS PFRMD ELSEWHR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77090","description":"TBS TECHL PREP and TRANSMIS DATA ALYS PFRMD ELSEWHR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TBS TECHL PREP and TRANSMIS DATA ALYS PFRMD ELSEWHR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77090","description":"TBS TECHL PREP and TRANSMIS DATA ALYS PFRMD ELSEWHR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TBS TECHNICAL CALCULATION ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77091","description":"TBS TECHNICAL CALCULATION ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TBS TECHNICAL CALCULATION ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77091","description":"TBS TECHNICAL CALCULATION ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37215","description":"TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37215","description":"TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37216","description":"TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37216","description":"TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERM OCCLS/EMBOLIZATION PERQ CNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61624","description":"TCAT PERM OCCLS/EMBOLIZATION PERQ CNS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERM OCCLS/EMBOLIZATION PERQ CNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61624","description":"TCAT PERM OCCLS/EMBOLIZATION PERQ CNS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERM OCCLS/EMBOLJ PERQ NON-CNS HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61626","description":"TCAT PERM OCCLS/EMBOLJ PERQ NON-CNS HEAD/NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERM OCCLS/EMBOLJ PERQ NON-CNS HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61626","description":"TCAT PERM OCCLS/EMBOLJ PERQ NON-CNS HEAD/NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERMANENT OCCLUSION/EMBOLIZATION PRQ CNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61624","description":"TCAT PERMANENT OCCLUSION/EMBOLIZATION PRQ CNS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERMANT OCCLUSION/EMBOLIZATION PRQ NON-CNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61626","description":"TCAT PERMANT OCCLUSION/EMBOLIZATION PRQ NON-CNS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92974","description":"TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92974","description":"TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLMT IV STENT ICRA W/BALO ANGIOP IF PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61635","description":"TCAT PLMT IV STENT ICRA W/BALO ANGIOP IF PFRMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLMT IV STENT ICRA W/BALO ANGIOP IF PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61635","description":"TCAT PLMT IV STENT ICRA W/BALO ANGIOP IF PFRMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TCD STD ICR ART VEN-ARTL SHNT DETCJ IV MBUBB NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93893","description":"TCD STD ICR ART VEN-ARTL SHNT DETCJ IV MBUBB NJX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TCD STD ICR ART VEN-ARTL SHNT DETCJ IV MBUBB NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93893","description":"TCD STD ICR ART VEN-ARTL SHNT DETCJ IV MBUBB NJX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90714","description":"TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90714","description":"TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TDAP VACCINE 7 YRS OR GT IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90715","description":"TDAP VACCINE 7 YRS OR GT IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TDAP VACCINE 7 YRS OR GT IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90715","description":"TDAP VACCINE 7 YRS OR GT IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25310","description":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1 EA TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25310","description":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1 EA TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1/TDN GR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25312","description":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1/TDN GR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1/TDN GR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25312","description":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1/TDN GR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35303","description":"TEAEC W/GRAFT POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35303","description":"TEAEC W/GRAFT POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35302","description":"TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35302","description":"TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35304","description":"TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35304","description":"TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35301","description":"TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35301","description":"TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35331","description":"TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35331","description":"TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35361","description":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35361","description":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35363","description":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35363","description":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMMON FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35371","description":"TEAEC W/WO PATCH GRAFT COMMON FEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMMON FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35371","description":"TEAEC W/WO PATCH GRAFT COMMON FEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35372","description":"TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35372","description":"TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35351","description":"TEAEC W/WO PATCH GRAFT ILIAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35351","description":"TEAEC W/WO PATCH GRAFT ILIAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35355","description":"TEAEC W/WO PATCH GRAFT ILIOFEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35355","description":"TEAEC W/WO PATCH GRAFT ILIOFEMORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35341","description":"TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35341","description":"TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35321","description":"TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35321","description":"TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35311","description":"TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35311","description":"TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TECH OTHER THAN SURFACE CULTURE WOUND EXUD USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4261F","description":"TECH OTHER THAN SURFACE CULTURE WOUND EXUD USED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECH OTHER THAN SURFACE CULTURE WOUND EXUD USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4261F","description":"TECH OTHER THAN SURFACE CULTURE WOUND EXUD USED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9500","description":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9500","description":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 30 MIN W/PT TELEHLTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0425","description":"TELEHEALTH CONSULT ED/IP 30 MIN W/PT TELEHLTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 30 MIN W/PT TELEHLTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0425","description":"TELEHEALTH CONSULT ED/IP 30 MIN W/PT TELEHLTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 50 MIN W/PT TELEHLTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0426","description":"TELEHEALTH CONSULT ED/IP 50 MIN W/PT TELEHLTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 50 MIN W/PT TELEHLTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0426","description":"TELEHEALTH CONSULT ED/IP 50 MIN W/PT TELEHLTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 70 MIN OR GT PT TELEHELTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0427","description":"TELEHEALTH CONSULT ED/IP 70 MIN OR GT PT TELEHELTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 70 MIN OR GT PT TELEHELTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0427","description":"TELEHEALTH CONSULT ED/IP 70 MIN OR GT PT TELEHELTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77307","description":"TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77307","description":"TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEMOZOLOMIDE ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8700","description":"TEMOZOLOMIDE ORAL 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEMOZOLOMIDE ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8700","description":"TEMOZOLOMIDE ORAL 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEMOZOLOmIDE ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8700","description":"TEMOZOLOmIDE ORAL 5 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEMPORARY CLOSURE EYELIDS SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67875","description":"TEMPORARY CLOSURE EYELIDS SUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEMPORARY CLOSURE EYELIDS SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67875","description":"TEMPORARY CLOSURE EYELIDS SUTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEMPORARY TRANSCUTANEOUS PACING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92953","description":"TEMPORARY TRANSCUTANEOUS PACING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEMPORARY TRANSCUTANEOUS PACING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92953","description":"TEMPORARY TRANSCUTANEOUS PACING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEMPOROMANDBLE JT ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70332","description":"TEMPOROMANDBLE JT ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TEMPOROMANDBLE JT ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70332","description":"TEMPOROMANDBLE JT ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENDON GRAFT FROM A DISTANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20924","description":"TENDON GRAFT FROM A DISTANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENDON GRAFT FROM A DISTANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20924","description":"TENDON GRAFT FROM A DISTANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24305","description":"TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24305","description":"TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENDON SHEATH INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26055","description":"TENDON SHEATH INCISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENDON SHEATH INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26055","description":"TENDON SHEATH INCISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26483","description":"TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26483","description":"TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24340","description":"TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24340","description":"TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS DISTAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26474","description":"TENODESIS DISTAL JOINT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS DISTAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26474","description":"TENODESIS DISTAL JOINT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS LONG TENDON BICEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23430","description":"TENODESIS LONG TENDON BICEPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS LONG TENDON BICEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23430","description":"TENODESIS LONG TENDON BICEPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26471","description":"TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26471","description":"TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS WRIST EXTENSORS FINGERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25301","description":"TENODESIS WRIST EXTENSORS FINGERS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS WRIST EXTENSORS FINGERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25301","description":"TENODESIS WRIST EXTENSORS FINGERS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS WRIST FLEXORS FINGERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25300","description":"TENODESIS WRIST FLEXORS FINGERS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS WRIST FLEXORS FINGERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25300","description":"TENODESIS WRIST FLEXORS FINGERS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26449","description":"TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26449","description":"TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28226","description":"TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28226","description":"TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR FOOT SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28225","description":"TENOLYSIS EXTENSOR FOOT SINGLE TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR FOOT SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28225","description":"TENOLYSIS EXTENSOR FOOT SINGLE TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26445","description":"TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26445","description":"TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28222","description":"TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28222","description":"TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR FOOT SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28220","description":"TENOLYSIS FLEXOR FOOT SINGLE TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR FOOT SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28220","description":"TENOLYSIS FLEXOR FOOT SINGLE TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR TENDON PALM AND FINGER EACH TENDO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26442","description":"TENOLYSIS FLEXOR TENDON PALM AND FINGER EACH TENDO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR TENDON PALM AND FINGER EACH TENDO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26442","description":"TENOLYSIS FLEXOR TENDON PALM AND FINGER EACH TENDO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26440","description":"TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26440","description":"TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLXR/XTNSR TENDON LEG and /ANKLE 1 EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27680","description":"TENOLYSIS FLXR/XTNSR TENDON LEG and /ANKLE 1 EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLXR/XTNSR TENDON LEG and /ANKLE 1 EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27680","description":"TENOLYSIS FLXR/XTNSR TENDON LEG and /ANKLE 1 EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS TRICEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24332","description":"TENOLYSIS TRICEPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS TRICEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24332","description":"TENOLYSIS TRICEPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOPLASTY ELBOW TO SHOULDER SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24320","description":"TENOPLASTY ELBOW TO SHOULDER SINGLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOPLASTY ELBOW TO SHOULDER SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24320","description":"TENOPLASTY ELBOW TO SHOULDER SINGLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ABDUCTORS and /EXTENSOR HIP OPEN SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27006","description":"TENOTOMY ABDUCTORS and /EXTENSOR HIP OPEN SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ABDUCTORS and /EXTENSOR HIP OPEN SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27006","description":"TENOTOMY ABDUCTORS and /EXTENSOR HIP OPEN SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ADDUCTOR HIP OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27001","description":"TENOTOMY ADDUCTOR HIP OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ADDUCTOR HIP OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27001","description":"TENOTOMY ADDUCTOR HIP OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27000","description":"TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27000","description":"TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24357","description":"TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24357","description":"TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26460","description":"TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26460","description":"TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY FLEXOR FINGER OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26455","description":"TENOTOMY FLEXOR FINGER OPEN EACH TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY FLEXOR FINGER OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26455","description":"TENOTOMY FLEXOR FINGER OPEN EACH TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY FLEXOR PALM OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26450","description":"TENOTOMY FLEXOR PALM OPEN EACH TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY FLEXOR PALM OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26450","description":"TENOTOMY FLEXOR PALM OPEN EACH TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27005","description":"TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27005","description":"TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28240","description":"TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28240","description":"TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24310","description":"TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24310","description":"TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28234","description":"TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28234","description":"TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27392","description":"TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27392","description":"TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27390","description":"TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27390","description":"TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27391","description":"TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27391","description":"TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26060","description":"TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26060","description":"TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28011","description":"TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28011","description":"TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS TOE SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28010","description":"TENOTOMY PERCUTANEOUS TOE SINGLE TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS TOE SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28010","description":"TENOTOMY PERCUTANEOUS TOE SINGLE TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27606","description":"TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27606","description":"TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27605","description":"TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27605","description":"TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27306","description":"TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27306","description":"TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27307","description":"TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27307","description":"TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY SHOULDER AREA 1 TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23405","description":"TENOTOMY SHOULDER AREA 1 TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY SHOULDER AREA 1 TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23405","description":"TENOTOMY SHOULDER AREA 1 TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23406","description":"TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23406","description":"TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENS DEVICE 4/MORE LEADS MULTI NERVE STIMULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0730","description":"TENS DEVICE 4/MORE LEADS MULTI NERVE STIMULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENS DEVICE TWO LEAD LOCALIZED STIMULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0720","description":"TENS DEVICE TWO LEAD LOCALIZED STIMULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENSION BASED SCOLIOSIS ORTHOSIS AND ACCESSORY PADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1005","description":"TENSION BASED SCOLIOSIS ORTHOSIS AND ACCESSORY PADS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TENSION RING VAC ERECTION DEVC REPLACE ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7902","description":"TENSION RING VAC ERECTION DEVC REPLACE ONLY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7680","description":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7680","description":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEV MX ARTIC DIGIT W/MOTORS INIT ISSUE/REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6715","description":"TERM DEV MX ARTIC DIGIT W/MOTORS INIT ISSUE/REPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HAND MECH VOL CLOS ANY MATL ANY SZ PED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6714","description":"TERM DEVC HAND MECH VOL CLOS ANY MATL ANY SZ PED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HOOK/HAND HVY-DUTY MECH VOL CLOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6722","description":"TERM DEVC HOOK/HAND HVY-DUTY MECH VOL CLOS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HOOK/HND HVY-DUTY MECH VOL OPN ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6721","description":"TERM DEVC HOOK/HND HVY-DUTY MECH VOL OPN ANY SZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TERM DVC HAND MECH VOL OPN ANY MATL ANY SIZE PED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6713","description":"TERM DVC HAND MECH VOL OPN ANY MATL ANY SIZE PED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TERM DVC HOOK MECH VOL CLOS ANY MATL ANY SZ PED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6712","description":"TERM DVC HOOK MECH VOL CLOS ANY MATL ANY SZ PED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TERM DVC HOOK MECH VOL OPN ANY MATL ANY SZ PED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6711","description":"TERM DVC HOOK MECH VOL OPN ANY MATL ANY SZ PED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HAND MECH VOLUNTARY CLOSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6709","description":"TERMINAL DEVICE HAND MECH VOLUNTARY CLOSING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HAND MECH VOLUNTARY OPENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6708","description":"TERMINAL DEVICE HAND MECH VOLUNTARY OPENING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HOOK MECH VOLUNTARY CLOSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6707","description":"TERMINAL DEVICE HOOK MECH VOLUNTARY CLOSING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HOOK MECH VOLUNTARY OPENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6706","description":"TERMINAL DEVICE HOOK MECH VOLUNTARY OPENING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE PASSIVE HND/MITT ANY MATERIAL SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6703","description":"TERMINAL DEVICE PASSIVE HND/MITT ANY MATERIAL SZ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE SPORT/RECREATIONAL/WORK ATTACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6704","description":"TERMINAL DEVICE SPORT/RECREATIONAL/WORK ATTACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TESTICULAR IMAGING WITH VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78761","description":"TESTICULAR IMAGING WITH VASCULAR FLOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TESTICULAR IMAGING WITH VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78761","description":"TESTICULAR IMAGING WITH VASCULAR FLOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95923","description":"TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95923","description":"TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THAWING AND EXPANSION FROZEN CELLS EACH ALIQUOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88241","description":"THAWING AND EXPANSION FROZEN CELLS EACH ALIQUOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36516","description":"THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36516","description":"THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96376","description":"THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96376","description":"THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96374","description":"THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96374","description":"THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT AREAS EA 15 MIN GAIT TRAING W/STAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97116","description":"THER PX 1 OR GT AREAS EA 15 MIN GAIT TRAING W/STAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT AREAS EA 15 MIN GAIT TRAING W/STAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97116","description":"THER PX 1 OR GT AREAS EA 15 MIN GAIT TRAING W/STAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT AREAS EACH 15 MIN AQUA THER W/XERSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97113","description":"THER PX 1 OR GT AREAS EACH 15 MIN AQUA THER W/XERSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT AREAS EACH 15 MIN AQUA THER W/XERSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97113","description":"THER PX 1 OR GT AREAS EACH 15 MIN AQUA THER W/XERSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT AREAS EACH 15 MIN NEUROMUSC REEDUCA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97112","description":"THER PX 1 OR GT AREAS EACH 15 MIN NEUROMUSC REEDUCA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT AREAS EACH 15 MIN NEUROMUSC REEDUCA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97112","description":"THER PX 1 OR GT AREAS EACH 15 MIN NEUROMUSC REEDUCA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT AREAS EACH 15 MINUTES MASSAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97124","description":"THER PX 1 OR GT AREAS EACH 15 MINUTES MASSAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT AREAS EACH 15 MINUTES MASSAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97124","description":"THER PX 1 OR GT AREAS EACH 15 MINUTES MASSAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77290","description":"THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77290","description":"THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77285","description":"THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77285","description":"THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77280","description":"THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77280","description":"THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER SP-GENRATJ DEV PRGRMG AND MODIFICAJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92609","description":"THER SP-GENRATJ DEV PRGRMG AND MODIFICAJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THER SP-GENRATJ DEV PRGRMG AND MODIFICAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92609","description":"THER SP-GENRATJ DEV PRGRMG AND MODIFICAJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAP REPETITIVE TMS TX SUBSEQ DELIVERY AND MNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90868","description":"THERAP REPETITIVE TMS TX SUBSEQ DELIVERY AND MNG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAP REPETITIVE TMS TX SUBSEQ DELIVERY AND MNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90868","description":"THERAP REPETITIVE TMS TX SUBSEQ DELIVERY AND MNG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97530","description":"THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97530","description":"THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC AGENT URINARY CATHETER IRRIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4321","description":"THERAPEUTIC AGENT URINARY CATHETER IRRIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC AGENT URINARY CATHETER IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4321","description":"THERAPEUTIC AGENT URINARY CATHETER IRRIGATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS PLASMA PHERESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36514","description":"THERAPEUTIC APHERESIS PLASMA PHERESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS PLASMA PHERESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36514","description":"THERAPEUTIC APHERESIS PLASMA PHERESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS PLATELETS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36513","description":"THERAPEUTIC APHERESIS PLATELETS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS PLATELETS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36513","description":"THERAPEUTIC APHERESIS PLATELETS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS RED BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36512","description":"THERAPEUTIC APHERESIS RED BLOOD CELLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS RED BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36512","description":"THERAPEUTIC APHERESIS RED BLOOD CELLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS WHITE BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36511","description":"THERAPEUTIC APHERESIS WHITE BLOOD CELLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS WHITE BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36511","description":"THERAPEUTIC APHERESIS WHITE BLOOD CELLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74283","description":"THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74283","description":"THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC EXERCISE INVOLVED JTS INST/PRESCRIBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4018F","description":"THERAPEUTIC EXERCISE INVOLVED JTS INST/PRESCRIBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC EXERCISE INVOLVED JTS INST/PRESCRIBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4018F","description":"THERAPEUTIC EXERCISE INVOLVED JTS INST/PRESCRIBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96375","description":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96375","description":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROCEDURES GROUP 2 OR GT INDIVIDUALS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97150","description":"THERAPEUTIC PROCEDURES GROUP 2 OR GT INDIVIDUALS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROCEDURES GROUP 2 OR GT INDIVIDUALS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97150","description":"THERAPEUTIC PROCEDURES GROUP 2 OR GT INDIVIDUALS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96372","description":"THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96372","description":"THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96373","description":"THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96373","description":"THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PX 1 OR GT AREAS EACH 15 MIN EXERCISES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97110","description":"THERAPEUTIC PX 1 OR GT AREAS EACH 15 MIN EXERCISES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PX 1 OR GT AREAS EACH 15 MIN EXERCISES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97110","description":"THERAPEUTIC PX 1 OR GT AREAS EACH 15 MIN EXERCISES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY PORT IMAGE(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77417","description":"THERAPEUTIC RADIOLOGY PORT IMAGE(S)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY PORT IMAGE(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77417","description":"THERAPEUTIC RADIOLOGY PORT IMAGE(S)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY PORT IMAGES(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77417","description":"THERAPEUTIC RADIOLOGY PORT IMAGES(S)","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77263","description":"THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77263","description":"THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77262","description":"THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77262","description":"THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77261","description":"THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77261","description":"THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62272","description":"THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62272","description":"THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC RIB BELT CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0220","description":"THORACIC RIB BELT CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32906","description":"THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32906","description":"THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32905","description":"THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32905","description":"THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32654","description":"THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32654","description":"THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32606","description":"THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32606","description":"THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32604","description":"THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32604","description":"THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY RESEXN THYMUS UNI/BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32673","description":"THORACOSCOPY RESEXN THYMUS UNI/BILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY RESEXN THYMUS UNI/BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32673","description":"THORACOSCOPY RESEXN THYMUS UNI/BILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32653","description":"THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32653","description":"THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/BILOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32670","description":"THORACOSCOPY W/BILOBECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/BILOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32670","description":"THORACOSCOPY W/BILOBECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32607","description":"THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32607","description":"THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32608","description":"THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32608","description":"THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32668","description":"THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32668","description":"THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32665","description":"THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32665","description":"THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32662","description":"THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32662","description":"THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32661","description":"THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32661","description":"THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/LOBECTOMY SINGLE LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32663","description":"THORACOSCOPY W/LOBECTOMY SINGLE LOBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/LOBECTOMY SINGLE LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32663","description":"THORACOSCOPY W/LOBECTOMY SINGLE LOBE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PARIETAL PLEURECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32656","description":"THORACOSCOPY W/PARIETAL PLEURECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PARIETAL PLEURECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32656","description":"THORACOSCOPY W/PARIETAL PLEURECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32651","description":"THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32651","description":"THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PLEURODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32650","description":"THORACOSCOPY W/PLEURODESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PLEURODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32650","description":"THORACOSCOPY W/PLEURODESIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PNEUMONECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32671","description":"THORACOSCOPY W/PNEUMONECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PNEUMONECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32671","description":"THORACOSCOPY W/PNEUMONECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32655","description":"THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32655","description":"THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32672","description":"THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32672","description":"THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32658","description":"THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32658","description":"THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/SEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32669","description":"THORACOSCOPY W/SEGMENTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/SEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32669","description":"THORACOSCOPY W/SEGMENTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32667","description":"THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32667","description":"THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32666","description":"THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32666","description":"THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THORACIC SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32664","description":"THORACOSCOPY W/THORACIC SYMPATHECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THORACIC SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32664","description":"THORACOSCOPY W/THORACIC SYMPATHECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY WITH BIOPSYIES OF PLEURA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32609","description":"THORACOSCOPY WITH BIOPSYIES OF PLEURA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY WITH BIOPSYIES OF PLEURA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32609","description":"THORACOSCOPY WITH BIOPSYIES OF PLEURA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32036","description":"THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32036","description":"THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSTOMY W/RIB RESECTION EMPYEMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32035","description":"THORACOSTOMY W/RIB RESECTION EMPYEMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSTOMY W/RIB RESECTION EMPYEMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32035","description":"THORACOSTOMY W/RIB RESECTION EMPYEMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32124","description":"THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32124","description":"THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY POSTOPERATIVE COMPLICATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32120","description":"THORACOTOMY POSTOPERATIVE COMPLICATIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY POSTOPERATIVE COMPLICATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32120","description":"THORACOTOMY POSTOPERATIVE COMPLICATIONS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/BIOPSY OF PLEURA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32098","description":"THORACOTOMY W/BIOPSY OF PLEURA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/BIOPSY OF PLEURA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32098","description":"THORACOTOMY W/BIOPSY OF PLEURA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/CARDIAC MASSAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32160","description":"THORACOTOMY W/CARDIAC MASSAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/CARDIAC MASSAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32160","description":"THORACOTOMY W/CARDIAC MASSAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/DX WEDGE RESEXN and ANTOM LUNG RESE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32507","description":"THORACOTOMY W/DX WEDGE RESEXN and ANTOM LUNG RESE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/DX WEDGE RESEXN and ANTOM LUNG RESE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32507","description":"THORACOTOMY W/DX WEDGE RESEXN and ANTOM LUNG RESE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/RESECTION BULLAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32141","description":"THORACOTOMY W/RESECTION BULLAE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/RESECTION BULLAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32141","description":"THORACOTOMY W/RESECTION BULLAE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32506","description":"THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32506","description":"THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32505","description":"THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32505","description":"THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY WITH EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32100","description":"THORACOTOMY WITH EXPLORATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY WITH EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32100","description":"THORACOTOMY WITH EXPLORATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32096","description":"THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32096","description":"THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32097","description":"THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32097","description":"THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM CTRL TRAUMTC HEMRRG and /RPR LNG TEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32110","description":"THORCOM CTRL TRAUMTC HEMRRG and /RPR LNG TEAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM CTRL TRAUMTC HEMRRG and /RPR LNG TEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32110","description":"THORCOM CTRL TRAUMTC HEMRRG and /RPR LNG TEAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM THRC W/MEDSTNL and REGIONAL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38746","description":"THORCOM THRC W/MEDSTNL and REGIONAL LMPHADEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM THRC W/MEDSTNL and REGIONAL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38746","description":"THORCOM THRC W/MEDSTNL and REGIONAL LMPHADEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/REMOVAL OF CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32140","description":"THORCOM W/REMOVAL OF CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/REMOVAL OF CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32140","description":"THORCOM W/REMOVAL OF CYST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32150","description":"THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32150","description":"THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/RMVL IPUL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32151","description":"THORCOM W/RMVL IPUL FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/RMVL IPUL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32151","description":"THORCOM W/RMVL IPUL FB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOSCPY W/MEDIASTINL and REGIONL LYMPHDENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32674","description":"THORCOSCPY W/MEDIASTINL and REGIONL LYMPHDENECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOSCPY W/MEDIASTINL and REGIONL LYMPHDENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32674","description":"THORCOSCPY W/MEDIASTINL and REGIONL LYMPHDENECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32601","description":"THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32601","description":"THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35875","description":"THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35875","description":"THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35876","description":"THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35876","description":"THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH AXILL and SUBCLAVIAN VEIN ARM IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34490","description":"THRMBC DIR/W/CATH AXILL and SUBCLAVIAN VEIN ARM IN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH AXILL and SUBCLAVIAN VEIN ARM IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34490","description":"THRMBC DIR/W/CATH AXILL and SUBCLAVIAN VEIN ARM IN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34471","description":"THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34471","description":"THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL and LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34451","description":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL and LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL and LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34451","description":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL and LEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34421","description":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34421","description":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34401","description":"THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34401","description":"THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36831","description":"THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36831","description":"THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THROMBIN TIME PLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85670","description":"THROMBIN TIME PLASMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THROMBIN TIME TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85675","description":"THROMBIN TIME TITER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOEMBOLIC RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1180F","description":"THROMBOEMBOLIC RISK ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOEMBOLIC RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1180F","description":"THROMBOEMBOLIC RISK ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS CEREBRAL IV INFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37195","description":"THROMBOLYSIS CEREBRAL IV INFUSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS CEREBRAL IV INFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37195","description":"THROMBOLYSIS CEREBRAL IV INFUSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOMODULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85337","description":"THROMBOMODULIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOPLASTIN INHIBITION TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85705","description":"THROMBOPLASTIN INHIBITION TISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85730","description":"THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85732","description":"THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOXANE METABOLITE W/WO THROMBOXANE URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84431","description":"THROMBOXANE METABOLITE W/WO THROMBOXANE URINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32659","description":"THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32659","description":"THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32652","description":"THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32652","description":"THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60522","description":"THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60522","description":"THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60520","description":"THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60520","description":"THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60521","description":"THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60521","description":"THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROGLOBULIN ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86800","description":"THYROGLOBULIN ANTIBODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG ADDL STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78016","description":"THYROID CARCINOMA METASTASES IMG ADDL STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG ADDL STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78016","description":"THYROID CARCINOMA METASTASES IMG ADDL STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG LMTD AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78015","description":"THYROID CARCINOMA METASTASES IMG LMTD AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG LMTD AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78015","description":"THYROID CARCINOMA METASTASES IMG LMTD AREA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78018","description":"THYROID CARCINOMA METASTASES IMG WHOLE BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78018","description":"THYROID CARCINOMA METASTASES IMG WHOLE BODY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES UPTAKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78020","description":"THYROID CARCINOMA METASTASES UPTAKE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES UPTAKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78020","description":"THYROID CARCINOMA METASTASES UPTAKE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROID HORM UPTK/THYROID HORMONE BINDING RATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84479","description":"THYROID HORM UPTK/THYROID HORMONE BINDING RATIO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROID IMAGING WITH VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78013","description":"THYROID IMAGING WITH VASCULAR FLOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROID IMAGING WITH VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78013","description":"THYROID IMAGING WITH VASCULAR FLOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROID STIMULATING IMMUNE GLOBULINS TSI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84445","description":"THYROID STIMULATING IMMUNE GLOBULINS TSI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78012","description":"THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78012","description":"THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78014","description":"THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78014","description":"THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60270","description":"THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60270","description":"THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60260","description":"THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60260","description":"THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60271","description":"THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60271","description":"THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60240","description":"THYROIDECTOMY TOTAL/COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60240","description":"THYROIDECTOMY TOTAL/COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60252","description":"THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60252","description":"THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60254","description":"THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60254","description":"THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROTROPIN RELEASING HORMONE STMLJ PANEL 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80438","description":"THYROTROPIN RELEASING HORMONE STMLJ PANEL 1 HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROTROPIN RELEASING HORMONE STMLJ PANEL 2 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80439","description":"THYROTROPIN RELEASING HORMONE STMLJ PANEL 2 HR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15155","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15155","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15156","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15156","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15157","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15157","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15152","description":"TISS CLTR SKIN AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15152","description":"TISS CLTR SKIN AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AUTOGRAFT T/A/L 1ST 25 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15150","description":"TISS CLTR SKIN AUTOGRAFT T/A/L 1ST 25 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AUTOGRAFT T/A/L 1ST 25 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15150","description":"TISS CLTR SKIN AUTOGRAFT T/A/L 1ST 25 SQ CM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AUTOGRAFT T/A/L ADDL 1-75 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15151","description":"TISS CLTR SKIN AUTOGRAFT T/A/L ADDL 1-75 SQCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AUTOGRAFT T/A/L ADDL 1-75 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15151","description":"TISS CLTR SKIN AUTOGRAFT T/A/L ADDL 1-75 SQCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NEO DISORDERS BONE MARROW BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88237","description":"TISS CUL NEO DISORDERS BONE MARROW BLOOD CELLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NEO DISORDERS SOLID TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88239","description":"TISS CUL NEO DISORDERS SOLID TUMOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NON-NEO DISORDERS AMNIOTIC/CHORNC CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88235","description":"TISS CUL NON-NEO DISORDERS AMNIOTIC/CHORNC CELLS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NON-NEO DISORDERS LYMPHOCYTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88230","description":"TISS CUL NON-NEO DISORDERS LYMPHOCYTE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88233","description":"TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87220","description":"TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19357","description":"TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19357","description":"TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLK RE SPRVSD XRCS PROG TO PTS BACK PN GT 12WKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4242F","description":"TLK RE SPRVSD XRCS PROG TO PTS BACK PN GT 12WKS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLK RE SPRVSD XRCS PROG TO PTS BACK PN GT 12WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4242F","description":"TLK RE SPRVSD XRCS PROG TO PTS BACK PN GT 12WKS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLK VIS FXN and QUAL LIFE/TRXMNT FOR PT/CRGVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4174F","description":"TLK VIS FXN and QUAL LIFE/TRXMNT FOR PT/CRGVR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLK VIS FXN and QUAL LIFE/TRXMNT FOR PT/CRGVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4174F","description":"TLK VIS FXN and QUAL LIFE/TRXMNT FOR PT/CRGVR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT SCAP SPINE PREFAB CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0456","description":"TLSO FLEXIBLE SC JUNCT SCAP SPINE PREFAB CUSTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0454","description":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0455","description":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0452","description":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION CUSTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0450","description":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLX SC JUNC TERM INF TO SCAP SPINE PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0457","description":"TLSO FLX SC JUNC TERM INF TO SCAP SPINE PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO INCLUSIVE FURNISHING INITIAL ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1200","description":"TLSO INCLUSIVE FURNISHING INITIAL ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGIT-CORONAL W/OVRLAP REINFORCED ANT PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0490","description":"TLSO SAGIT-CORONAL W/OVRLAP REINFORCED ANT PRFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL CONTRL RIGD FRAME PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0467","description":"TLSO SAGITTAL CONTRL RIGD FRAME PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL CONTRL RIGD FRME PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0466","description":"TLSO SAGITTAL CONTRL RIGD FRME PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL-CORONAL CONTROL PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0468","description":"TLSO SAGITTAL-CORONAL CONTROL PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL-CORONAL CONTROL RIGID FRAME PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0469","description":"TLSO SAGITTAL-CORONAL CONTROL RIGID FRAME PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO THREE RIGID PLASTIC SHELLS PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0492","description":"TLSO THREE RIGID PLASTIC SHELLS PREFABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0482","description":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0488","description":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER PRFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/O INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0480","description":"TLSO TRIPLANAR 1 PIECE W/O INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 PIECE W/INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0486","description":"TLSO TRIPLANAR 2 PIECE W/INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 PIECE W/O INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0484","description":"TLSO TRIPLANAR 2 PIECE W/O INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 RIGD SHELL ANT TO XIPHOID PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0458","description":"TLSO TRIPLANAR 2 RIGD SHELL ANT TO XIPHOID PRFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0460","description":"TLSO TRIPLANAR 2 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 3 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0462","description":"TLSO TRIPLANAR 3 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 4 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0464","description":"TLSO TRIPLANAR 4 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR HYPREXT RIGD ANT AND LAT FRME PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0472","description":"TLSO TRIPLANAR HYPREXT RIGD ANT AND LAT FRME PRFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR POST FRME and ANT APRON W/STRAP PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0470","description":"TLSO TRIPLANAR POST FRME and ANT APRON W/STRAP PRFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TWO RIGID PLASTIC SHELLS PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0491","description":"TLSO TWO RIGID PLASTIC SHELLS PREFABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69637","description":"TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69637","description":"TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69644","description":"TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69644","description":"TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69643","description":"TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69643","description":"TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69641","description":"TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69641","description":"TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69642","description":"TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69642","description":"TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOLS FLXR/XTNSR TDN LEG and /ANKLE MLT TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27681","description":"TNOLS FLXR/XTNSR TDN LEG and /ANKLE MLT TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOLS FLXR/XTNSR TDN LEG and /ANKLE MLT TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27681","description":"TNOLS FLXR/XTNSR TDN LEG and /ANKLE MLT TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOLS FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25295","description":"TNOLS FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOLS FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25295","description":"TNOLS FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ADDUCTOR SUBQ OPEN W/OBTURATOR NEURECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27003","description":"TNOT ADDUCTOR SUBQ OPEN W/OBTURATOR NEURECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ADDUCTOR SUBQ OPEN W/OBTURATOR NEURECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27003","description":"TNOT ADDUCTOR SUBQ OPEN W/OBTURATOR NEURECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24358","description":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24358","description":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24359","description":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24359","description":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOT FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25290","description":"TNOT FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOT FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25290","description":"TNOT FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO NON-SMOKER AND NO 2NDHAND SMOKE EXPOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1033F","description":"TOBACCO NON-SMOKER AND NO 2NDHAND SMOKE EXPOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO NON-SMOKER AND NO 2NDHAND SMOKE EXPOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1033F","description":"TOBACCO NON-SMOKER AND NO 2NDHAND SMOKE EXPOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1000F","description":"TOBACCO USE ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1000F","description":"TOBACCO USE ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION INTENSIVE GT 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99407","description":"TOBACCO USE CESSATION INTENSIVE GT 10 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION INTENSIVE GT 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99407","description":"TOBACCO USE CESSATION INTENSIVE GT 10 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99406","description":"TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99406","description":"TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION IVNTJ COUNSELING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4000F","description":"TOBACCO USE CESSATION IVNTJ COUNSELING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION IVNTJ COUNSELING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4000F","description":"TOBACCO USE CESSATION IVNTJ COUNSELING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION IVNTJ PHARMACOLOGIC THER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4001F","description":"TOBACCO USE CESSATION IVNTJ PHARMACOLOGIC THER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION IVNTJ PHARMACOLOGIC THER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4001F","description":"TOBACCO USE CESSATION IVNTJ PHARMACOLOGIC THER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7685","description":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7685","description":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7682","description":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7682","description":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOE LOOP/HOLDER ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0952","description":"TOE LOOP/HOLDER ANY TYPE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TONE DECAY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92563","description":"TONE DECAY TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TONE DECAY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92563","description":"TONE DECAY TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TONGUE BASE SUSPENSION PERMANENT SUTURE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41512","description":"TONGUE BASE SUSPENSION PERMANENT SUTURE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TONGUE BASE SUSPENSION PERMANENT SUTURE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41512","description":"TONGUE BASE SUSPENSION PERMANENT SUTURE TQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY and ADENOIDECTOMY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42820","description":"TONSILLECTOMY and ADENOIDECTOMY LT AGE 12","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY and ADENOIDECTOMY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42820","description":"TONSILLECTOMY and ADENOIDECTOMY LT AGE 12","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY and ADENOIDECTOMY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42821","description":"TONSILLECTOMY and ADENOIDECTOMY AGE 12 OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY and ADENOIDECTOMY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42821","description":"TONSILLECTOMY and ADENOIDECTOMY AGE 12 OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY PRIMARY/SECONDARY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42825","description":"TONSILLECTOMY PRIMARY/SECONDARY LT AGE 12","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY PRIMARY/SECONDARY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42825","description":"TONSILLECTOMY PRIMARY/SECONDARY LT AGE 12","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY PRIMARY/SECONDARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42826","description":"TONSILLECTOMY PRIMARY/SECONDARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY PRIMARY/SECONDARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42826","description":"TONSILLECTOMY PRIMARY/SECONDARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOPOTECAN ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8705","description":"TOPOTECAN ORAL 0.25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOPOTECAN ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8705","description":"TOPOTECAN ORAL 0.25 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT #ED VISITS and IP GT or equal to 2 PAST 12 MO/NO SCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9522","description":"TOT #ED VISITS and IP GT or equal to 2 PAST 12 MO/NO SCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT #ED VISITS and IP GT or equal to 2 PAST 12 MO/NO SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9522","description":"TOT #ED VISITS and IP GT or equal to 2 PAST 12 MO/NO SCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ABD HYST W/PARAORTIC and PELVIC LYMPH NODE SAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58200","description":"TOT ABD HYST W/PARAORTIC and PELVIC LYMPH NODE SAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT ABD HYST W/PARAORTIC and PELVIC LYMPH NODE SAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58200","description":"TOT ABD HYST W/PARAORTIC and PELVIC LYMPH NODE SAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58152","description":"TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58152","description":"TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22856","description":"TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC CRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22857","description":"TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC LMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43107","description":"TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43107","description":"TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43108","description":"TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43108","description":"TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43113","description":"TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43113","description":"TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43124","description":"TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43124","description":"TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58150","description":"TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58150","description":"TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22856","description":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22856","description":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22857","description":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22857","description":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43112","description":"TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43112","description":"TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL FACIAL NERVE DECOMPRESSION and /REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69955","description":"TOTAL FACIAL NERVE DECOMPRESSION and /REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL FACIAL NERVE DECOMPRESSION and /REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69955","description":"TOTAL FACIAL NERVE DECOMPRESSION and /REPAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL LUNG LAVAGE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32997","description":"TOTAL LUNG LAVAGE UNILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL LUNG LAVAGE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32997","description":"TOTAL LUNG LAVAGE UNILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL NUMBER ED VISITS and IP HOSP LT 2 PAST 12 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9521","description":"TOTAL NUMBER ED VISITS and IP HOSP LT 2 PAST 12 M","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL NUMBER ED VISITS and IP HOSP LT 2 PAST 12 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9521","description":"TOTAL NUMBER ED VISITS and IP HOSP LT 2 PAST 12 M","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL REPAIR TRUNCUS ARTERIOSUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33786","description":"TOTAL REPAIR TRUNCUS ARTERIOSUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL REPAIR TRUNCUS ARTERIOSUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33786","description":"TOTAL REPAIR TRUNCUS ARTERIOSUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60225","description":"TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60225","description":"TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60220","description":"TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60220","description":"TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TOXIN/ANTITOXIN ASSAY TISSUE CULTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87230","description":"TOXIN/ANTITOXIN ASSAY TISSUE CULTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR FNGR AXH POS W/O MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26555","description":"TR FNGR AXH POS W/O MVASC ANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR FNGR AXH POS W/O MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26555","description":"TR FNGR AXH POS W/O MVASC ANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR PARASPI MUSC HIP FASC/TDN XTN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27105","description":"TR PARASPI MUSC HIP FASC/TDN XTN GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR PARASPI MUSC HIP FASC/TDN XTN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27105","description":"TR PARASPI MUSC HIP FASC/TDN XTN GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26498","description":"TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26498","description":"TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR TDN RESTORE INTRNSC FUNCJ RING AND SM FNGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26497","description":"TR TDN RESTORE INTRNSC FUNCJ RING AND SM FNGR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR TDN RESTORE INTRNSC FUNCJ RING AND SM FNGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26497","description":"TR TDN RESTORE INTRNSC FUNCJ RING AND SM FNGR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26551","description":"TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26551","description":"TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26553","description":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26553","description":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26554","description":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26554","description":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27100","description":"TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27100","description":"TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27691","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27691","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27692","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27692","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27690","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27690","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26480","description":"TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26480","description":"TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOPLASTY BY LASER SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65855","description":"TRABECULOPLASTY BY LASER SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOPLASTY BY LASER SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65855","description":"TRABECULOPLASTY BY LASER SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOTOMY AB EXTERNO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65850","description":"TRABECULOTOMY AB EXTERNO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOTOMY AB EXTERNO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65850","description":"TRABECULOTOMY AB EXTERNO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL PNXR PERQ W/TRANSTRACHEAL ASPIR and /NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31612","description":"TRACHEAL PNXR PERQ W/TRANSTRACHEAL ASPIR and /NJX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL PNXR PERQ W/TRANSTRACHEAL ASPIR and /NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31612","description":"TRACHEAL PNXR PERQ W/TRANSTRACHEAL ASPIR and /NJX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL PNXR PRQ W/TRANSTRACHEAL ASPIR and /NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31612","description":"TRACHEAL PNXR PRQ W/TRANSTRACHEAL ASPIR and /NJX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL SUCTION CATHETER CLOSED SYSTEM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4605","description":"TRACHEAL SUCTION CATHETER CLOSED SYSTEM EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL SUCTION CATHETER CLOSED SYSTEM EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4605","description":"TRACHEAL SUCTION CATHETER CLOSED SYSTEM EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL SUCTN CATH TYPE OTH THAN CLOS SYS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4624","description":"TRACHEAL SUCTN CATH TYPE OTH THAN CLOS SYS EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL SUCTN CATH TYPE OTH THAN CLOS SYS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4624","description":"TRACHEAL SUCTN CATH TYPE OTH THAN CLOS SYS EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57530","description":"TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57530","description":"TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57720","description":"TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57720","description":"TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEO-ESOPH VOICE PROSTH INSRT LIC HEALTH PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8509","description":"TRACHEO-ESOPH VOICE PROSTH INSRT LIC HEALTH PROV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEO-ESOPH VOICE PROSTH PT INSRT ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8507","description":"TRACHEO-ESOPH VOICE PROSTH PT INSRT ANY TYPE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOBRNCHSC THRU EST TRACHS INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31615","description":"TRACHEOBRNCHSC THRU EST TRACHS INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOMY INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31615","description":"TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOMY INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOMY INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31615","description":"TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOMY INC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOESOPH PUNCTURE DILAT REPLACEMENT ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8514","description":"TRACHEOESOPH PUNCTURE DILAT REPLACEMENT ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31750","description":"TRACHEOPLASTY CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31750","description":"TRACHEOPLASTY CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY INTRATHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31760","description":"TRACHEOPLASTY INTRATHORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY INTRATHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31760","description":"TRACHEOPLASTY INTRATHORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31755","description":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31755","description":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31755","description":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE CUFFD PVC SILICONE/ Equal to EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7521","description":"TRACHEOST/LARYNGECT TUBE CUFFD PVC SILICONE/ Equal to EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE CUFFD PVC SILICONE/ Equal to EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7521","description":"TRACHEOST/LARYNGECT TUBE CUFFD PVC SILICONE/ Equal to EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE NON-CUFFED POLYVINYLCHL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7520","description":"TRACHEOST/LARYNGECT TUBE NON-CUFFED POLYVINYLCHL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE NON-CUFFED POLYVINYLCHL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7520","description":"TRACHEOST/LARYNGECT TUBE NON-CUFFED POLYVINYLCHL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE STNLESS STEEL/EQUAL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7522","description":"TRACHEOST/LARYNGECT TUBE STNLESS STEEL/EQUAL EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE STNLESS STEEL/EQUAL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7522","description":"TRACHEOST/LARYNGECT TUBE STNLESS STEEL/EQUAL EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA FILTER ANY TYPE ANY SIZE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4481","description":"TRACHEOSTOMA FILTER ANY TYPE ANY SIZE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA FILTER ANY TYPE ANY SIZE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4481","description":"TRACHEOSTOMA FILTER ANY TYPE ANY SIZE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31614","description":"TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31614","description":"TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31613","description":"TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31613","description":"TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA STENT/STUD/BUTTON EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7524","description":"TRACHEOSTOMA STENT/STUD/BUTTON EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA STENT/STUD/BUTTON EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7524","description":"TRACHEOSTOMA STENT/STUD/BUTTON EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA VALVE INCLUDING DIAPHRAGM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7501","description":"TRACHEOSTOMA VALVE INCLUDING DIAPHRAGM EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA VALVE INCLUDING DIAPHRAGM EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7501","description":"TRACHEOSTOMA VALVE INCLUDING DIAPHRAGM EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY CARE KIT ESTABLISHED TRACHEOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4629","description":"TRACHEOSTOMY CARE KIT ESTABLISHED TRACHEOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY CARE KIT ESTABLISHED TRACHEOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4629","description":"TRACHEOSTOMY CARE KIT ESTABLISHED TRACHEOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4625","description":"TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4625","description":"TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY CLEANING BRUSH EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4626","description":"TRACHEOSTOMY CLEANING BRUSH EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY CLEANING BRUSH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4626","description":"TRACHEOSTOMY CLEANING BRUSH EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31605","description":"TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31605","description":"TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31603","description":"TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31603","description":"TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY FENESTRATION W/SKIN FLAPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31610","description":"TRACHEOSTOMY FENESTRATION W/SKIN FLAPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY FENESTRATION W/SKIN FLAPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31610","description":"TRACHEOSTOMY FENESTRATION W/SKIN FLAPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY INNER CANNULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4623","description":"TRACHEOSTOMY INNER CANNULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY INNER CANNULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4623","description":"TRACHEOSTOMY INNER CANNULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY MASK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7525","description":"TRACHEOSTOMY MASK EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY MASK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7525","description":"TRACHEOSTOMY MASK EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY PLANNED SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31600","description":"TRACHEOSTOMY PLANNED SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY PLANNED SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31600","description":"TRACHEOSTOMY PLANNED SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31601","description":"TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31601","description":"TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY TUBE COLLAR/HOLDER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7526","description":"TRACHEOSTOMY TUBE COLLAR/HOLDER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY TUBE COLLAR/HOLDER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7526","description":"TRACHEOSTOMY TUBE COLLAR/HOLDER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY/LARYNGECTOMY TUBE PLUG/STOP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7527","description":"TRACHEOSTOMY/LARYNGECTOMY TUBE PLUG/STOP EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY/LARYNGECTOMY TUBE PLUG/STOP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7527","description":"TRACHEOSTOMY/LARYNGECTOMY TUBE PLUG/STOP EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31502","description":"TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31502","description":"TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION EQP CERV FREESTAND STAND/FRME PNEUMATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0849","description":"TRACTION EQP CERV FREESTAND STAND/FRME PNEUMATIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION EQP CERV FREESTAND STAND/FRME PNEUMATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0849","description":"TRACTION EQP CERV FREESTAND STAND/FRME PNEUMATIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION EQUIPMENT OVERDOOR CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0860","description":"TRACTION EQUIPMENT OVERDOOR CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION FRAME ATTCH FOOTBOARD PELVIC TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0890","description":"TRACTION FRAME ATTCH FOOTBOARD PELVIC TRACTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION FRAME ATTCH TO FOOTBOARD EXTREM TRACTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0870","description":"TRACTION FRAME ATTCH TO FOOTBOARD EXTREM TRACTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION FRAME ATTCH TO HEADBOARD CERV TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0840","description":"TRACTION FRAME ATTCH TO HEADBOARD CERV TRACTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION STAND FREE STANDING EXTREMITY TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0880","description":"TRACTION STAND FREE STANDING EXTREMITY TRACTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION STAND FREESTANDING CERVICAL TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0850","description":"TRACTION STAND FREESTANDING CERVICAL TRACTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION STAND FREESTANDING PELVIC TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0900","description":"TRACTION STAND FREESTANDING PELVIC TRACTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANS ORTHOS 1 SHOE-ANOTHER SLD STIRRUP EXISTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3620","description":"TRANS ORTHOS 1 SHOE-ANOTHER SLD STIRRUP EXISTING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANS-ABD/TRANS-VAG U/S NOT PRFRM RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8808","description":"TRANS-ABD/TRANS-VAG U/S NOT PRFRM RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANS-ABD/TRANS-VAG U/S NOT PRFRM RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8808","description":"TRANS-ABD/TRANS-VAG U/S NOT PRFRM RSN NOT GIVEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSABD/TRANSVAG U/S NOT PERF REASON DOC CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8807","description":"TRANSABD/TRANSVAG U/S NOT PERF REASON DOC CLIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSABD/TRANSVAG U/S NOT PERF REASON DOC CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8807","description":"TRANSABD/TRANSVAG U/S NOT PERF REASON DOC CLIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSABD/TRANSVAG U/S NOT PERF RSN DOC CLINICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8807","description":"TRANSABD/TRANSVAG U/S NOT PERF RSN DOC CLINICIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59070","description":"TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59070","description":"TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37200","description":"TRANSCATHETER BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER BIOPSY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75970","description":"TRANSCATHETER BIOPSY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER BIOPSY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75970","description":"TRANSCATHETER BIOPSY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER EMBOLIZATION ANY METH RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75894","description":"TRANSCATHETER EMBOLIZATION ANY METH RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER EMBOLIZATION ANY METH RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75894","description":"TRANSCATHETER EMBOLIZATION ANY METH RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58345","description":"TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58345","description":"TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCERVICAL CATHJ FALLOPIAN TUBE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74742","description":"TRANSCERVICAL CATHJ FALLOPIAN TUBE RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCERVICAL CATHJ FALLOPIAN TUBE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74742","description":"TRANSCERVICAL CATHJ FALLOPIAN TUBE RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61596","description":"TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61596","description":"TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRAN DOPPLER INTRACRAN ART MICROBUBBLE INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93893","description":"TRANSCRAN DOPPLER INTRACRAN ART MICROBUBBLE INJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93892","description":"TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93892","description":"TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93886","description":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93886","description":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93888","description":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93888","description":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCUT ELEC JOINT STIM DEVC SYS INCL ALL ACCSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0762","description":"TRANSCUT ELEC JOINT STIM DEVC SYS INCL ALL ACCSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCUT ELEC JOINT STIM DEVC SYS INCL ALL ACCSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0762","description":"TRANSCUT ELEC JOINT STIM DEVC SYS INCL ALL ACCSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47460","description":"TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47460","description":"TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION PULMONARY ARTERY W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33922","description":"TRANSECTION PULMONARY ARTERY W/CARD BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION PULMONARY ARTERY W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33922","description":"TRANSECTION PULMONARY ARTERY W/CARD BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64742","description":"TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64742","description":"TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION GREATER OCCIPITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64744","description":"TRANSECTION/AVULSION GREATER OCCIPITAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION GREATER OCCIPITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64744","description":"TRANSECTION/AVULSION GREATER OCCIPITAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64738","description":"TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64738","description":"TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION INFRAORBITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64734","description":"TRANSECTION/AVULSION INFRAORBITAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION INFRAORBITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64734","description":"TRANSECTION/AVULSION INFRAORBITAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION LINGUAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64740","description":"TRANSECTION/AVULSION LINGUAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION LINGUAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64740","description":"TRANSECTION/AVULSION LINGUAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION MENTAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64736","description":"TRANSECTION/AVULSION MENTAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION MENTAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64736","description":"TRANSECTION/AVULSION MENTAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION OTH CRANIAL NRV XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64771","description":"TRANSECTION/AVULSION OTH CRANIAL NRV XDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION OTH CRANIAL NRV XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64771","description":"TRANSECTION/AVULSION OTH CRANIAL NRV XDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION OTH SPINAL NRV XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64772","description":"TRANSECTION/AVULSION OTH SPINAL NRV XDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION OTH SPINAL NRV XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64772","description":"TRANSECTION/AVULSION OTH SPINAL NRV XDRL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION PHRENIC NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64746","description":"TRANSECTION/AVULSION PHRENIC NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION PHRENIC NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64746","description":"TRANSECTION/AVULSION PHRENIC NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION SUPRAORBITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64732","description":"TRANSECTION/AVULSION SUPRAORBITAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION SUPRAORBITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64732","description":"TRANSECTION/AVULSION SUPRAORBITAL NERVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64760","description":"TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64760","description":"TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION VAGUS NERVES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64755","description":"TRANSECTION/AVULSION VAGUS NERVES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION VAGUS NERVES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64755","description":"TRANSECTION/AVULSION VAGUS NERVES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSER DEVICE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0705","description":"TRANSER DEVICE ANY TYPE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSF ORTHOS 1 SHOE TO ANOTH CALIP PLATE EXIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3600","description":"TRANSF ORTHOS 1 SHOE TO ANOTH CALIP PLATE EXIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ADDUCTOR ISCHIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27098","description":"TRANSFER ADDUCTOR ISCHIUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ADDUCTOR ISCHIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27098","description":"TRANSFER ADDUCTOR ISCHIUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ANY PEDICLE FLAP ANY LOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15650","description":"TRANSFER ANY PEDICLE FLAP ANY LOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ANY PEDICLE FLAP ANY LOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15650","description":"TRANSFER ANY PEDICLE FLAP ANY LOCATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26556","description":"TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26556","description":"TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ILIOPSOAS FEMORAL NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27111","description":"TRANSFER ILIOPSOAS FEMORAL NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ILIOPSOAS FEMORAL NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27111","description":"TRANSFER ILIOPSOAS FEMORAL NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27110","description":"TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27110","description":"TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27400","description":"TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27400","description":"TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26489","description":"TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26489","description":"TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26485","description":"TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26485","description":"TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFERASE ALANINE AMINO ALT SGPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84460","description":"TRANSFERASE ALANINE AMINO ALT SGPT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFERASE ASPARTATE AMINO AST SGOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84450","description":"TRANSFERASE ASPARTATE AMINO AST SGOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFUSION BLOOD/BLOOD COMPONENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36430","description":"TRANSFUSION BLOOD/BLOOD COMPONENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFUSION BLOOD/BLOOD COMPONENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36430","description":"TRANSFUSION BLOOD/BLOOD COMPONENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFUSION INTRAUTERINE FETAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36460","description":"TRANSFUSION INTRAUTERINE FETAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFUSION INTRAUTERINE FETAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36460","description":"TRANSFUSION INTRAUTERINE FETAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMASTOID ANTROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69501","description":"TRANSMASTOID ANTROTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMASTOID ANTROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69501","description":"TRANSMASTOID ANTROTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25927","description":"TRANSMETACARPAL AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25927","description":"TRANSMETACARPAL AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25931","description":"TRANSMETACARPAL AMPUTATION RE-AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25931","description":"TRANSMETACARPAL AMPUTATION RE-AMPUTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25929","description":"TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25929","description":"TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMITTING COIL CABLE COCHLEAR IMPL DEV REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8629","description":"TRANSMITTING COIL CABLE COCHLEAR IMPL DEV REPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMITTING COIL COCHLEAR IMPLANT DEVICE REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8617","description":"TRANSMITTING COIL COCHLEAR IMPLANT DEVICE REPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMYOCARDIAL LASER REVASCULAR THORACOTOMY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33140","description":"TRANSMYOCARDIAL LASER REVASCULAR THORACOTOMY SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMYOCARDIAL LASER REVASCULAR THORACOTOMY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33140","description":"TRANSMYOCARDIAL LASER REVASCULAR THORACOTOMY SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMYOCRD LASER REVSC PFRMD TM OTH OPN CAR PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33141","description":"TRANSMYOCRD LASER REVSC PFRMD TM OTH OPN CAR PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMYOCRD LASER REVSC PFRMD TM OTH OPN CAR PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33141","description":"TRANSMYOCRD LASER REVSC PFRMD TM OTH OPN CAR PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPARENT FILM STERL GT 48 SQ IN EA DRESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6259","description":"TRANSPARENT FILM STERL GT 48 SQ IN EA DRESSING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPARENT FILM STERL GT 48 SQ IN EA DRESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6259","description":"TRANSPARENT FILM STERL GT 48 SQ IN EA DRESSING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPARENT FILM STERL 16 SQ IN OR LESS EA DRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6257","description":"TRANSPARENT FILM STERL 16 SQ IN OR LESS EA DRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPARENT FILM STERL 16 SQ IN OR LESS EA DRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6257","description":"TRANSPARENT FILM STERL 16 SQ IN OR LESS EA DRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63057","description":"TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63057","description":"TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63056","description":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63056","description":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63055","description":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63055","description":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27396","description":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27396","description":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27397","description":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27397","description":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPORT CHAIR PEDIATRIC SIZE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1037","description":"TRANSPORT CHAIR PEDIATRIC SIZE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPORT CHAIR PEDIATRIC SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1037","description":"TRANSPORT CHAIR PEDIATRIC SIZE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPOSITION OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58825","description":"TRANSPOSITION OVARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPOSITION OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58825","description":"TRANSPOSITION OVARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67320","description":"TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67320","description":"TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61598","description":"TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61598","description":"TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSRECTAL DRAINAGE OF PELVIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45000","description":"TRANSRECTAL DRAINAGE OF PELVIC ABSCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSRECTAL DRAINAGE OF PELVIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45000","description":"TRANSRECTAL DRAINAGE OF PELVIC ABSCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93293","description":"TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93293","description":"TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61595","description":"TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61595","description":"TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33621","description":"TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33621","description":"TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTRACHEAL OXYGEN CATHETER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4608","description":"TRANSTRACHEAL OXYGEN CATHETER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTRACHEAL OXYGEN CATHETER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4608","description":"TRANSTRACHEAL OXYGEN CATHETER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50770","description":"TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50770","description":"TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETHRAL INCISION PROSTATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52450","description":"TRANSURETHRAL INCISION PROSTATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETHRAL INCISION PROSTATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52450","description":"TRANSURETHRAL INCISION PROSTATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETHRAL RESECTION BLADDER NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52500","description":"TRANSURETHRAL RESECTION BLADDER NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETHRAL RESECTION BLADDER NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52500","description":"TRANSURETHRAL RESECTION BLADDER NECK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSVESICAL URETROLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51060","description":"TRANSVESICAL URETROLITHOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSVESICAL URETROLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51060","description":"TRANSVESICAL URETROLITHOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZ BAR HEVY DUTY PT WT GT 250 LBS FREE STAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0912","description":"TRAPEZ BAR HEVY DUTY PT WT GT 250 LBS FREE STAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZ BAR HEVY DUTY PT WT GT 250 LBS FREE STAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0912","description":"TRAPEZ BAR HEVY DUTY PT WT GT 250 LBS FREE STAND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZ BAR HEVY DUTY PT WT GT 250 LBS BED GRAB BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0911","description":"TRAPEZ BAR HEVY DUTY PT WT GT 250 LBS BED GRAB BAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZ BAR HEVY DUTY PT WT GT 250 LBS BED GRAB BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0911","description":"TRAPEZ BAR HEVY DUTY PT WT GT 250 LBS BED GRAB BAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZ BAR KNOWN AS PT HLPR ATTCH BED W/GRAB BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0910","description":"TRAPEZ BAR KNOWN AS PT HLPR ATTCH BED W/GRAB BAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZ BAR KNOWN AS PT HLPR ATTCH BED W/GRAB BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0910","description":"TRAPEZ BAR KNOWN AS PT HLPR ATTCH BED W/GRAB BAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZE BAR FREESTANDING COMPLETE WITH GRAB BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0940","description":"TRAPEZE BAR FREESTANDING COMPLETE WITH GRAB BAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZE BAR FREESTANDING COMPLETE WITH GRAB BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0940","description":"TRAPEZE BAR FREESTANDING COMPLETE WITH GRAB BAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRAUMA RESPONSE TEAM ASSOC W/HOSP CC SERVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0390","description":"TRAUMA RESPONSE TEAM ASSOC W/HOSP CC SERVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRAUMA RESPONSE TEAM ASSOC W/HOSP CC SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0390","description":"TRAUMA RESPONSE TEAM ASSOC W/HOSP CC SERVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT CLOSED ELBOW DISLOCATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24605","description":"TREATMENT CLOSED ELBOW DISLOCATION REQ ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT CLOSED ELBOW DISLOCATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24605","description":"TREATMENT CLOSED ELBOW DISLOCATION REQ ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT CLOSED ELBOW DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24600","description":"TREATMENT CLOSED ELBOW DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT CLOSED ELBOW DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24600","description":"TREATMENT CLOSED ELBOW DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67228","description":"TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67228","description":"TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7686","description":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7686","description":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRICUSPID VALVE RPSG AND PLCTJ EBSTEIN ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33468","description":"TRICUSPID VALVE RPSG AND PLCTJ EBSTEIN ANOMALY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRICUSPID VALVE RPSG AND PLCTJ EBSTEIN ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33468","description":"TRICUSPID VALVE RPSG AND PLCTJ EBSTEIN ANOMALY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRIIODOTHYRONINE T3 REVERSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84482","description":"TRIIODOTHYRONINE T3 REVERSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRIMMING NONDYSTROPHIC NAILS ANY NUMBER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11719","description":"TRIMMING NONDYSTROPHIC NAILS ANY NUMBER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRIMMING NONDYSTROPHIC NAILS ANY NUMBER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11719","description":"TRIMMING NONDYSTROPHIC NAILS ANY NUMBER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRIMMING OF DYSTROPHIC NAILS ANY NUMBER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0127","description":"TRIMMING OF DYSTROPHIC NAILS ANY NUMBER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRIMMING OF DYSTROPHIC NAILS ANY NUMBER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0127","description":"TRIMMING OF DYSTROPHIC NAILS ANY NUMBER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS CANAL W/DEVICE/STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66175","description":"TRLUML DILAT AQUEOUS CANAL W/DEVICE/STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS CANAL W/O DEVICE/STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66174","description":"TRLUML DILAT AQUEOUS CANAL W/O DEVICE/STENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS O/F CAN W/RETENTION DEV/ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66175","description":"TRLUML DILAT AQUEOUS O/F CAN W/RETENTION DEV/ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS O/F CAN W/RETENTION DEV/ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66175","description":"TRLUML DILAT AQUEOUS O/F CAN W/RETENTION DEV/ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS O/F CAN WO RETENTION DEV/ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66174","description":"TRLUML DILAT AQUEOUS O/F CAN WO RETENTION DEV/ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS O/F CAN WO RETENTION DEV/ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66174","description":"TRLUML DILAT AQUEOUS O/F CAN WO RETENTION DEV/ST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRN AND ED REL CARE AND TX PTS DISABL MENTL HLTH-SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0177","description":"TRN AND ED REL CARE AND TX PTS DISABL MENTL HLTH-SESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRN AND ED REL CARE AND TX PTS DISABL MENTL HLTH-SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0177","description":"TRN AND ED REL CARE AND TX PTS DISABL MENTL HLTH-SESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNS ORTHOS SHOE TO ANOTH DENNIS BRWNE BTH SHOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3640","description":"TRNS ORTHOS SHOE TO ANOTH DENNIS BRWNE BTH SHOES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61597","description":"TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61597","description":"TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSF ORTHOS 1 SHOE TO ANOTHER SOLID STIRRUP NEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3630","description":"TRNSF ORTHOS 1 SHOE TO ANOTHER SOLID STIRRUP NEW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSF ORTHOS ONE SHOE TO ANOTHER CALIP PLATE NEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3610","description":"TRNSF ORTHOS ONE SHOE TO ANOTHER CALIP PLATE NEW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSMT CBL USE CI DEVC/AUD OSSEOINTG DEVC REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8618","description":"TRNSMT CBL USE CI DEVC/AUD OSSEOINTG DEVC REPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38209","description":"TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38209","description":"TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38208","description":"TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38208","description":"TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38207","description":"TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38207","description":"TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38215","description":"TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38215","description":"TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38210","description":"TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38210","description":"TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38214","description":"TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38214","description":"TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38213","description":"TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38213","description":"TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38212","description":"TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38212","description":"TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38211","description":"TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38211","description":"TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38240","description":"TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38240","description":"TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38241","description":"TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38241","description":"TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT CHAIR ADLT SZ HEVY DUTY PT WT CAP GT 300 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1039","description":"TRNSPRT CHAIR ADLT SZ HEVY DUTY PT WT CAP GT 300 LB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT CHAIR ADLT SZ HEVY DUTY PT WT CAP GT 300 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1039","description":"TRNSPRT CHAIR ADLT SZ HEVY DUTY PT WT CAP GT 300 LB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT CHAIR ADLT SZ PT WT CAP TO AND INCL 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1038","description":"TRNSPRT CHAIR ADLT SZ PT WT CAP TO AND INCL 300 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT CHAIR ADLT SZ PT WT CAP TO AND INCL 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1038","description":"TRNSPRT CHAIR ADLT SZ PT WT CAP TO AND INCL 300 LBS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT FILM STERL GT 16 SQ BUT LT or equal to 48 SQ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6258","description":"TRNSPRT FILM STERL GT 16 SQ BUT LT or equal to 48 SQ EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT FILM STERL GT 16 SQ BUT LT or equal to 48 SQ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6258","description":"TRNSPRT FILM STERL GT 16 SQ BUT LT or equal to 48 SQ EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61575","description":"TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61575","description":"TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61576","description":"TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61576","description":"TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64766","description":"TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64766","description":"TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64763","description":"TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64763","description":"TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61611","description":"TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61611","description":"TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSEL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50100","description":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSEL SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSELS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50100","description":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSELS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSELS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50100","description":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSELS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ CAROTID SUBCLAVIAN ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35695","description":"TRPOS and /RIMPLTJ CAROTID SUBCLAVIAN ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ CAROTID SUBCLAVIAN ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35695","description":"TRPOS and /RIMPLTJ CAROTID SUBCLAVIAN ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ SUBCLAVIAN CAROTID ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35694","description":"TRPOS and /RIMPLTJ SUBCLAVIAN CAROTID ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ SUBCLAVIAN CAROTID ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35694","description":"TRPOS and /RIMPLTJ SUBCLAVIAN CAROTID ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ VERTEBRAL CAROTID ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35691","description":"TRPOS and /RIMPLTJ VERTEBRAL CAROTID ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ VERTEBRAL CAROTID ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35691","description":"TRPOS and /RIMPLTJ VERTEBRAL CAROTID ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ VERTEBRAL SUBCLAVIAN ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35693","description":"TRPOS and /RIMPLTJ VERTEBRAL SUBCLAVIAN ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ VERTEBRAL SUBCLAVIAN ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35693","description":"TRPOS and /RIMPLTJ VERTEBRAL SUBCLAVIAN ART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DRAINAGE PROSTATIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52700","description":"TRURL DRAINAGE PROSTATIC ABSCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DRAINAGE PROSTATIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52700","description":"TRURL DRAINAGE PROSTATIC ABSCESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53850","description":"TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53850","description":"TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRSTATE TISS RF THERMOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53852","description":"TRURL DSTRJ PRSTATE TISS RF THERMOTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRSTATE TISS RF THERMOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53852","description":"TRURL DSTRJ PRSTATE TISS RF THERMOTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52601","description":"TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52601","description":"TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52640","description":"TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52640","description":"TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52630","description":"TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52630","description":"TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RF FEMALE BLADDER NECK STRS URIN INCONT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53860","description":"TRURL RF FEMALE BLADDER NECK STRS URIN INCONT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RF FEMALE BLADDER NECK STRS URIN INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53860","description":"TRURL RF FEMALE BLADDER NECK STRS URIN INCONT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS ADDITION TO STANDARD PAD SCROTAL PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8330","description":"TRUSS ADDITION TO STANDARD PAD SCROTAL PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS ADDITION TO STANDARD PAD WATER PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8320","description":"TRUSS ADDITION TO STANDARD PAD WATER PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS DOUBLE WITH STANDARD PADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8310","description":"TRUSS DOUBLE WITH STANDARD PADS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS SINGLE WITH STANDARD PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8300","description":"TRUSS SINGLE WITH STANDARD PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TRYPSIN FECES QUANTITATIVE 24-HR COLLECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84490","description":"TRYPSIN FECES QUANTITATIVE 24-HR COLLECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95921","description":"TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95921","description":"TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95922","description":"TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95922","description":"TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31730","description":"TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31730","description":"TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBE THORACOSTOMY INCLUDES WATER SEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32551","description":"TUBE THORACOSTOMY INCLUDES WATER SEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBE THORACOSTOMY INCLUDES WATER SEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32551","description":"TUBE THORACOSTOMY INCLUDES WATER SEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44015","description":"TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44015","description":"TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBING PER FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4616","description":"TUBING PER FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBING PER FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4616","description":"TUBING PER FOOT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7037","description":"TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7037","description":"TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBING USED WITH SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7002","description":"TUBING USED WITH SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBING USED WITH SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7002","description":"TUBING USED WITH SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBING W/INTGR HEAT ELEM W/POS AIRWAY PRESS DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4604","description":"TUBING W/INTGR HEAT ELEM W/POS AIRWAY PRESS DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBING W/INTGR HEAT ELEM W/POS AIRWAY PRESS DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4604","description":"TUBING W/INTGR HEAT ELEM W/POS AIRWAY PRESS DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBOTUBAL ANASTATOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58750","description":"TUBOTUBAL ANASTATOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBOTUBAL ANASTATOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58750","description":"TUBOTUBAL ANASTATOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBOUTERINE IMPLANTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58752","description":"TUBOUTERINE IMPLANTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBOUTERINE IMPLANTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58752","description":"TUBOUTERINE IMPLANTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBULAR DRSG W/WO ELASTIC ANY WDTH PER LINEAR YD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6457","description":"TUBULAR DRSG W/WO ELASTIC ANY WDTH PER LINEAR YD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBULAR DRSG W/WO ELASTIC ANY WDTH PER LINEAR YD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6457","description":"TUBULAR DRSG W/WO ELASTIC ANY WDTH PER LINEAR YD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TUMOR/NODES/HISTO GRADE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3260F","description":"TUMOR/NODES/HISTO GRADE DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUMOR/NODES/HISTO GRADE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3260F","description":"TUMOR/NODES/HISTO GRADE DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWELVE VOLT BATTERY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7364","description":"TWELVE VOLT BATTERY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE EVAC and /DRG SUBDURAL HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61108","description":"TWIST DRILL HOLE EVAC and /DRG SUBDURAL HEMATOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE EVAC and /DRG SUBDURAL HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61108","description":"TWIST DRILL HOLE EVAC and /DRG SUBDURAL HEMATOMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61107","description":"TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61107","description":"TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61105","description":"TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61105","description":"TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61850","description":"TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61850","description":"TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ADDUXOR SUBQ OPN W/OBTURATOR NEURECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27003","description":"TX ADDUXOR SUBQ OPN W/OBTURATOR NEURECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46280","description":"TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46280","description":"TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX COMMUN PROVIDERS CONTINUING CARE 1 MO DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5050F","description":"TX COMMUN PROVIDERS CONTINUING CARE 1 MO DX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX COMMUN PROVIDERS CONTINUING CARE 1 MO DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5050F","description":"TX COMMUN PROVIDERS CONTINUING CARE 1 MO DX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN AND CONSTRUCTION COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77334","description":"TX DEVICES DESIGN AND CONSTRUCTION COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN AND CONSTRUCTION COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77334","description":"TX DEVICES DESIGN AND CONSTRUCTION COMPLEX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN AND CONSTRUCTION INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77333","description":"TX DEVICES DESIGN AND CONSTRUCTION INTERMEDIATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN AND CONSTRUCTION INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77333","description":"TX DEVICES DESIGN AND CONSTRUCTION INTERMEDIATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN AND CONSTRUCTION SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77332","description":"TX DEVICES DESIGN AND CONSTRUCTION SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN AND CONSTRUCTION SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77332","description":"TX DEVICES DESIGN AND CONSTRUCTION SIMPLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY ABDL PREGNANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59130","description":"TX ECTOPIC PREGNANCY ABDL PREGNANCY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY ABDL PREGNANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59130","description":"TX ECTOPIC PREGNANCY ABDL PREGNANCY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59120","description":"TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59120","description":"TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59140","description":"TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59140","description":"TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59136","description":"TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59136","description":"TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY W/O SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59121","description":"TX ECTOPIC PREGNANCY W/O SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY W/O SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59121","description":"TX ECTOPIC PREGNANCY W/O SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX HUMRAL SHAFT FX W/INSJ IMED IMPLT W/W CERCLGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24516","description":"TX HUMRAL SHAFT FX W/INSJ IMED IMPLT W/W CERCLGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX HUMRL SHFT FX W/INSJ IMED IMPLT W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24516","description":"TX HUMRL SHFT FX W/INSJ IMED IMPLT W/WO CERCLAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX HUMRL SHFT FX W/INSJ IMED IMPLT W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24516","description":"TX HUMRL SHFT FX W/INSJ IMED IMPLT W/WO CERCLAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59812","description":"TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59812","description":"TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27245","description":"TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27245","description":"TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27244","description":"TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27244","description":"TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX MISSED ABORTION FIRST TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59820","description":"TX MISSED ABORTION FIRST TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX MISSED ABORTION FIRST TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59820","description":"TX MISSED ABORTION FIRST TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX MISSED ABORTION SECOND TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59821","description":"TX MISSED ABORTION SECOND TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX MISSED ABORTION SECOND TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59821","description":"TX MISSED ABORTION SECOND TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX OPEN TENDON FLEXOR TOE 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28232","description":"TX OPEN TENDON FLEXOR TOE 1 TENDON SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX OPEN TENDON FLEXOR TOE 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28232","description":"TX OPEN TENDON FLEXOR TOE 1 TENDON SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28230","description":"TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28230","description":"TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX PROC IMPRV RESP FUNCT NOT G0237 FCE-FCE 15MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0238","description":"TX PROC IMPRV RESP FUNCT NOT G0237 FCE-FCE 15MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX PROC IMPRV RESP FUNCT NOT G0237 FCE-FCE 15MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0238","description":"TX PROC IMPRV RESP FUNCT NOT G0237 FCE-FCE 15MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX PROC IMPRV RESP FUNCT/INCR RESP MUSC 2 OR GT IND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0239","description":"TX PROC IMPRV RESP FUNCT/INCR RESP MUSC 2 OR GT IND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX PROC IMPRV RESP FUNCT/INCR RESP MUSC 2 OR GT IND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0239","description":"TX PROC IMPRV RESP FUNCT/INCR RESP MUSC 2 OR GT IND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SEPTIC ABORTION SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59830","description":"TX SEPTIC ABORTION SURGICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SEPTIC ABORTION SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59830","description":"TX SEPTIC ABORTION SURGICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27176","description":"TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27176","description":"TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27175","description":"TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27175","description":"TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUDITORY PROC IND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92507","description":"TX SPEECH LANG VOICE COMMJ and /AUDITORY PROC IND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO GROUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92508","description":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO GROUP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92508","description":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO GROUP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO INDIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92507","description":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO INDIV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO INDIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92507","description":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO INDIV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANGUAGE VOICE COMMJ AUDITRY 2 OR GT INDIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92508","description":"TX SPEECH LANGUAGE VOICE COMMJ AUDITRY 2 OR GT INDIV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27257","description":"TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27257","description":"TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27256","description":"TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27256","description":"TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SUMM RPRT COMMUN PHYS AND PT 1 MO COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5020F","description":"TX SUMM RPRT COMMUN PHYS AND PT 1 MO COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SUMM RPRT COMMUN PHYS AND PT 1 MO COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5020F","description":"TX SUMM RPRT COMMUN PHYS AND PT 1 MO COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12020","description":"TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12020","description":"TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SUPERFICIAL WOUND DEHISCENCE W/PACKING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12021","description":"TX SUPERFICIAL WOUND DEHISCENCE W/PACKING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SUPERFICIAL WOUND DEHISCENCE W/PACKING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12021","description":"TX SUPERFICIAL WOUND DEHISCENCE W/PACKING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SWALLOWING DYSFUNCTION and /ORAL FUNCJ FEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92526","description":"TX SWALLOWING DYSFUNCTION and /ORAL FUNCJ FEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SWALLOWING DYSFUNCTION and /ORAL FUNCJ FEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92526","description":"TX SWALLOWING DYSFUNCTION and /ORAL FUNCJ FEEDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCN W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28455","description":"TX TARSAL BONE FX XCP TALUS and CALCN W/MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCN W/MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28455","description":"TX TARSAL BONE FX XCP TALUS and CALCN W/MNPJ EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCN W/MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28455","description":"TX TARSAL BONE FX XCP TALUS and CALCN W/MNPJ EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCN W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28450","description":"TX TARSAL BONE FX XCP TALUS and CALCN W/O MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCNS W/O MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28450","description":"TX TARSAL BONE FX XCP TALUS and CALCNS W/O MNPJ EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCNS W/O MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28450","description":"TX TARSAL BONE FX XCP TALUS and CALCNS W/O MNPJ EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX TIBL SHFT FX IMED IMPLT W/WO SCREWS and /CERCLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27759","description":"TX TIBL SHFT FX IMED IMPLT W/WO SCREWS and /CERCLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TX TIBL SHFT FX IMED IMPLT W/WO SCREWS and /CERCLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27759","description":"TX TIBL SHFT FX IMED IMPLT W/WO SCREWS and /CERCLA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69610","description":"TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69610","description":"TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC MEMBRANE MOBILITY ASSESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2035F","description":"TYMPANIC MEMBRANE MOBILITY ASSESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC MEMBRANE MOBILITY ASSESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2035F","description":"TYMPANIC MEMBRANE MOBILITY ASSESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC NEURECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69676","description":"TYMPANIC NEURECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC NEURECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69676","description":"TYMPANIC NEURECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOLYSIS TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69450","description":"TYMPANOLYSIS TRANSCANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOLYSIS TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69450","description":"TYMPANOLYSIS TRANSCANAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92567","description":"TYMPANOMETRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92550","description":"TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92550","description":"TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69645","description":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69645","description":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69646","description":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69646","description":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69633","description":"TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69633","description":"TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69631","description":"TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69631","description":"TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOSTOMY GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69436","description":"TYMPANOSTOMY GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOSTOMY GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69436","description":"TYMPANOSTOMY GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69433","description":"TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69433","description":"TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69632","description":"TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69632","description":"TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69635","description":"TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69635","description":"TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69636","description":"TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69636","description":"TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYPE ANATOMIC LOCATION AND ACTIVITY ALL ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1052F","description":"TYPE ANATOMIC LOCATION AND ACTIVITY ALL ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYPE ANATOMIC LOCATION AND ACTIVITY ALL ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1052F","description":"TYPE ANATOMIC LOCATION AND ACTIVITY ALL ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYPHOID VACCINE LIVE ORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90690","description":"TYPHOID VACCINE LIVE ORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYPHOID VACCINE LIVE ORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90690","description":"TYPHOID VACCINE LIVE ORAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90691","description":"TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90691","description":"TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Thrombomodulin","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85337","description":"Thrombomodulin","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Thyroglobulin antibody","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86800","description":"Thyroglobulin antibody","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Tlso corset front","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0970","description":"Tlso corset front","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Tlso full corset","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0974","description":"Tlso full corset","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Tracheostomy speaking valve","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8501","description":"Tracheostomy speaking valve","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Transcatheter biopsy","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37200","description":"Transcatheter biopsy","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Transcatheter biopsy","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37200","description":"Transcatheter biopsy","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Tympanometry","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92567","description":"Tympanometry","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Tympanometry","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92567","description":"Tympanometry","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASONIC GUIDANCE INTRAOPERATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76998","description":"ULTRASONIC GUIDANCE INTRAOPERATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASONIC GUIDANCE INTRAOPERATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76998","description":"ULTRASONIC GUIDANCE INTRAOPERATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASONIC/ELEC AROSL GEN W/SMALL VOLUME NEB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0574","description":"ULTRASONIC/ELEC AROSL GEN W/SMALL VOLUME NEB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASONIC/ELEC AROSL GEN W/SMALL VOLUME NEB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0574","description":"ULTRASONIC/ELEC AROSL GEN W/SMALL VOLUME NEB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND ELASTOGRAPHY EA ADDL TAGET LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76983","description":"ULTRASOUND ELASTOGRAPHY EA ADDL TAGET LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND ELASTOGRAPHY EA ADDL TAGET LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76983","description":"ULTRASOUND ELASTOGRAPHY EA ADDL TAGET LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND ELASTOGRAPHY FIRST TARGET LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76982","description":"ULTRASOUND ELASTOGRAPHY FIRST TARGET LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND ELASTOGRAPHY FIRST TARGET LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76982","description":"ULTRASOUND ELASTOGRAPHY FIRST TARGET LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND ELASTOGRAPHY PARENCHYMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76981","description":"ULTRASOUND ELASTOGRAPHY PARENCHYMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND ELASTOGRAPHY PARENCHYMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76981","description":"ULTRASOUND ELASTOGRAPHY PARENCHYMA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND SPINAL CANAL AND CONTENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76800","description":"ULTRASOUND SPINAL CANAL AND CONTENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND SPINAL CANAL AND CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76800","description":"ULTRASOUND SPINAL CANAL AND CONTENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76978","description":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE 1ST LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76978","description":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE 1ST LESION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE EA ADDL LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76979","description":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE EA ADDL LES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE EA ADDL LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76979","description":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE EA ADDL LES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49250","description":"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49250","description":"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNCLASSIFIED BIOLOGICS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3590","description":"UNCLASSIFIED BIOLOGICS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNCLASSIFIED BIOLOGICS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3590","description":"UNCLASSIFIED BIOLOGICS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNCLASSIFIED DRUGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3490","description":"UNCLASSIFIED DRUGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNCLASSIFIED DRUGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3490","description":"UNCLASSIFIED DRUGS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNCLASSIFIED DRUGS OR BIOLOGICALS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9399","description":"UNCLASSIFIED DRUGS OR BIOLOGICALS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNDERARM PAD CRUTCH REPLACEMENT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4635","description":"UNDERARM PAD CRUTCH REPLACEMENT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNDERARM PAD CRUTCH REPLACEMENT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4635","description":"UNDERARM PAD CRUTCH REPLACEMENT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLIS HEMATOP RET/ENDO and LYMPHATIC DX NUC MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78199","description":"UNLIS HEMATOP RET/ENDO and LYMPHATIC DX NUC MED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLIS LAPAROSCOPIC PROCEDURE LIVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47379","description":"UNLIS LAPAROSCOPIC PROCEDURE LIVER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLIS LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49659","description":"UNLIS LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLIS MEDICAL RADJ DOSIM TX DEV SPEC SVCS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77399","description":"UNLIS MEDICAL RADJ DOSIM TX DEV SPEC SVCS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLIS MISC PATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89240","description":"UNLIS MISC PATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLIS NEUROLOGICAL/NEUROMUSCULAR DX PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95999","description":"UNLIS NEUROLOGICAL/NEUROMUSCULAR DX PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLIS PX THER RADIOL CLINICAL TX PLANNING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77299","description":"UNLIS PX THER RADIOL CLINICAL TX PLANNING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLIST MODALITY SPEC TYPE AND TIME CONSTANT ATTEND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97039","description":"UNLIST MODALITY SPEC TYPE AND TIME CONSTANT ATTEND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTD PX MED RADJ PHYSIC DOSIM and TX DEV and SPEC SVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77399","description":"UNLISTD PX MED RADJ PHYSIC DOSIM and TX DEV and SPEC SVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTD PX MED RADJ PHYSIC DOSIM and TX DEV and SPEC SVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77399","description":"UNLISTD PX MED RADJ PHYSIC DOSIM and TX DEV and SPEC SVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED ALLERGY/CLINICAL IMMUNOLOGIC SRVC/PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95199","description":"UNLISTED ALLERGY/CLINICAL IMMUNOLOGIC SRVC/PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED ALLERGY/CLINICAL IMMUNOLOGIC SVC/PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95199","description":"UNLISTED ALLERGY/CLINICAL IMMUNOLOGIC SVC/PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED ALLERGY/CLINICAL IMMUNOLOGIC SVC/PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95199","description":"UNLISTED ALLERGY/CLINICAL IMMUNOLOGIC SVC/PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED ANESTHESIA PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01999","description":"UNLISTED ANESTHESIA PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED ANESTHESIA PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01999","description":"UNLISTED ANESTHESIA PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CARDIAC SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33999","description":"UNLISTED CARDIAC SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CARDIOVASCULAR PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78499","description":"UNLISTED CARDIOVASCULAR PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CARDIOVASCULAR PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78499","description":"UNLISTED CARDIOVASCULAR PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CARDIOVASCULAR SERVICE/PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93799","description":"UNLISTED CARDIOVASCULAR SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CARDIOVASCULAR SERVICE/PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93799","description":"UNLISTED CARDIOVASCULAR SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CHEMISTRY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84999","description":"UNLISTED CHEMISTRY PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CHEMOTHERAPY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96549","description":"UNLISTED CHEMOTHERAPY PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CHEMOTHERAPY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96549","description":"UNLISTED CHEMOTHERAPY PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED COMPUTED TOMOGRAPHY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76497","description":"UNLISTED COMPUTED TOMOGRAPHY PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED COMPUTED TOMOGRAPHY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76497","description":"UNLISTED COMPUTED TOMOGRAPHY PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CRANIOFACIAL AND MAXILLOFACIAL PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21299","description":"UNLISTED CRANIOFACIAL AND MAXILLOFACIAL PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CRANIOFACIAL AND MAXILLOFACIAL PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21299","description":"UNLISTED CRANIOFACIAL AND MAXILLOFACIAL PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CYTOGENETIC STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88299","description":"UNLISTED CYTOGENETIC STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CYTOPATHOLOGY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88199","description":"UNLISTED CYTOPATHOLOGY PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED DIAGNOSTIC GASTROENTEROLOGY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91299","description":"UNLISTED DIAGNOSTIC GASTROENTEROLOGY PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED DIAGNOSTIC GASTROENTEROLOGY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91299","description":"UNLISTED DIAGNOSTIC GASTROENTEROLOGY PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76499","description":"UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76499","description":"UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED DIALYSIS PROCEDURE INPATIENT/OUTPATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90999","description":"UNLISTED DIALYSIS PROCEDURE INPATIENT/OUTPATIENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED DIALYSIS PROCEDURE INPATIENT/OUTPATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90999","description":"UNLISTED DIALYSIS PROCEDURE INPATIENT/OUTPATIENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED ENDOCRINE PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78099","description":"UNLISTED ENDOCRINE PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED ENDOCRINE PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78099","description":"UNLISTED ENDOCRINE PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED EVALUATION AND MANAGEMENT SERVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99499","description":"UNLISTED EVALUATION AND MANAGEMENT SERVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED EVALUATION AND MANAGEMENT SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99499","description":"UNLISTED EVALUATION AND MANAGEMENT SERVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED FETAL INVASIVE PX W/ULTRASOUND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59897","description":"UNLISTED FETAL INVASIVE PX W/ULTRASOUND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED FETAL INVASIVE PX W/ULTRASOUND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59897","description":"UNLISTED FETAL INVASIVE PX W/ULTRASOUND","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED FLUOROSCOPIC PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76496","description":"UNLISTED FLUOROSCOPIC PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED FLUOROSCOPIC PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76496","description":"UNLISTED FLUOROSCOPIC PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED GASTROINTESTINAL PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78299","description":"UNLISTED GASTROINTESTINAL PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED GASTROINTESTINAL PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78299","description":"UNLISTED GASTROINTESTINAL PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED GENITOURINARY PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78799","description":"UNLISTED GENITOURINARY PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED GENITOURINARY PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78799","description":"UNLISTED GENITOURINARY PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED HEMATOLOGY AND COAGULATION PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85999","description":"UNLISTED HEMATOLOGY AND COAGULATION PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED HEMATOP RET/ENDO and LYMPHATIC DX NUC MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78199","description":"UNLISTED HEMATOP RET/ENDO and LYMPHATIC DX NUC MED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED HEMATOP RET/ENDO and LYMPHATIC DX NUC MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78199","description":"UNLISTED HEMATOP RET/ENDO and LYMPHATIC DX NUC MED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED HOME VISIT SERVICE/PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99600","description":"UNLISTED HOME VISIT SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED HOME VISIT SERVICE/PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99600","description":"UNLISTED HOME VISIT SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED HYSTEROSCOPY PROCEDURE UTERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58579","description":"UNLISTED HYSTEROSCOPY PROCEDURE UTERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED HYSTEROSCOPY PROCEDURE UTERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58579","description":"UNLISTED HYSTEROSCOPY PROCEDURE UTERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED IMMUNOLOGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86849","description":"UNLISTED IMMUNOLOGY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED IN VIVO LABORTORY SERVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88749","description":"UNLISTED IN VIVO LABORTORY SERVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPIC PROCEDURE ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43289","description":"UNLISTED LAPAROSCOPIC PROCEDURE ESOPHAGUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPIC PROCEDURE LIVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47379","description":"UNLISTED LAPAROSCOPIC PROCEDURE LIVER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPIC PROCEDURE LIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47379","description":"UNLISTED LAPAROSCOPIC PROCEDURE LIVER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPIC PROCEDURE STOMACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43659","description":"UNLISTED LAPAROSCOPIC PROCEDURE STOMACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE APPENDIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44979","description":"UNLISTED LAPAROSCOPY PROCEDURE APPENDIX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE APPENDIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44979","description":"UNLISTED LAPAROSCOPY PROCEDURE APPENDIX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE BILIARY TRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47579","description":"UNLISTED LAPAROSCOPY PROCEDURE BILIARY TRACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE BILIARY TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47579","description":"UNLISTED LAPAROSCOPY PROCEDURE BILIARY TRACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE BLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51999","description":"UNLISTED LAPAROSCOPY PROCEDURE BLADDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51999","description":"UNLISTED LAPAROSCOPY PROCEDURE BLADDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE ENDOCRINE SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60659","description":"UNLISTED LAPAROSCOPY PROCEDURE ENDOCRINE SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE ENDOCRINE SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60659","description":"UNLISTED LAPAROSCOPY PROCEDURE ENDOCRINE SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43289","description":"UNLISTED LAPAROSCOPY PROCEDURE ESOPHAGUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43289","description":"UNLISTED LAPAROSCOPY PROCEDURE ESOPHAGUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE RECTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45499","description":"UNLISTED LAPAROSCOPY PROCEDURE RECTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE RECTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45499","description":"UNLISTED LAPAROSCOPY PROCEDURE RECTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE RENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50549","description":"UNLISTED LAPAROSCOPY PROCEDURE RENAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE RENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50549","description":"UNLISTED LAPAROSCOPY PROCEDURE RENAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE SPLEEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38129","description":"UNLISTED LAPAROSCOPY PROCEDURE SPLEEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE SPLEEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38129","description":"UNLISTED LAPAROSCOPY PROCEDURE SPLEEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE STOMACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43659","description":"UNLISTED LAPAROSCOPY PROCEDURE STOMACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE STOMACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43659","description":"UNLISTED LAPAROSCOPY PROCEDURE STOMACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50949","description":"UNLISTED LAPAROSCOPY PROCEDURE URETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50949","description":"UNLISTED LAPAROSCOPY PROCEDURE URETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE UTERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58578","description":"UNLISTED LAPAROSCOPY PROCEDURE UTERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE UTERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58578","description":"UNLISTED LAPAROSCOPY PROCEDURE UTERUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PX INTESTINE XCP RECTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44238","description":"UNLISTED LAPAROSCOPY PX INTESTINE XCP RECTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PX INTESTINE XCP RECTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44238","description":"UNLISTED LAPAROSCOPY PX INTESTINE XCP RECTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PX LYMPHATIC SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38589","description":"UNLISTED LAPAROSCOPY PX LYMPHATIC SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PX LYMPHATIC SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38589","description":"UNLISTED LAPAROSCOPY PX LYMPHATIC SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PX MATERNITY CARE AND DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59898","description":"UNLISTED LAPAROSCOPY PX MATERNITY CARE AND DELIVERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PX MATERNITY CARE AND DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59898","description":"UNLISTED LAPAROSCOPY PX MATERNITY CARE AND DELIVERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49659","description":"UNLISTED LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49659","description":"UNLISTED LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MAGNETIC RESONANCE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76498","description":"UNLISTED MAGNETIC RESONANCE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MAGNETIC RESONANCE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76498","description":"UNLISTED MAGNETIC RESONANCE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MAXILLOFACIAL PROSTHETIC PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21089","description":"UNLISTED MAXILLOFACIAL PROSTHETIC PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MAXILLOFACIAL PROSTHETIC PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21089","description":"UNLISTED MAXILLOFACIAL PROSTHETIC PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MICROBIOLOGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87999","description":"UNLISTED MICROBIOLOGY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MICROBIOLOGY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87999","description":"UNLISTED MICROBIOLOGY PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MISCELLANEOUS PATHOLOGY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89240","description":"UNLISTED MISCELLANEOUS PATHOLOGY TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MISCELLANEOUS PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78999","description":"UNLISTED MISCELLANEOUS PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MISCELLANEOUS PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78999","description":"UNLISTED MISCELLANEOUS PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MODALITY SPEC TYPE and TIME CONSTANT ATTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97039","description":"UNLISTED MODALITY SPEC TYPE and TIME CONSTANT ATTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MODALITY SPEC TYPE and TIME CONSTANT ATTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97039","description":"UNLISTED MODALITY SPEC TYPE and TIME CONSTANT ATTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MUSCULOSKELETAL PROCEDURE HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21499","description":"UNLISTED MUSCULOSKELETAL PROCEDURE HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MUSCULOSKELETAL PROCEDURE HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21499","description":"UNLISTED MUSCULOSKELETAL PROCEDURE HEAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MUSCULOSKELETAL PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78399","description":"UNLISTED MUSCULOSKELETAL PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MUSCULOSKELETAL PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78399","description":"UNLISTED MUSCULOSKELETAL PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED NECROPSY (AUTOPSY) PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88099","description":"UNLISTED NECROPSY (AUTOPSY) PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED NECROPSY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88099","description":"UNLISTED NECROPSY PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED NERVOUS SYSTEM PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78699","description":"UNLISTED NERVOUS SYSTEM PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED NERVOUS SYSTEM PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78699","description":"UNLISTED NERVOUS SYSTEM PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED NEUROLOGICAL/NEUROMUSCULAR DX PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95999","description":"UNLISTED NEUROLOGICAL/NEUROMUSCULAR DX PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED NEUROLOGICAL/NEUROMUSCULAR DX PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95999","description":"UNLISTED NEUROLOGICAL/NEUROMUSCULAR DX PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED NONINVASIVE VASCULAR DIAGNOSTIC STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93998","description":"UNLISTED NONINVASIVE VASCULAR DIAGNOSTIC STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED NONINVASIVE VASCULAR DIAGNOSTIC STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93998","description":"UNLISTED NONINVASIVE VASCULAR DIAGNOSTIC STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED OPHTHALMOLOGICAL SERVICE/PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92499","description":"UNLISTED OPHTHALMOLOGICAL SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED OPHTHALMOLOGICAL SERVICE/PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92499","description":"UNLISTED OPHTHALMOLOGICAL SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED OTORHINOLARYNGOLOGICAL SERVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92700","description":"UNLISTED OTORHINOLARYNGOLOGICAL SERVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED OTORHINOLARYNGOLOGICAL SERVICE/PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92700","description":"UNLISTED OTORHINOLARYNGOLOGICAL SERVICE/PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED OTORHINOLARYNGOLOGICAL SERVICE/PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92700","description":"UNLISTED OTORHINOLARYNGOLOGICAL SERVICE/PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97799","description":"UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97799","description":"UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97799","description":"UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ABDOMEN PERITONEUM AND OMENTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49999","description":"UNLISTED PROCEDURE ABDOMEN PERITONEUM AND OMENTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ABDOMEN PERITONEUM AND OMENTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49999","description":"UNLISTED PROCEDURE ABDOMEN PERITONEUM AND OMENTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ACCESSORY SINUSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31299","description":"UNLISTED PROCEDURE ACCESSORY SINUSES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ACCESSORY SINUSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31299","description":"UNLISTED PROCEDURE ACCESSORY SINUSES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ANTERIOR SEGMENT EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66999","description":"UNLISTED PROCEDURE ANTERIOR SEGMENT EYE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ANTERIOR SEGMENT EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66999","description":"UNLISTED PROCEDURE ANTERIOR SEGMENT EYE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ANUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46999","description":"UNLISTED PROCEDURE ANUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ANUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46999","description":"UNLISTED PROCEDURE ANUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ARTHROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29999","description":"UNLISTED PROCEDURE ARTHROSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ARTHROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29999","description":"UNLISTED PROCEDURE ARTHROSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE BILIARY TRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47999","description":"UNLISTED PROCEDURE BILIARY TRACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE BILIARY TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47999","description":"UNLISTED PROCEDURE BILIARY TRACT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19499","description":"UNLISTED PROCEDURE BREAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19499","description":"UNLISTED PROCEDURE BREAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE CARDIAC SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33999","description":"UNLISTED PROCEDURE CARDIAC SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE CARDIAC SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33999","description":"UNLISTED PROCEDURE CARDIAC SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE CASTING/STRAPPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29799","description":"UNLISTED PROCEDURE CASTING/STRAPPING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE CASTING/STRAPPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29799","description":"UNLISTED PROCEDURE CASTING/STRAPPING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77799","description":"UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77799","description":"UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE CONJUNCTIVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68399","description":"UNLISTED PROCEDURE CONJUNCTIVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE CONJUNCTIVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68399","description":"UNLISTED PROCEDURE CONJUNCTIVA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41899","description":"UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41899","description":"UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE DIAPHRAGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39599","description":"UNLISTED PROCEDURE DIAPHRAGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE DIAPHRAGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39599","description":"UNLISTED PROCEDURE DIAPHRAGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ENDOCRINE SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60699","description":"UNLISTED PROCEDURE ENDOCRINE SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ENDOCRINE SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60699","description":"UNLISTED PROCEDURE ENDOCRINE SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43499","description":"UNLISTED PROCEDURE ESOPHAGUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43499","description":"UNLISTED PROCEDURE ESOPHAGUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE EXCISION PRESSURE ULCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15999","description":"UNLISTED PROCEDURE EXCISION PRESSURE ULCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE EXCISION PRESSURE ULCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15999","description":"UNLISTED PROCEDURE EXCISION PRESSURE ULCER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE EXTERNAL EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69399","description":"UNLISTED PROCEDURE EXTERNAL EAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE EXTERNAL EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69399","description":"UNLISTED PROCEDURE EXTERNAL EAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE EXTRAOCULAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67399","description":"UNLISTED PROCEDURE EXTRAOCULAR MUSCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE EXTRAOCULAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67399","description":"UNLISTED PROCEDURE EXTRAOCULAR MUSCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE EYELIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67999","description":"UNLISTED PROCEDURE EYELIDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE EYELIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67999","description":"UNLISTED PROCEDURE EYELIDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE FEMUR/KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27599","description":"UNLISTED PROCEDURE FEMUR/KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE FEMUR/KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27599","description":"UNLISTED PROCEDURE FEMUR/KNEE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE FOOT/TOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28899","description":"UNLISTED PROCEDURE FOOT/TOES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE FOOT/TOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28899","description":"UNLISTED PROCEDURE FOOT/TOES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE FOREARM/WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25999","description":"UNLISTED PROCEDURE FOREARM/WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE FOREARM/WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25999","description":"UNLISTED PROCEDURE FOREARM/WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE HANDS/FINGERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26989","description":"UNLISTED PROCEDURE HANDS/FINGERS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE HANDS/FINGERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26989","description":"UNLISTED PROCEDURE HANDS/FINGERS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE HEMIC OR LYMPHATIC SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38999","description":"UNLISTED PROCEDURE HEMIC OR LYMPHATIC SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE HEMIC OR LYMPHATIC SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38999","description":"UNLISTED PROCEDURE HEMIC OR LYMPHATIC SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE HUMERUS/ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24999","description":"UNLISTED PROCEDURE HUMERUS/ELBOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE HUMERUS/ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24999","description":"UNLISTED PROCEDURE HUMERUS/ELBOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE INNER EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69949","description":"UNLISTED PROCEDURE INNER EAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE INNER EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69949","description":"UNLISTED PROCEDURE INNER EAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE LACRIMAL SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68899","description":"UNLISTED PROCEDURE LACRIMAL SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE LACRIMAL SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68899","description":"UNLISTED PROCEDURE LACRIMAL SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE LARYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31599","description":"UNLISTED PROCEDURE LARYNX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE LARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31599","description":"UNLISTED PROCEDURE LARYNX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE LEG/ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27899","description":"UNLISTED PROCEDURE LEG/ANKLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE LEG/ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27899","description":"UNLISTED PROCEDURE LEG/ANKLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE LIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40799","description":"UNLISTED PROCEDURE LIPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE LIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40799","description":"UNLISTED PROCEDURE LIPS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE LIVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47399","description":"UNLISTED PROCEDURE LIVER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE LIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47399","description":"UNLISTED PROCEDURE LIVER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE LUNGS AND PLEURA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32999","description":"UNLISTED PROCEDURE LUNGS AND PLEURA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE LUNGS AND PLEURA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32999","description":"UNLISTED PROCEDURE LUNGS AND PLEURA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE MATERNITY CARE AND DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59899","description":"UNLISTED PROCEDURE MATERNITY CARE AND DELIVERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE MATERNITY CARE AND DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59899","description":"UNLISTED PROCEDURE MATERNITY CARE AND DELIVERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE MEDIASTINUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39499","description":"UNLISTED PROCEDURE MEDIASTINUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE MEDIASTINUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39499","description":"UNLISTED PROCEDURE MEDIASTINUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE MIDDLE EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69799","description":"UNLISTED PROCEDURE MIDDLE EAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE MIDDLE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69799","description":"UNLISTED PROCEDURE MIDDLE EAR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE MUSCSKELETAL SYSTEM GENERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20999","description":"UNLISTED PROCEDURE MUSCSKELETAL SYSTEM GENERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE MUSCSKELETAL SYSTEM GENERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20999","description":"UNLISTED PROCEDURE MUSCSKELETAL SYSTEM GENERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE NECK/THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21899","description":"UNLISTED PROCEDURE NECK/THORAX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE NECK/THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21899","description":"UNLISTED PROCEDURE NECK/THORAX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE NERVOUS SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64999","description":"UNLISTED PROCEDURE NERVOUS SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE NERVOUS SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64999","description":"UNLISTED PROCEDURE NERVOUS SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE NOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30999","description":"UNLISTED PROCEDURE NOSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE NOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30999","description":"UNLISTED PROCEDURE NOSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ORBIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67599","description":"UNLISTED PROCEDURE ORBIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ORBIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67599","description":"UNLISTED PROCEDURE ORBIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE PALATE UVULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42299","description":"UNLISTED PROCEDURE PALATE UVULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE PALATE UVULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42299","description":"UNLISTED PROCEDURE PALATE UVULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE PANCREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48999","description":"UNLISTED PROCEDURE PANCREAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE PANCREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48999","description":"UNLISTED PROCEDURE PANCREAS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE PELVIS/HIP JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27299","description":"UNLISTED PROCEDURE PELVIS/HIP JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE PELVIS/HIP JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27299","description":"UNLISTED PROCEDURE PELVIS/HIP JOINT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE PHARYNX ADENOIDS/TONSILS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42999","description":"UNLISTED PROCEDURE PHARYNX ADENOIDS/TONSILS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE PHARYNX ADENOIDS/TONSILS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42999","description":"UNLISTED PROCEDURE PHARYNX ADENOIDS/TONSILS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE POSTERIOR SEGMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67299","description":"UNLISTED PROCEDURE POSTERIOR SEGMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE POSTERIOR SEGMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67299","description":"UNLISTED PROCEDURE POSTERIOR SEGMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE RECTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45999","description":"UNLISTED PROCEDURE RECTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE RECTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45999","description":"UNLISTED PROCEDURE RECTUM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE SPINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22899","description":"UNLISTED PROCEDURE SPINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE SPINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22899","description":"UNLISTED PROCEDURE SPINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE STOMACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43999","description":"UNLISTED PROCEDURE STOMACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE STOMACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43999","description":"UNLISTED PROCEDURE STOMACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE TEMPORAL BONE MIDDLE FOSSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69979","description":"UNLISTED PROCEDURE TEMPORAL BONE MIDDLE FOSSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE TEMPORAL BONE MIDDLE FOSSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69979","description":"UNLISTED PROCEDURE TEMPORAL BONE MIDDLE FOSSA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE THERAPEUTIC RADIOLOGY TX MGMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77499","description":"UNLISTED PROCEDURE THERAPEUTIC RADIOLOGY TX MGMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE THERAPEUTIC RADIOLOGY TX MGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77499","description":"UNLISTED PROCEDURE THERAPEUTIC RADIOLOGY TX MGMT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE TONGUE FLOOR MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41599","description":"UNLISTED PROCEDURE TONGUE FLOOR MOUTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE TONGUE FLOOR MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41599","description":"UNLISTED PROCEDURE TONGUE FLOOR MOUTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE TRACHEA BRONCHI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31899","description":"UNLISTED PROCEDURE TRACHEA BRONCHI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE TRACHEA BRONCHI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31899","description":"UNLISTED PROCEDURE TRACHEA BRONCHI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE URINARY SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53899","description":"UNLISTED PROCEDURE URINARY SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE URINARY SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53899","description":"UNLISTED PROCEDURE URINARY SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE VASCULAR INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36299","description":"UNLISTED PROCEDURE VASCULAR INJECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE VASCULAR INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36299","description":"UNLISTED PROCEDURE VASCULAR INJECTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE VASCULAR SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37799","description":"UNLISTED PROCEDURE VASCULAR SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE VASCULAR SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37799","description":"UNLISTED PROCEDURE VASCULAR SURGERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE VESTIBULE MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40899","description":"UNLISTED PROCEDURE VESTIBULE MOUTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE VESTIBULE MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40899","description":"UNLISTED PROCEDURE VESTIBULE MOUTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PSYCHIATRIC SERVICE/PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90899","description":"UNLISTED PSYCHIATRIC SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PSYCHIATRIC SERVICE/PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90899","description":"UNLISTED PSYCHIATRIC SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PULMONARY SERVICE/PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94799","description":"UNLISTED PULMONARY SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PULMONARY SERVICE/PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94799","description":"UNLISTED PULMONARY SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX ABDOMEN MUSCULOSKELETAL SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22999","description":"UNLISTED PX ABDOMEN MUSCULOSKELETAL SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX ABDOMEN MUSCULOSKELETAL SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22999","description":"UNLISTED PX ABDOMEN MUSCULOSKELETAL SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX FEMALE GENITAL SYSTEM NONOBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58999","description":"UNLISTED PX FEMALE GENITAL SYSTEM NONOBSTETRICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX FEMALE GENITAL SYSTEM NONOBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58999","description":"UNLISTED PX FEMALE GENITAL SYSTEM NONOBSTETRICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX MECKEL'S DIVERTICULUM AND MESENTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44899","description":"UNLISTED PX MECKEL'S DIVERTICULUM AND MESENTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX MECKEL'S DIVERTICULUM AND MESENTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44899","description":"UNLISTED PX MECKEL'S DIVERTICULUM AND MESENTERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX SALIVARY GLANDS/DUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42699","description":"UNLISTED PX SALIVARY GLANDS/DUCTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX SALIVARY GLANDS/DUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42699","description":"UNLISTED PX SALIVARY GLANDS/DUCTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX SKIN MUC MEMBRANE AND SUBQ TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17999","description":"UNLISTED PX SKIN MUC MEMBRANE AND SUBQ TISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX SKIN MUC MEMBRANE AND SUBQ TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17999","description":"UNLISTED PX SKIN MUC MEMBRANE AND SUBQ TISSUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX THER RADIOLOGY CLINICAL TX PLANNING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77299","description":"UNLISTED PX THER RADIOLOGY CLINICAL TX PLANNING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX THER RADIOLOGY CLINICAL TX PLANNING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77299","description":"UNLISTED PX THER RADIOLOGY CLINICAL TX PLANNING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED REPRODUCTIVE MEDICINE LAB PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89398","description":"UNLISTED REPRODUCTIVE MEDICINE LAB PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED RESPIRATORY PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78599","description":"UNLISTED RESPIRATORY PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED RESPIRATORY PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78599","description":"UNLISTED RESPIRATORY PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED SPECIAL DERMATOLOGICAL SERVICE/PROCED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96999","description":"UNLISTED SPECIAL DERMATOLOGICAL SERVICE/PROCED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED SPECIAL DERMATOLOGICAL SERVICE/PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96999","description":"UNLISTED SPECIAL DERMATOLOGICAL SERVICE/PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED SPECIAL DERMATOLOGICAL SERVICE/PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96999","description":"UNLISTED SPECIAL DERMATOLOGICAL SERVICE/PX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED SPECIAL SERVICE PROCEDURE/REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99199","description":"UNLISTED SPECIAL SERVICE PROCEDURE/REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED SPECIAL SERVICE PROCEDURE/REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99199","description":"UNLISTED SPECIAL SERVICE PROCEDURE/REPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED SURGICAL PATHOLOGY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88399","description":"UNLISTED SURGICAL PATHOLOGY PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED THERAPEUTIC PROCEDURE SPECIFY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97139","description":"UNLISTED THERAPEUTIC PROCEDURE SPECIFY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED THERAPEUTIC PROCEDURE SPECIFY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97139","description":"UNLISTED THERAPEUTIC PROCEDURE SPECIFY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96379","description":"UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96379","description":"UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED TRANSFUSION MEDICINE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86999","description":"UNLISTED TRANSFUSION MEDICINE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED US PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76999","description":"UNLISTED US PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED US PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76999","description":"UNLISTED US PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED VASCULAR ENDOSCOPY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37501","description":"UNLISTED VASCULAR ENDOSCOPY PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED VASCULAR ENDOSCOPY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37501","description":"UNLISTED VASCULAR ENDOSCOPY PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNPLAN RTN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9308","description":"UNPLAN RTN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNPLAN RTN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9308","description":"UNPLAN RTN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNPLANNED HOSP READMISSION W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9310","description":"UNPLANNED HOSP READMISSION W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNPLANNED HOSP READMISSION W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9310","description":"UNPLANNED HOSP READMISSION W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNUSUAL TRAVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99082","description":"UNUSUAL TRAVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UNUSUAL TRAVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99082","description":"UNUSUAL TRAVEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD HARNESS 3 CNTRL SIMULTAN OP DEVC AND ELB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6677","description":"UP EXT ADD HARNESS 3 CNTRL SIMULTAN OP DEVC AND ELB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD PROS ELEC LOCK ONLY W/MNL PWR ELB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6638","description":"UP EXT ADD PROS ELEC LOCK ONLY W/MNL PWR ELB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD SHLDR JNT MX PSTN W/BDY/EXT PWR SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6646","description":"UP EXT ADD SHLDR JNT MX PSTN W/BDY/EXT PWR SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD SPRNG ASST ROTATL WRST U W/LATCH RLSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6623","description":"UP EXT ADD SPRNG ASST ROTATL WRST U W/LATCH RLSE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD DISCNCT INSERT LOCK WRST U EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6616","description":"UP EXTREM ADD DISCNCT INSERT LOCK WRST U EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD SHLDR LOCK MECH BDY PWR ACTUATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6647","description":"UP EXTREM ADD SHLDR LOCK MECH BDY PWR ACTUATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD SHLDR LOCK MECH EXT PWR ACTUATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6648","description":"UP EXTREM ADD SHLDR LOCK MECH EXT PWR ACTUATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD TST SOCKT WRST DISARTIC/BELW ELB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6680","description":"UP EXTREM ADD TST SOCKT WRST DISARTIC/BELW ELB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM FX ORTHOSIS HUM PREFABR INCL FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3980","description":"UP EXTREM FX ORTHOSIS HUM PREFABR INCL FIT AND ADJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM FX ORTHOSIS WRST PREFAB INCL FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3984","description":"UP EXTREM FX ORTHOSIS WRST PREFAB INCL FIT AND ADJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM PROS ADD FLEXION/EXTENSION WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6621","description":"UP EXTREM PROS ADD FLEXION/EXTENSION WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD FRME TYPE SCKT BELW ELB/WRST DISRTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6687","description":"UP EXTRM ADD FRME TYPE SCKT BELW ELB/WRST DISRTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD FRME TYPE SOCKT ABVE ELB/ELB DISRTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6688","description":"UP EXTRM ADD FRME TYPE SOCKT ABVE ELB/ELB DISRTC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD QUICK DISCNCT HOOK OTTO BOCK/ Equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6628","description":"UP EXTRM ADD QUICK DISCNCT HOOK OTTO BOCK/ Equal to","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD QUICK DISCNCT LAMINATION COLLR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6629","description":"UP EXTRM ADD QUICK DISCNCT LAMINATION COLLR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD TST SCKT SHLDR DISRTC/INTRSCAP THOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6684","description":"UP EXTRM ADD TST SCKT SHLDR DISRTC/INTRSCAP THOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM FX ORTHOS RADUS/ULNAR PREFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3982","description":"UP EXTRM FX ORTHOS RADUS/ULNAR PREFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33214","description":"UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33214","description":"UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXT ADD FLEX/EXT WRIST UNIT W/WO FRICTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6620","description":"UPPER EXT ADD FLEX/EXT WRIST UNIT W/WO FRICTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXT ADD SIL GEL INSERT/ Equal to L W/WO LKG MECH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6692","description":"UPPER EXT ADD SIL GEL INSERT/ Equal to L W/WO LKG MECH EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD DISCONNECT LOCKING WRST UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6615","description":"UPPER EXTREM ADD DISCONNECT LOCKING WRST UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD EXCURSION AMPLIFIER LEVER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6642","description":"UPPER EXTREM ADD EXCURSION AMPLIFIER LEVER TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD EXCURSIONUPPER EXTREM ADD EXCUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6641","description":"UPPER EXTREM ADD EXCURSIONUPPER EXTREM ADD EXCUR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD FRAME TYPE SOCKT INTERSCAP-THOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6690","description":"UPPER EXTREM ADD FRAME TYPE SOCKT INTERSCAP-THOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD FRAME TYPE SOCKT SHLDR DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6689","description":"UPPER EXTREM ADD FRAME TYPE SOCKT SHLDR DISARTIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD HARNESS CHST/SHLUPPER EXTREM AD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6672","description":"UPPER EXTREM ADD HARNESS CHST/SHLUPPER EXTREM AD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD LOCK ELB FORARM COUNTERBALANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6693","description":"UPPER EXTREM ADD LOCK ELB FORARM COUNTERBALANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD ROTATION WRST UNIT W/CABLE LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6625","description":"UPPER EXTREM ADD ROTATION WRST UNIT W/CABLE LOCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD STANDARD CONTROL CABLE EXTRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6655","description":"UPPER EXTREM ADD STANDARD CONTROL CABLE EXTRA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD TST SOCKT ELB DISARTIC/ABVE ELB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6682","description":"UPPER EXTREM ADD TST SOCKT ELB DISARTIC/ABVE ELB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION HEAVY DUTY CONTROL CABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6660","description":"UPPER EXTREM ADDITION HEAVY DUTY CONTROL CABLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION LATEX SUSPENSION SLEEVE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6632","description":"UPPER EXTREM ADDITION LATEX SUSPENSION SLEEVE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION SHLDR FLEX-ABDUCT JOINT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6645","description":"UPPER EXTREM ADDITION SHLDR FLEX-ABDUCT JOINT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION SHLDR UNIVERSAL JOINT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6650","description":"UPPER EXTREM ADDITION SHLDR UNIVERSAL JOINT EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION STAINLESS STEEL ANY WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6630","description":"UPPER EXTREM ADDITION STAINLESS STEEL ANY WRIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION TEFLON/EQUAL CABLE LINING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6665","description":"UPPER EXTREM ADDITION TEFLON/EQUAL CABLE LINING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD FLEXIBLE METAL HINGE PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6610","description":"UPPER EXTREMITY ADD FLEXIBLE METAL HINGE PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD FLX/EXT ROTATION WRIST UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6624","description":"UPPER EXTREMITY ADD FLX/EXT ROTATION WRIST UNIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD HARNESS DUAL CABLE DESIGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6676","description":"UPPER EXTREMITY ADD HARNESS DUAL CABLE DESIGN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD HARNESS SINGLE CABLE DESIGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6675","description":"UPPER EXTREMITY ADD HARNESS SINGLE CABLE DESIGN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD SHOULDER ABDUCT JOINT PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6640","description":"UPPER EXTREMITY ADD SHOULDER ABDUCT JOINT PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD SINGLE PIVOT HINGE PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6605","description":"UPPER EXTREMITY ADD SINGLE PIVOT HINGE PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION HOOK HAND CABLE ADAPTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6670","description":"UPPER EXTREMITY ADDITION HOOK HAND CABLE ADAPTER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION LIFT ASSIST FOR ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6635","description":"UPPER EXTREMITY ADDITION LIFT ASSIST FOR ELBOW","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION NUDGE CONTROL ELB LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6637","description":"UPPER EXTREMITY ADDITION NUDGE CONTROL ELB LOCK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION REMOVABLE INSERT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6691","description":"UPPER EXTREMITY ADDITION REMOVABLE INSERT EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION SUCTION SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6686","description":"UPPER EXTREMITY ADDITION SUCTION SOCKET","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITIONS POLYCENTRIC HINGE PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6600","description":"UPPER EXTREMITY ADDITIONS POLYCENTRIC HINGE PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER FACIAL PROSTHESIS PROVIDED A NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8043","description":"UPPER FACIAL PROSTHESIS PROVIDED A NON-PHYSICIAN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDO REPORT SHOW NO SUSPECT BARRETT'S","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3141F","description":"UPPER GI ENDO REPORT SHOW NO SUSPECT BARRETT'S","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDO REPORT SHOW NO SUSPECT BARRETT'S","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3141F","description":"UPPER GI ENDO REPORT SHOW NO SUSPECT BARRETT'S","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDO REPORT SHOWS POSS BARRETT'S ESOPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3140F","description":"UPPER GI ENDO REPORT SHOWS POSS BARRETT'S ESOPH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDO REPORT SHOWS POSS BARRETT'S ESOPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3140F","description":"UPPER GI ENDO REPORT SHOWS POSS BARRETT'S ESOPH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDOSCOPY PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3130F","description":"UPPER GI ENDOSCOPY PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDOSCOPY PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3130F","description":"UPPER GI ENDOSCOPY PERFORMED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78267","description":"UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78267","description":"UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UREA BREATH TEST C-14 ISOTOPIC ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78268","description":"UREA BREATH TEST C-14 ISOTOPIC ANALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UREA BREATH TEST C-14 ISOTOPIC ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78268","description":"UREA BREATH TEST C-14 ISOTOPIC ANALYSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UREA NITROGEN CLEARANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84545","description":"UREA NITROGEN CLEARANCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSC VIA URETEROT W/DEST and /INC W/WO BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50976","description":"URETERAL ENDOSC VIA URETEROT W/DEST and /INC W/WO BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSC VIA URETEROT W/DEST and /INC W/WO BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50976","description":"URETERAL ENDOSC VIA URETEROT W/DEST and /INC W/WO BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50961","description":"URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50961","description":"URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50953","description":"URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50953","description":"URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50951","description":"URETERAL ENDOSCOPY VIA URETEROSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50951","description":"URETERAL ENDOSCOPY VIA URETEROSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50955","description":"URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50955","description":"URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50974","description":"URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50974","description":"URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50970","description":"URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50970","description":"URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY W/DEST and /INC W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50957","description":"URETERAL ENDOSCOPY W/DEST and /INC W/WO BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY W/DEST and /INC W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50957","description":"URETERAL ENDOSCOPY W/DEST and /INC W/WO BIOPSY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78740","description":"URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78740","description":"URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERECTOMY TOT ECTOPIC URETER CMBN APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50660","description":"URETERECTOMY TOT ECTOPIC URETER CMBN APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERECTOMY TOT ECTOPIC URETER CMBN APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50660","description":"URETERECTOMY TOT ECTOPIC URETER CMBN APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROCALYCOSTOMY ANAST URETER RENAL CALYX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50750","description":"URETEROCALYCOSTOMY ANAST URETER RENAL CALYX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROCALYCOSTOMY ANAST URETER RENAL CALYX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50750","description":"URETEROCALYCOSTOMY ANAST URETER RENAL CALYX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50815","description":"URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50815","description":"URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROENTEROSTOMY ANAST URETER INTESTINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50800","description":"URETEROENTEROSTOMY ANAST URETER INTESTINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROENTEROSTOMY ANAST URETER INTESTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50800","description":"URETEROENTEROSTOMY ANAST URETER INTESTINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50820","description":"URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50820","description":"URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROLYSIS FOR OVARIAN VEIN SYNDROME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50722","description":"URETEROLYSIS FOR OVARIAN VEIN SYNDROME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROLYSIS FOR OVARIAN VEIN SYNDROME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50722","description":"URETEROLYSIS FOR OVARIAN VEIN SYNDROME","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50715","description":"URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50715","description":"URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50780","description":"URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50780","description":"URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50782","description":"URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50782","description":"URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY W/URETERAL TAILORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50783","description":"URETERONEOCYSTOSTOMY W/URETERAL TAILORING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY W/URETERAL TAILORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50783","description":"URETERONEOCYSTOSTOMY W/URETERAL TAILORING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROPLASTY PLASTIC OPERATION URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50700","description":"URETEROPLASTY PLASTIC OPERATION URETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROPLASTY PLASTIC OPERATION URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50700","description":"URETEROPLASTY PLASTIC OPERATION URETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROPYELOSTOMY ANAST URETER RENAL PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50740","description":"URETEROPYELOSTOMY ANAST URETER RENAL PELVIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROPYELOSTOMY ANAST URETER RENAL PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50740","description":"URETEROPYELOSTOMY ANAST URETER RENAL PELVIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50900","description":"URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50900","description":"URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER and COLOSTO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50810","description":"URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER and COLOSTO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER and COLOSTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50810","description":"URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER and COLOSTO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROSTOMY TRANSPLANTATION URETER SKIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50860","description":"URETEROSTOMY TRANSPLANTATION URETER SKIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROSTOMY TRANSPLANTATION URETER SKIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50860","description":"URETEROSTOMY TRANSPLANTATION URETER SKIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROTOMY INSERTION INDWELLING STENT ALL TYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50605","description":"URETEROTOMY INSERTION INDWELLING STENT ALL TYPES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROTOMY INSERTION INDWELLING STENT ALL TYPES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50605","description":"URETEROTOMY INSERTION INDWELLING STENT ALL TYPES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROURETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50760","description":"URETEROURETEROSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROURETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50760","description":"URETEROURETEROSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHRECTOMY TOT W/CYSTOST FEMALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53210","description":"URETHRECTOMY TOT W/CYSTOST FEMALE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHRECTOMY TOT W/CYSTOST FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53210","description":"URETHRECTOMY TOT W/CYSTOST FEMALE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHRECTOMY TOT W/CYSTOST MALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53215","description":"URETHRECTOMY TOT W/CYSTOST MALE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHRECTOMY TOT W/CYSTOST MALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53215","description":"URETHRECTOMY TOT W/CYSTOST MALE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROCYSTOGRAPHY RETROGRADE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74450","description":"URETHROCYSTOGRAPHY RETROGRADE RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROCYSTOGRAPHY RETROGRADE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74450","description":"URETHROCYSTOGRAPHY RETROGRADE RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROCYSTOGRAPHY VOIDING RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74455","description":"URETHROCYSTOGRAPHY VOIDING RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROCYSTOGRAPHY VOIDING RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74455","description":"URETHROCYSTOGRAPHY VOIDING RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROLSS TRVG SEC OPN W/CSTO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53500","description":"URETHROLSS TRVG SEC OPN W/CSTO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROLSS TRVG SEC OPN W/CSTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53500","description":"URETHROLSS TRVG SEC OPN W/CSTO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53450","description":"URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53450","description":"URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53460","description":"URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53460","description":"URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53410","description":"URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53410","description":"URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53400","description":"URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53400","description":"URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 2ND STAGE W/URINARY DIVERSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53405","description":"URETHROPLASTY 2ND STAGE W/URINARY DIVERSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 2ND STAGE W/URINARY DIVERSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53405","description":"URETHROPLASTY 2ND STAGE W/URINARY DIVERSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY RCNSTJ FEMALE URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53430","description":"URETHROPLASTY RCNSTJ FEMALE URETHRA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY RCNSTJ FEMALE URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53430","description":"URETHROPLASTY RCNSTJ FEMALE URETHRA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53502","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53502","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53505","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53505","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53510","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53510","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53010","description":"URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53010","description":"URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50650","description":"URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50650","description":"URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URI EP HAD COMPETING DX ON/3 DAYS AFTER EP DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8709","description":"URI EP HAD COMPETING DX ON/3 DAYS AFTER EP DATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URI EP HAD COMPETING DX ON/3 DAYS AFTER EP DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8709","description":"URI EP HAD COMPETING DX ON/3 DAYS AFTER EP DATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URIN CATHETER ANCHR DEVICE ADHES SKIN ATTCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4333","description":"URIN CATHETER ANCHR DEVICE ADHES SKIN ATTCH EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URIN CATHETER ANCHR DEVICE ADHES SKIN ATTCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4333","description":"URIN CATHETER ANCHR DEVICE ADHES SKIN ATTCH EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINAL; FEMALE JUG-TYPE ANY MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0326","description":"URINAL; FEMALE JUG-TYPE ANY MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINAL; MALE JUG-TYPE ANY MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0325","description":"URINAL; MALE JUG-TYPE ANY MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS 2/3 GLASS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81020","description":"URINALYSIS 2/3 GLASS TEST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS BACTERIURIA SCR XCPT CULTURE/DIPSTICK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81007","description":"URINALYSIS BACTERIURIA SCR XCPT CULTURE/DIPSTICK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS MICROSCOPIC ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81015","description":"URINALYSIS MICROSCOPIC ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81005","description":"URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINARY BLADDER RESIDUAL STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78730","description":"URINARY BLADDER RESIDUAL STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINARY BLADDER RESIDUAL STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78730","description":"URINARY BLADDER RESIDUAL STUDY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINARY CATHETER ANCHORING DEVICE LEG STRAP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4334","description":"URINARY CATHETER ANCHORING DEVICE LEG STRAP EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINARY CATHETER ANCHORING DEVICE LEG STRAP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4334","description":"URINARY CATHETER ANCHORING DEVICE LEG STRAP EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINARY DRAINAGE BAG LEG OR ABDOMEN LATEX EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5112","description":"URINARY DRAINAGE BAG LEG OR ABDOMEN LATEX EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINARY DRAINAGE BAG LEG OR ABDOMEN LATEX EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5112","description":"URINARY DRAINAGE BAG LEG OR ABDOMEN LATEX EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINARY INCONTINENCE PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0509F","description":"URINARY INCONTINENCE PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY INCONTINENCE PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0509F","description":"URINARY INCONTINENCE PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY LEG BAG; VINYL W/WO TUBE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4358","description":"URINARY LEG BAG; VINYL W/WO TUBE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINARY LEG BAG; VINYL W/WO TUBE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4358","description":"URINARY LEG BAG; VINYL W/WO TUBE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINARY SUSPENSORY WITH LEG BAG W/WO TUBE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5105","description":"URINARY SUSPENSORY WITH LEG BAG W/WO TUBE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINARY SUSPENSORY WITH LEG BAG W/WO TUBE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5105","description":"URINARY SUSPENSORY WITH LEG BAG W/WO TUBE EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINARY UNIDIVERSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50830","description":"URINARY UNIDIVERSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINARY UNIDIVERSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50830","description":"URINARY UNIDIVERSION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINE ALBUMIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82043","description":"URINE ALBUMIN QUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINE ALBUMIN SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82044","description":"URINE ALBUMIN SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINE INCONTINENCE CHARACTERIZED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1091F","description":"URINE INCONTINENCE CHARACTERIZED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE INCONTINENCE CHARACTERIZED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1091F","description":"URINE INCONTINENCE CHARACTERIZED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81025","description":"URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81000","description":"URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81001","description":"URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81003","description":"URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81002","description":"URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84580","description":"UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY ANTEGRADE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74425","description":"UROGRAPHY ANTEGRADE RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY INFUSION DRIP and /BOLUS TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74410","description":"UROGRAPHY INFUSION DRIP and /BOLUS TECHNIQUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY INFUSION DRIP and /BOLUS TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74410","description":"UROGRAPHY INFUSION DRIP and /BOLUS TECHNIQUE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74400","description":"UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74400","description":"UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY NFS DRIP and /BOLUS W/NEPHROTOMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74415","description":"UROGRAPHY NFS DRIP and /BOLUS W/NEPHROTOMOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY NFS DRIP and /BOLUS W/NEPHROTOMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74415","description":"UROGRAPHY NFS DRIP and /BOLUS W/NEPHROTOMOGRAPHY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY RETROGRADE WITH/WO KUB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74420","description":"UROGRAPHY RETROGRADE WITH/WO KUB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY RETROGRADE WITH/WO KUB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74420","description":"UROGRAPHY RETROGRADE WITH/WO KUB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPY INFUSION DRIP and /BOLUS TECHQ W/WO TOMO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74415","description":"UROGRAPY INFUSION DRIP and /BOLUS TECHQ W/WO TOMO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53515","description":"URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53515","description":"URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53420","description":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53420","description":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53425","description":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53425","description":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53415","description":"URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53415","description":"URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTP W/TUBULARIZATION POST URT and /LWR BLDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53431","description":"URTP W/TUBULARIZATION POST URT and /LWR BLDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTP W/TUBULARIZATION POST URT and /LWR BLDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53431","description":"URTP W/TUBULARIZATION POST URT and /LWR BLDR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY LOWER ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50630","description":"URTROLITHOTOMY LOWER ONE-THIRD URETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY LOWER ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50630","description":"URTROLITHOTOMY LOWER ONE-THIRD URETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY MIDDLE ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50620","description":"URTROLITHOTOMY MIDDLE ONE-THIRD URETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY MIDDLE ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50620","description":"URTROLITHOTOMY MIDDLE ONE-THIRD URETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY UPPER ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50610","description":"URTROLITHOTOMY UPPER ONE-THIRD URETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY UPPER ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50610","description":"URTROLITHOTOMY UPPER ONE-THIRD URETER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTROLSS RETROCAVAL URTR W/REANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50725","description":"URTROLSS RETROCAVAL URTR W/REANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTROLSS RETROCAVAL URTR W/REANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50725","description":"URTROLSS RETROCAVAL URTR W/REANAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50785","description":"URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50785","description":"URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50600","description":"URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50600","description":"URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTT/URTS XTRNL SPX PENDULOUS URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53000","description":"URTT/URTS XTRNL SPX PENDULOUS URETHRA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"URTT/URTS XTRNL SPX PENDULOUS URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53000","description":"URTT/URTS XTRNL SPX PENDULOUS URETHRA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US AND MNTR PARENCHYMAL TISSUE ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76940","description":"US AND MNTR PARENCHYMAL TISSUE ABLATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US AND MNTR PARENCHYMAL TISSUE ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76940","description":"US AND MNTR PARENCHYMAL TISSUE ABLATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76700","description":"US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76700","description":"US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL REAL TIME W/IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76705","description":"US ABDOMINAL REAL TIME W/IMAGE LIMITED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL REAL TIME W/IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76705","description":"US ABDOMINAL REAL TIME W/IMAGE LIMITED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US BONE DENSITY MEAS AND INTERP PERIPH ANY METHO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76977","description":"US BONE DENSITY MEAS AND INTERP PERIPH ANY METHO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US BONE DENSITY MEAS AND INTERP PERIPH ANY METHO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76977","description":"US BONE DENSITY MEAS AND INTERP PERIPH ANY METHO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US BREAST UNI REAL TIME WITH IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76641","description":"US BREAST UNI REAL TIME WITH IMAGE COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US BREAST UNI REAL TIME WITH IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76641","description":"US BREAST UNI REAL TIME WITH IMAGE COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US BREAST UNI REAL TIME WITH IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76642","description":"US BREAST UNI REAL TIME WITH IMAGE LIMITED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US BREAST UNI REAL TIME WITH IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76642","description":"US BREAST UNI REAL TIME WITH IMAGE LIMITED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US CHEST REAL TIME W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76604","description":"US CHEST REAL TIME W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US CHEST REAL TIME W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76604","description":"US CHEST REAL TIME W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76936","description":"US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76936","description":"US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US COMPL JOINT R-T W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76881","description":"US COMPL JOINT R-T W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US COMPL JOINT R-T W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76881","description":"US COMPL JOINT R-T W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US ENDOMYOCARDIAL BIOPSY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76932","description":"US ENDOMYOCARDIAL BIOPSY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US ENDOMYOCARDIAL BIOPSY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76932","description":"US ENDOMYOCARDIAL BIOPSY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76813","description":"US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76813","description":"US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76814","description":"US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76814","description":"US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE AMNIOCENTESIS IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76946","description":"US GUIDANCE AMNIOCENTESIS IMG S AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE AMNIOCENTESIS IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76946","description":"US GUIDANCE AMNIOCENTESIS IMG S AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE ASPIRATION OVA IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76948","description":"US GUIDANCE ASPIRATION OVA IMG S AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE ASPIRATION OVA IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76948","description":"US GUIDANCE ASPIRATION OVA IMG S AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76945","description":"US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76945","description":"US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76965","description":"US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76965","description":"US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE NEEDLE PLACEMENT IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76942","description":"US GUIDANCE NEEDLE PLACEMENT IMG S AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE NEEDLE PLACEMENT IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76942","description":"US GUIDANCE NEEDLE PLACEMENT IMG S AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76885","description":"US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76885","description":"US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76886","description":"US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76886","description":"US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76941","description":"US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76941","description":"US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76882","description":"US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76882","description":"US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76882","description":"US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US NRV and ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76883","description":"US NRV and ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US NRV and ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76883","description":"US NRV and ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76857","description":"US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76857","description":"US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76856","description":"US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76856","description":"US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS GT 1ST TRIMESTER ABDL EA GESTATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76810","description":"US PREG UTERUS GT 1ST TRIMESTER ABDL EA GESTATIO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS GT 1ST TRIMESTER ABDL EA GESTATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76810","description":"US PREG UTERUS GT 1ST TRIMESTER ABDL EA GESTATIO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS 14 WK TRANSABDL EACH GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76802","description":"US PREG UTERUS 14 WK TRANSABDL EACH GESTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS 14 WK TRANSABDL EACH GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76802","description":"US PREG UTERUS 14 WK TRANSABDL EACH GESTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76805","description":"US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76805","description":"US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76812","description":"US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76812","description":"US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76816","description":"US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76816","description":"US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76817","description":"US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76817","description":"US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76811","description":"US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76811","description":"US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76801","description":"US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76801","description":"US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PREGNANT UTERUS LIMITED 1 OR GT FETUSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76815","description":"US PREGNANT UTERUS LIMITED 1 OR GT FETUSES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US PREGNANT UTERUS LIMITED 1 OR GT FETUSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76815","description":"US PREGNANT UTERUS LIMITED 1 OR GT FETUSES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76770","description":"US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76770","description":"US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US RETROPERITONEAL REAL TIME W/IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76775","description":"US RETROPERITONEAL REAL TIME W/IMAGE LIMITED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US RETROPERITONEAL REAL TIME W/IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76775","description":"US RETROPERITONEAL REAL TIME W/IMAGE LIMITED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US SCROTUM AND CONTENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76870","description":"US SCROTUM AND CONTENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US SCROTUM AND CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76870","description":"US SCROTUM AND CONTENTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US SOFT TISSUE HEAD AND NECK REAL TIME IMGE DOCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76536","description":"US SOFT TISSUE HEAD AND NECK REAL TIME IMGE DOCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US SOFT TISSUE HEAD AND NECK REAL TIME IMGE DOCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76536","description":"US SOFT TISSUE HEAD AND NECK REAL TIME IMGE DOCM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76873","description":"US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76873","description":"US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSRECTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76872","description":"US TRANSRECTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSRECTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76872","description":"US TRANSRECTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSVAGINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76830","description":"US TRANSVAGINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSVAGINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76830","description":"US TRANSVAGINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76776","description":"US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76776","description":"US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US VASC ACCESS SITS VSL PATENCY NDL ENTRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76937","description":"US VASC ACCESS SITS VSL PATENCY NDL ENTRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"US VASC ACCESS SITS VSL PATENCY NDL ENTRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76937","description":"US VASC ACCESS SITS VSL PATENCY NDL ENTRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"USE APPROP RAD DOSE RDXN DEV/MAN TECHS DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6040F","description":"USE APPROP RAD DOSE RDXN DEV/MAN TECHS DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE APPROP RAD DOSE RDXN DEV/MAN TECHS DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6040F","description":"USE APPROP RAD DOSE RDXN DEV/MAN TECHS DOCD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE OF ECHO CONTRAST AGENT DURING STRESS ECHO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93352","description":"USE OF ECHO CONTRAST AGENT DURING STRESS ECHO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"USE OF ECHO CONTRAST AGENT DURING STRESS ECHO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93352","description":"USE OF ECHO CONTRAST AGENT DURING STRESS ECHO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"USE OF WET TO DRY DRESSINGS PRESCRIBED RECMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4265F","description":"USE OF WET TO DRY DRESSINGS PRESCRIBED RECMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE OF WET TO DRY DRESSINGS PRESCRIBED RECMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4265F","description":"USE OF WET TO DRY DRESSINGS PRESCRIBED RECMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE OPHTHALMIC ENDOSCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66990","description":"USE OPHTHALMIC ENDOSCOPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"USE OPHTHALMIC ENDOSCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66990","description":"USE OPHTHALMIC ENDOSCOPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"USE VERTICAL ELECTRODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92547","description":"USE VERTICAL ELECTRODES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"USE VERTICAL ELECTRODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92547","description":"USE VERTICAL ELECTRODES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"USE WET TO DRY DRESSINGS NEITHER RXD NOR RECMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4266F","description":"USE WET TO DRY DRESSINGS NEITHER RXD NOR RECMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE WET TO DRY DRESSINGS NEITHER RXD NOR RECMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4266F","description":"USE WET TO DRY DRESSINGS NEITHER RXD NOR RECMD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3357","description":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3357","description":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE EVACUATION AND CURETTAGE HYDATIDIFORM MOLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59870","description":"UTERINE EVACUATION AND CURETTAGE HYDATIDIFORM MOLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE EVACUATION AND CURETTAGE HYDATIDIFORM MOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59870","description":"UTERINE EVACUATION AND CURETTAGE HYDATIDIFORM MOLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58410","description":"UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58410","description":"UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58400","description":"UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58400","description":"UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UV LIGHT TX SYS BULB/LAMP TIMER; TX 2 SQ FT/LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0691","description":"UV LIGHT TX SYS BULB/LAMP TIMER; TX 2 SQ FT/LESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UV LT TX SYS PANL W/BULB/LAMP TIMER 4 FT PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0692","description":"UV LT TX SYS PANL W/BULB/LAMP TIMER 4 FT PANEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UV LT TX SYS PANL W/BULBS/LAMPS TIMER 6 FT PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0693","description":"UV LT TX SYS PANL W/BULBS/LAMPS TIMER 6 FT PANEL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UV MX DIR LT TX SYS 6 FT CABINET W/BULB/LAMP TMR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0694","description":"UV MX DIR LT TX SYS 6 FT CABINET W/BULB/LAMP TMR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UVULECTOMY EXCISION UVULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42140","description":"UVULECTOMY EXCISION UVULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"UVULECTOMY EXCISION UVULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42140","description":"UVULECTOMY EXCISION UVULA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Ultralightweight wheelchair","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0005","description":"Ultralightweight wheelchair","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VACCINIA IMMUNE GLOBULIN HUMAN IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90393","description":"VACCINIA IMMUNE GLOBULIN HUMAN IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VACCINIA IMMUNE GLOBULIN HUMAN IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90393","description":"VACCINIA IMMUNE GLOBULIN HUMAN IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST GT 250 GM RMVL TUBE and /OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58291","description":"VAG HYST GT 250 GM RMVL TUBE and /OVARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST GT 250 GM RMVL TUBE and /OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58291","description":"VAG HYST GT 250 GM RMVL TUBE and /OVARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST GT 250 GM RMVL TUBE and /OVARY W/RPR ENTRCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58292","description":"VAG HYST GT 250 GM RMVL TUBE and /OVARY W/RPR ENTRCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST GT 250 GM RMVL TUBE and /OVARY W/RPR ENTRCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58292","description":"VAG HYST GT 250 GM RMVL TUBE and /OVARY W/RPR ENTRCLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT W/COLPO-URTCSTOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58267","description":"VAG HYST 250 GM OR LT W/COLPO-URTCSTOPEXY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT W/COLPO-URTCSTOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58267","description":"VAG HYST 250 GM OR LT W/COLPO-URTCSTOPEXY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT W/RMVL TUBE OVARY W/RPR NTRCL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58263","description":"VAG HYST 250 GM OR LT W/RMVL TUBE OVARY W/RPR NTRCL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT W/RMVL TUBE OVARY W/RPR NTRCL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58263","description":"VAG HYST 250 GM OR LT W/RMVL TUBE OVARY W/RPR NTRCL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT W/RMVL TUBE and /OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58262","description":"VAG HYST 250 GM OR LT W/RMVL TUBE and /OVARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT W/RMVL TUBE and /OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58262","description":"VAG HYST 250 GM OR LT W/RMVL TUBE and /OVARY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58280","description":"VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58280","description":"VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY AND POSTPARTUM CARE VBAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59614","description":"VAGINAL DELIVERY AND POSTPARTUM CARE VBAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY AND POSTPARTUM CARE VBAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59614","description":"VAGINAL DELIVERY AND POSTPARTUM CARE VBAC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY AFTER CESAREAN DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59612","description":"VAGINAL DELIVERY AFTER CESAREAN DELIVERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY AFTER CESAREAN DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59612","description":"VAGINAL DELIVERY AFTER CESAREAN DELIVERY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59409","description":"VAGINAL DELIVERY ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59409","description":"VAGINAL DELIVERY ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY ONLY W/POSTPARTUM CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59410","description":"VAGINAL DELIVERY ONLY W/POSTPARTUM CARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY ONLY W/POSTPARTUM CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59410","description":"VAGINAL DELIVERY ONLY W/POSTPARTUM CARE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY GT 250 GM RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58294","description":"VAGINAL HYSTERECTOMY GT 250 GM RPR ENTEROCELE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY GT 250 GM RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58294","description":"VAGINAL HYSTERECTOMY GT 250 GM RPR ENTEROCELE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY 250 GM OR LT W/RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58270","description":"VAGINAL HYSTERECTOMY 250 GM OR LT W/RPR ENTEROCELE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY 250 GM OR LT W/RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58270","description":"VAGINAL HYSTERECTOMY 250 GM OR LT W/RPR ENTEROCELE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58285","description":"VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58285","description":"VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY UTERUS GT 250 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58290","description":"VAGINAL HYSTERECTOMY UTERUS GT 250 GM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY UTERUS GT 250 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58290","description":"VAGINAL HYSTERECTOMY UTERUS GT 250 GM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58260","description":"VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58260","description":"VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58275","description":"VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58275","description":"VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57110","description":"VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57110","description":"VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY PRTL RMVL VAG WALL AND PARAVAGINAL T","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57107","description":"VAGINECTOMY PRTL RMVL VAG WALL AND PARAVAGINAL T","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINOPLASTY INTERSEX STATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57335","description":"VAGINOPLASTY INTERSEX STATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINOPLASTY INTERSEX STATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57335","description":"VAGINOPLASTY INTERSEX STATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC PRTL RMVL VAG WALL W/RMVL PARAVAGINAL TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57107","description":"VAGNC PRTL RMVL VAG WALL W/RMVL PARAVAGINAL TISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC PRTL RMVL VAG WALL W/RMVL PARAVAGINAL TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57107","description":"VAGNC PRTL RMVL VAG WALL W/RMVL PARAVAGINAL TISS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGOTOMY PFRMD W/PRTL DSTL GSTRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43635","description":"VAGOTOMY PFRMD W/PRTL DSTL GSTRCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGOTOMY PFRMD W/PRTL DSTL GSTRCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43635","description":"VAGOTOMY PFRMD W/PRTL DSTL GSTRCT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33460","description":"VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33460","description":"VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY MITRAL VALVE CLOSED HEART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33420","description":"VALVOTOMY MITRAL VALVE CLOSED HEART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY MITRAL VALVE CLOSED HEART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33420","description":"VALVOTOMY MITRAL VALVE CLOSED HEART","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33422","description":"VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33422","description":"VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33474","description":"VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33474","description":"VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY FEMORAL VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34501","description":"VALVULOPLASTY FEMORAL VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY FEMORAL VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34501","description":"VALVULOPLASTY FEMORAL VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33425","description":"VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33425","description":"VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33463","description":"VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33463","description":"VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33464","description":"VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33464","description":"VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90716","description":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90716","description":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VARIABLE CONCENTRATION MASK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4620","description":"VARIABLE CONCENTRATION MASK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90396","description":"VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90396","description":"VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR GRAFT MATERIAL SYNTHETIC IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8670","description":"VASCULAR GRAFT MATERIAL SYNTHETIC IMPLANT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74440","description":"VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74440","description":"VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63103","description":"VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63103","description":"VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63307","description":"VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63307","description":"VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63303","description":"VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63303","description":"VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG XDRL THRC THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63302","description":"VCRPEC LES 1 SEG XDRL THRC THORACOLMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG XDRL THRC THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63302","description":"VCRPEC LES 1 SEG XDRL THRC THORACOLMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SGM XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63300","description":"VCRPEC LES 1 SGM XDRL CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SGM XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63300","description":"VCRPEC LES 1 SGM XDRL CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SGM XDRL THORACIC TTHRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63301","description":"VCRPEC LES 1 SGM XDRL THORACIC TTHRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SGM XDRL THORACIC TTHRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63301","description":"VCRPEC LES 1 SGM XDRL THORACIC TTHRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63087","description":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63087","description":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63088","description":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63088","description":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63090","description":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63090","description":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63091","description":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63091","description":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VEN CATHJ SLCTV ORGAN BLD SAMPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36500","description":"VEN CATHJ SLCTV ORGAN BLD SAMPLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VEN CATHJ SLCTV ORGAN BLD SAMPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36500","description":"VEN CATHJ SLCTV ORGAN BLD SAMPLING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN AGE 1 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36425","description":"VENIPUNCTURE CUTDOWN AGE 1 YR OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN AGE 1 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36425","description":"VENIPUNCTURE CUTDOWN AGE 1 YR OR GT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN UNDER AGE 1 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36420","description":"VENIPUNCTURE CUTDOWN UNDER AGE 1 YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36420","description":"VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36420","description":"VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75840","description":"VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75840","description":"VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75825","description":"VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75825","description":"VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75827","description":"VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75827","description":"VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EPIDURAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75872","description":"VENOGRAPHY EPIDURAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EPIDURAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75872","description":"VENOGRAPHY EPIDURAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EXTREMITY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75822","description":"VENOGRAPHY EXTREMITY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EXTREMITY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75822","description":"VENOGRAPHY EXTREMITY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EXTREMITY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75820","description":"VENOGRAPHY EXTREMITY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EXTREMITY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75820","description":"VENOGRAPHY EXTREMITY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY ORBITAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75880","description":"VENOGRAPHY ORBITAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY ORBITAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75880","description":"VENOGRAPHY ORBITAL RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY RENAL BILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75833","description":"VENOGRAPHY RENAL BILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY RENAL BILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75833","description":"VENOGRAPHY RENAL BILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY RENAL UNILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75831","description":"VENOGRAPHY RENAL UNILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY RENAL UNILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75831","description":"VENOGRAPHY RENAL UNILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY SUPERIOR SAGITTAL SINUS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75870","description":"VENOGRAPHY SUPERIOR SAGITTAL SINUS RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY SUPERIOR SAGITTAL SINUS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75870","description":"VENOGRAPHY SUPERIOR SAGITTAL SINUS RS AND I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75860","description":"VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75860","description":"VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37160","description":"VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37160","description":"VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN PORTOCAVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37140","description":"VENOUS ANASTOMOSIS OPEN PORTOCAVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN PORTOCAVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37140","description":"VENOUS ANASTOMOSIS OPEN PORTOCAVAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN RENOPORTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37145","description":"VENOUS ANASTOMOSIS OPEN RENOPORTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN RENOPORTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37145","description":"VENOUS ANASTOMOSIS OPEN RENOPORTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37181","description":"VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37181","description":"VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37180","description":"VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37180","description":"VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75893","description":"VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS and","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75893","description":"VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS and","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOEMBOLISM (VTE) PROPHYLAXIS RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4069F","description":"VENOUS THROMBOEMBOLISM (VTE) PROPHYLAXIS RCVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOEMBOLISM (VTE) PROPHYLAXIS RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4069F","description":"VENOUS THROMBOEMBOLISM (VTE) PROPHYLAXIS RCVD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78458","description":"VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78458","description":"VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78457","description":"VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78457","description":"VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS VALVE TRANSPOSITION ANY VEIN DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34510","description":"VENOUS VALVE TRANSPOSITION ANY VEIN DONOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS VALVE TRANSPOSITION ANY VEIN DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34510","description":"VENOUS VALVE TRANSPOSITION ANY VEIN DONOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATING TUBE RMVL REQUIRING GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69424","description":"VENTILATING TUBE RMVL REQUIRING GENERAL ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATING TUBE RMVL REQUIRING GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69424","description":"VENTILATING TUBE RMVL REQUIRING GENERAL ANES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST AND MGMT INPATIENT 1ST DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94002","description":"VENTILATION ASSIST AND MGMT INPATIENT 1ST DAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST AND MGMT INPATIENT 1ST DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94002","description":"VENTILATION ASSIST AND MGMT INPATIENT 1ST DAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST AND MGMT INPATIENT EA SBSQ DA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94003","description":"VENTILATION ASSIST AND MGMT INPATIENT EA SBSQ DA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST AND MGMT INPATIENT EA SBSQ DA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94003","description":"VENTILATION ASSIST AND MGMT INPATIENT EA SBSQ DA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST AND MGMT NURSING FAC PR DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94004","description":"VENTILATION ASSIST AND MGMT NURSING FAC PR DAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST AND MGMT NURSING FAC PR DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94004","description":"VENTILATION ASSIST AND MGMT NURSING FAC PR DAY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61026","description":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61026","description":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61020","description":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61020","description":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62180","description":"VENTRICULOCISTERNOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62180","description":"VENTRICULOCISTERNOSTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY 3RD VENTRICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62200","description":"VENTRICULOCISTERNOSTOMY 3RD VENTRICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY 3RD VENTRICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62200","description":"VENTRICULOCISTERNOSTOMY 3RD VENTRICLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62201","description":"VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62201","description":"VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOMYOTOMY-MYECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33416","description":"VENTRICULOMYOTOMY-MYECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOMYOTOMY-MYECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33416","description":"VENTRICULOMYOTOMY-MYECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERIFICATION and DOC SUDDEN/RAPIDLY PROG HEAR LOSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8565","description":"VERIFICATION and DOC SUDDEN/RAPIDLY PROG HEAR LOSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERIFICATION and DOC SUDDEN/RAPIDLY PROG HEAR LOSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8565","description":"VERIFICATION and DOC SUDDEN/RAPIDLY PROG HEAR LOSS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERIFY CORRECT PT SITE PXD DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6100F","description":"VERIFY CORRECT PT SITE PXD DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERIFY CORRECT PT SITE PXD DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6100F","description":"VERIFY CORRECT PT SITE PXD DOCUMENTED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40500","description":"VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40500","description":"VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63102","description":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63102","description":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63101","description":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63101","description":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63081","description":"VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63081","description":"VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63082","description":"VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63082","description":"VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63085","description":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63085","description":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63086","description":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63086","description":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63308","description":"VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63308","description":"VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63304","description":"VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63304","description":"VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63305","description":"VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63305","description":"VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63306","description":"VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63306","description":"VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VERY LONG CHAIN FATTY ACIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82726","description":"VERY LONG CHAIN FATTY ACIDS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULAR NRV SECTION TRANSCRANIAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69950","description":"VESTIBULAR NRV SECTION TRANSCRANIAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULAR NRV SECTION TRANSCRANIAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69950","description":"VESTIBULAR NRV SECTION TRANSCRANIAL APPROACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69915","description":"VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69915","description":"VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY ANTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40840","description":"VESTIBULOPLASTY ANTERIOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40840","description":"VESTIBULOPLASTY ANTERIOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40845","description":"VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40845","description":"VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY ENTIRE ARCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40844","description":"VESTIBULOPLASTY ENTIRE ARCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY ENTIRE ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40844","description":"VESTIBULOPLASTY ENTIRE ARCH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY POSTERIOR BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40843","description":"VESTIBULOPLASTY POSTERIOR BILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY POSTERIOR BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40843","description":"VESTIBULOPLASTY POSTERIOR BILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY POSTERIOR UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40842","description":"VESTIBULOPLASTY POSTERIOR UNILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY POSTERIOR UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40842","description":"VESTIBULOPLASTY POSTERIOR UNILATERAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43641","description":"VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43641","description":"VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43640","description":"VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43640","description":"VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VINCRISTINE SULFATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9370","description":"VINCRISTINE SULFATE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VINCRISTINE SULFATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9370","description":"VINCRISTINE SULFATE 1 MG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87254","description":"VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS ID NON-IMMUNOLOGIC OTH/THN CYTOPATHIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87255","description":"VIRUS ID NON-IMMUNOLOGIC OTH/THN CYTOPATHIC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS INOCULATION EGGS/SM ANIMAL OBS and DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87250","description":"VIRUS INOCULATION EGGS/SM ANIMAL OBS and DSJ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87252","description":"VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS TISSUE CULTURE ADDL STDY/ID EACH ISOLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87253","description":"VIRUS TISSUE CULTURE ADDL STDY/ID EACH ISOLATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VISCOSITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85810","description":"VISCOSITY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95930","description":"VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95930","description":"VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I and R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92083","description":"VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FIELD XM UNI/BI W/INTERP INTERMED EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92082","description":"VISUAL FIELD XM UNI/BI W/INTERP INTERMED EXAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FIELD XM UNI/BI W/INTERPRETJ LIMITED EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92081","description":"VISUAL FIELD XM UNI/BI W/INTERPRETJ LIMITED EXAM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FUNCTIONAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1055F","description":"VISUAL FUNCTIONAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FUNCTIONAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1055F","description":"VISUAL FUNCTIONAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL REINFORCEMENT AUDIOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92579","description":"VISUAL REINFORCEMENT AUDIOMETRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL REINFORCEMENT AUDIOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92579","description":"VISUAL REINFORCEMENT AUDIOMETRY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VITAL SIGNS RECORDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2010F","description":"VITAL SIGNS RECORDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITAL SIGNS RECORDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2010F","description":"VITAL SIGNS RECORDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67039","description":"VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67039","description":"VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY MECHANICAL PARS PLANA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67036","description":"VITRECTOMY MECHANICAL PARS PLANA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY MECHANICAL PARS PLANA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67036","description":"VITRECTOMY MECHANICAL PARS PLANA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67042","description":"VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67042","description":"VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67041","description":"VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67041","description":"VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67043","description":"VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67043","description":"VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VLVCTMY RAD COMPL INGUINOFEM ILIAC and PEL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56640","description":"VLVCTMY RAD COMPL INGUINOFEM ILIAC and PEL LYMPHADEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VLVCTMY RAD COMPL INGUINOFEM ILIAC and PEL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56640","description":"VLVCTMY RAD COMPL INGUINOFEM ILIAC and PEL LYMPHADEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33427","description":"VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33427","description":"VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33426","description":"VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33426","description":"VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR LT 3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36400","description":"VNPNXR LT 3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR LT 3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36400","description":"VNPNXR LT 3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR LT 3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36400","description":"VNPNXR LT 3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR LT 3 YEARS PHYS/QHP SKILL OTHER VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36406","description":"VNPNXR LT 3 YEARS PHYS/QHP SKILL OTHER VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR LT 3 YEARS PHYS/QHP SKILL OTHER VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36406","description":"VNPNXR LT 3 YEARS PHYS/QHP SKILL OTHER VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR LT 3 YEARS PHYS/QHP SKILL SCALP VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36405","description":"VNPNXR LT 3 YEARS PHYS/QHP SKILL SCALP VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR LT 3 YEARS PHYS/QHP SKILL SCALP VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36405","description":"VNPNXR LT 3 YEARS PHYS/QHP SKILL SCALP VEIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR 3 YEARS OR GT PHYS/QHP SKILL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36410","description":"VNPNXR 3 YEARS OR GT PHYS/QHP SKILL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR 3 YEARS OR GT PHYS/QHP SKILL DX/THER PURPOSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36410","description":"VNPNXR 3 YEARS OR GT PHYS/QHP SKILL DX/THER PURPOSES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR 3 YEARS OR GT PHYS/QHP SKILL DX/THER PURPOSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36410","description":"VNPNXR 3 YEARS OR GT PHYS/QHP SKILL DX/THER PURPOSES","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VOICE AMPLIFIER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8510","description":"VOICE AMPLIFIER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VOID PRESSURE STUDIES INTRAABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51797","description":"VOID PRESSURE STUDIES INTRAABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VOID PRESSURE STUDIES INTRAABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51797","description":"VOID PRESSURE STUDIES INTRAABDOMINAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VOLUME MEASUREMENT TIMED COLLECTION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81050","description":"VOLUME MEASUREMENT TIMED COLLECTION EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VSTBLR FUNCJ NYSTAG FOVL AND PERPH STIMJ OSCIL TRK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92540","description":"VSTBLR FUNCJ NYSTAG FOVL AND PERPH STIMJ OSCIL TRK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VSTBLR FUNCJ NYSTAG FOVL AND PERPH STIMJ OSCIL TRK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92540","description":"VSTBLR FUNCJ NYSTAG FOVL AND PERPH STIMJ OSCIL TRK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67040","description":"VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67040","description":"VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL BI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56637","description":"VULVECTOMY RAD COMPL BI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL BI INGUINOFEM LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56637","description":"VULVECTOMY RAD COMPL BI INGUINOFEM LYMPHADEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL BI INGUINOFEM LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56637","description":"VULVECTOMY RAD COMPL BI INGUINOFEM LYMPHADEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL ILIAC AND PELVIC LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56640","description":"VULVECTOMY RAD COMPL ILIAC AND PELVIC LMPHADECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL UNI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56634","description":"VULVECTOMY RAD COMPL UNI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL UNI INGUINOFEM LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56634","description":"VULVECTOMY RAD COMPL UNI INGUINOFEM LYMPHADEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL UNI INGUINOFEM LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56634","description":"VULVECTOMY RAD COMPL UNI INGUINOFEM LYMPHADEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56632","description":"VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56632","description":"VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56631","description":"VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56631","description":"VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RADICAL COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56633","description":"VULVECTOMY RADICAL COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RADICAL COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56633","description":"VULVECTOMY RADICAL COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RADICAL PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56630","description":"VULVECTOMY RADICAL PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RADICAL PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56630","description":"VULVECTOMY RADICAL PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY SIMPLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56625","description":"VULVECTOMY SIMPLE COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY SIMPLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56625","description":"VULVECTOMY SIMPLE COMPLETE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY SIMPLE PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56620","description":"VULVECTOMY SIMPLE PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY SIMPLE PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56620","description":"VULVECTOMY SIMPLE PARTIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Vaporizer room type","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0605","description":"Vaporizer room type","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Variable concentration mask","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4620","description":"Variable concentration mask","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Variable concentration mask","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4620","description":"Variable concentration mask","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95958","description":"WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95958","description":"WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WALK HEAVY DUTY W/O WHLS RIGID/FOLD ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0148","description":"WALK HEAVY DUTY W/O WHLS RIGID/FOLD ANY TYPE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WALKER ENCLOSED 4 SIDED FRAME WHEELD W/POST SEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0144","description":"WALKER ENCLOSED 4 SIDED FRAME WHEELD W/POST SEAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WALKER ENCLOSED 4 SIDED FRAME WHEELD W/POST SEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0144","description":"WALKER ENCLOSED 4 SIDED FRAME WHEELD W/POST SEAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WALKER FOLDING ADJUSTABLE OR FIXED HEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0135","description":"WALKER FOLDING ADJUSTABLE OR FIXED HEIGHT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WALKER FOLDING WHEELED ADJUSTABLE/FIXED HEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0143","description":"WALKER FOLDING WHEELED ADJUSTABLE/FIXED HEIGHT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WALKER HEAVY DUTY MX BRAKE SYS VARIBLE WHL RSIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0147","description":"WALKER HEAVY DUTY MX BRAKE SYS VARIBLE WHL RSIST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WALKER HEAVY DUTY WHEELED RIGID/FOLD ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0149","description":"WALKER HEAVY DUTY WHEELED RIGID/FOLD ANY TYPE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WALKER HEAVY DUTY WHEELED RIGID/FOLD ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0149","description":"WALKER HEAVY DUTY WHEELED RIGID/FOLD ANY TYPE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WALKER RIGID ADJUSTABLE OR FIXED HEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0130","description":"WALKER RIGID ADJUSTABLE OR FIXED HEIGHT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WALKER RIGID WHEELED ADJUSTABLE OR FIXED HEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0141","description":"WALKER RIGID WHEELED ADJUSTABLE OR FIXED HEIGHT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WALKER W/TRUNK SUPPORT ADJUSTBLE/FIX HT ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0140","description":"WALKER W/TRUNK SUPPORT ADJUSTBLE/FIX HT ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WALKER W/TRUNK SUPPORT ADJUSTBLE/FIX HT ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0140","description":"WALKER W/TRUNK SUPPORT ADJUSTBLE/FIX HT ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT NON-PNEUMATIC PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4386","description":"WALKING BOOT NON-PNEUMATIC PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT NON-PNEUMATIC PREFAB OFF THE SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4387","description":"WALKING BOOT NON-PNEUMATIC PREFAB OFF THE SHELF","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT PNEUMATC and / VACUUM PREFAB CUSTM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4360","description":"WALKING BOOT PNEUMATC and / VACUUM PREFAB CUSTM FIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT PNEUMATC and / VACUUM PREFAB CUSTM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4360","description":"WALKING BOOT PNEUMATC and / VACUUM PREFAB CUSTM FIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT PNEUMATIC AND OR VACUUM PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4361","description":"WALKING BOOT PNEUMATIC AND OR VACUUM PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WARFARIN RSPN TEST GEN TECH ANY METH ANY # SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9143","description":"WARFARIN RSPN TEST GEN TECH ANY METH ANY # SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WARFARIN RSPN TEST GEN TECH ANY METH ANY # SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9143","description":"WARFARIN RSPN TEST GEN TECH ANY METH ANY # SPEC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WARFARIN THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4012F","description":"WARFARIN THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WARFARIN THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4012F","description":"WARFARIN THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WARFARIN/ANR FDA APRVD ORAL ANTICOAGULANT PRESC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8967","description":"WARFARIN/ANR FDA APRVD ORAL ANTICOAGULANT PRESC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WARFARIN/ANR FDA-APV AC NOT PRSC REASON NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9928","description":"WARFARIN/ANR FDA-APV AC NOT PRSC REASON NOT GVN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER CIRCULATING HEAT PAD WITH PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0217","description":"WATER CIRCULATING HEAT PAD WITH PUMP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WATER COLLEC DEV USE W/LG VOL NEB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7012","description":"WATER COLLEC DEV USE W/LG VOL NEB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WATER COLLEC DEV USE W/LG VOL NEB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7012","description":"WATER COLLEC DEV USE W/LG VOL NEB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0198","description":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0198","description":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WATER PRESSURE MATTRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0187","description":"WATER PRESSURE MATTRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WATER SEAL DRAINAGE CONTAINER AND TUBING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7041","description":"WATER SEAL DRAINAGE CONTAINER AND TUBING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WATER SEAL DRAINAGE CONTAINER AND TUBING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7041","description":"WATER SEAL DRAINAGE CONTAINER AND TUBING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WATR CHAMB HUMDIFIR USED W/POS ARWAY PRSS DEVC R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7046","description":"WATR CHAMB HUMDIFIR USED W/POS ARWAY PRSS DEVC R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WATR CHAMB HUMDIFIR USED W/POS ARWAY PRSS DEVC R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7046","description":"WATR CHAMB HUMDIFIR USED W/POS ARWAY PRSS DEVC R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WBC ALKALINE PHOSPHATASE COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85540","description":"WBC ALKALINE PHOSPHATASE COUNT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCESS ADD MOBIL ARM SUPP OFFSET/LAT RCKR ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2632","description":"WC ACCESS ADD MOBIL ARM SUPP OFFSET/LAT RCKR ARM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCESS ADD MOBILE ARM SUPPORT ELEV PROX ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2631","description":"WC ACCESS ADD MOBILE ARM SUPPORT ELEV PROX ARM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCESS ADD MOBILE ARM SUPPORT SUPINATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2633","description":"WC ACCESS ADD MOBILE ARM SUPPORT SUPINATOR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCESS SHLDR ELB M ARM SUPP ADJUSTBL RANCHO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2627","description":"WC ACCESS SHLDR ELB M ARM SUPP ADJUSTBL RANCHO","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCESS SHLDR ELB M ARM SUPP FRICTION ARM SUPP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2629","description":"WC ACCESS SHLDR ELB M ARM SUPP FRICTION ARM SUPP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCESS SHLDR ELB MOBIL ARM SUPP WC ADJUSTBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2626","description":"WC ACCESS SHLDR ELB MOBIL ARM SUPP WC ADJUSTBLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCESS SHLDR ELB MOBIL ARM SUPP WC RECLINING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2628","description":"WC ACCESS SHLDR ELB MOBIL ARM SUPP WC RECLINING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCESS SHLDR ELB MOBIL MONOSUSP ARM HAND SUPP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2630","description":"WC ACCESS SHLDR ELB MOBIL MONOSUSP ARM HAND SUPP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS ADD PWR SEAT MECH LINKD LEG ELEV SYS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1009","description":"WC ACCSS ADD PWR SEAT MECH LINKD LEG ELEV SYS EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1010","description":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1010","description":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS ADJUSTBL HT DTACH ARMRST CMPL ASSMBL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0973","description":"WC ACCSS ADJUSTBL HT DTACH ARMRST CMPL ASSMBL EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS MANL SWINGAWAY OTH CNTRL INTRFCE/PSTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1028","description":"WC ACCSS MANL SWINGAWAY OTH CNTRL INTRFCE/PSTN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0955","description":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0955","description":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS LAT TRNK/HIP SUPP FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0956","description":"WC ACSS LAT TRNK/HIP SUPP FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS MED THI SUPP FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0957","description":"WC ACSS MED THI SUPP FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/MECH SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1004","description":"WC ACSS PWR SEAT SYS RECLINE W/MECH SHEAR RDUC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/MECH SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1004","description":"WC ACSS PWR SEAT SYS RECLINE W/MECH SHEAR RDUC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/O SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1003","description":"WC ACSS PWR SEAT SYS RECLINE W/O SHEAR RDUC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/O SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1003","description":"WC ACSS PWR SEAT SYS RECLINE W/O SHEAR RDUC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/PWR SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1005","description":"WC ACSS PWR SEAT SYS RECLINE W/PWR SHEAR RDUC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/PWR SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1005","description":"WC ACSS PWR SEAT SYS RECLINE W/PWR SHEAR RDUC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS TILT AND RECLINE NO SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1006","description":"WC ACSS PWR SEAT SYS TILT AND RECLINE NO SHEAR RDUC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS TILT AND RECLINE NO SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1006","description":"WC ACSS PWR SEAT SYS TILT AND RECLINE NO SHEAR RDUC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT TILT AND RECLINE MECH SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1007","description":"WC ACSS PWR SEAT TILT AND RECLINE MECH SHEAR RDUC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT TILT AND RECLINE MECH SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1007","description":"WC ACSS PWR SEAT TILT AND RECLINE MECH SHEAR RDUC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT TILT and RECLINE W/PWR SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1008","description":"WC ACSS PWR SEAT TILT and RECLINE W/PWR SHEAR RDUC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT TILT and RECLINE W/PWR SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1008","description":"WC ACSS PWR SEAT TILT and RECLINE W/PWR SHEAR RDUC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS SHLDR HRNSS/STRAPS/CHST STRAP W/TYPE MOU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0960","description":"WC ACSS SHLDR HRNSS/STRAPS/CHST STRAP W/TYPE MOU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/O SEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1234","description":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/O SEAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/O SEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1234","description":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/O SEAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/SEAT SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1232","description":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/SEAT SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/SEAT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1232","description":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/SEAT SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/O SEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1233","description":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/O SEAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/O SEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1233","description":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/O SEAT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/SEAT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1231","description":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/SEAT SYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WEDGE EXCISION SKIN NAIL FOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11765","description":"WEDGE EXCISION SKIN NAIL FOLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WEDGE EXCISION SKIN NAIL FOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11765","description":"WEDGE EXCISION SKIN NAIL FOLD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WEDGE RESCJ/BISCTJ OVARY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58920","description":"WEDGE RESCJ/BISCTJ OVARY UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WEDGE RESCJ/BISCTJ OVARY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58920","description":"WEDGE RESCJ/BISCTJ OVARY UNI/BI","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WEDGING CAST EXCEPT CLUBFOOT CASTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29740","description":"WEDGING CAST EXCEPT CLUBFOOT CASTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WEDGING CAST EXCEPT CLUBFOOT CASTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29740","description":"WEDGING CAST EXCEPT CLUBFOOT CASTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WEDGING CLUBFOOT CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29750","description":"WEDGING CLUBFOOT CAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WEDGING CLUBFOOT CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29750","description":"WEDGING CLUBFOOT CAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WEIGHT RECORDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2001F","description":"WEIGHT RECORDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEIGHT RECORDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2001F","description":"WEIGHT RECORDED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1028","description":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1028","description":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS BACK UPHLSTR REPLCMT ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0982","description":"WHEELCHAIR ACCESS BACK UPHLSTR REPLCMT ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS BEARINGS ANY TYPE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2210","description":"WHEELCHAIR ACCESS BEARINGS ANY TYPE REPL ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS ELEV LEG REST CMPL ASSMBL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0990","description":"WHEELCHAIR ACCESS ELEV LEG REST CMPL ASSMBL EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1002","description":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1002","description":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS SEAT UPHLSTR REPLCMT ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0981","description":"WHEELCHAIR ACCESS SEAT UPHLSTR REPLCMT ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY CALF REST/PAD REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0995","description":"WHEELCHAIR ACCESSORY CALF REST/PAD REPL ONLY EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY CRUTCH AND CANE HOLDER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2207","description":"WHEELCHAIR ACCESSORY CRUTCH AND CANE HOLDER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY CYLINDER TANK CARRIER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2208","description":"WHEELCHAIR ACCESSORY CYLINDER TANK CARRIER EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0985","description":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0985","description":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY TRAY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0950","description":"WHEELCHAIR ACCESSORY TRAY EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1029","description":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1029","description":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1030","description":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1030","description":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR MGMT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97542","description":"WHEELCHAIR MGMT EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR MGMT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97542","description":"WHEELCHAIR MGMT EA 15 MIN","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR W/DETACHABLE ARMS ELEVATING LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1224","description":"WHEELCHAIR W/DETACHABLE ARMS ELEVATING LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR W/DETACHABLE ARMS ELEVATING LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1224","description":"WHEELCHAIR W/DETACHABLE ARMS ELEVATING LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR WITH DETACHABLE ARMS FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1223","description":"WHEELCHAIR WITH DETACHABLE ARMS FOOTRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR WITH DETACHABLE ARMS FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1223","description":"WHEELCHAIR WITH DETACHABLE ARMS FOOTRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR WITH FIXED ARM ELEVATING LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1222","description":"WHEELCHAIR WITH FIXED ARM ELEVATING LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR WITH FIXED ARM ELEVATING LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1222","description":"WHEELCHAIR WITH FIXED ARM ELEVATING LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR WITH FIXED ARM FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1221","description":"WHEELCHAIR WITH FIXED ARM FOOTRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR WITH FIXED ARM FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1221","description":"WHEELCHAIR WITH FIXED ARM FOOTRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHFO CUSTOM FABRICATED INCL FITTING AND ADJUSTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3806","description":"WHFO CUSTOM FABRICATED INCL FITTING AND ADJUSTMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHFO DYN FLEXOR HINGE CABLE DRIVEN CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3901","description":"WHFO DYN FLEXOR HINGE CABLE DRIVEN CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHFO DYN FLEXOR HINGE WRST/FNGR DRIVEN CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3900","description":"WHFO DYN FLEXOR HINGE WRST/FNGR DRIVEN CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHFO EXTERNAL POWERED ELECTRIC CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3904","description":"WHFO EXTERNAL POWERED ELECTRIC CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHFO PREFABRICATED INCL FITTING AND ADJUSTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3931","description":"WHFO PREFABRICATED INCL FITTING AND ADJUSTMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHIRLPOOL NONPORTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1310","description":"WHIRLPOOL NONPORTABLE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHL ATTCH RIGD PICK-UP WALK-PAIR SEAT ATTCH WALK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0155","description":"WHL ATTCH RIGD PICK-UP WALK-PAIR SEAT ATTCH WALK","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACCESS MANUAL FULL RECLINING BACK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1226","description":"WHLCHAIR ACCESS MANUAL FULL RECLINING BACK EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1225","description":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1225","description":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACSS PSTN BELT/SFTY BELT/PELV STRAP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0978","description":"WHLCHAIR ACSS PSTN BELT/SFTY BELT/PELV STRAP EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SIZE FOLD ADJUSTBL W/SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1236","description":"WHLCHAIR PED SIZE FOLD ADJUSTBL W/SEATING SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SIZE FOLD ADJUSTBL W/SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1236","description":"WHLCHAIR PED SIZE FOLD ADJUSTBL W/SEATING SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SIZE RIGD ADJUSTBL W/SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1235","description":"WHLCHAIR PED SIZE RIGD ADJUSTBL W/SEATING SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SIZE RIGD ADJUSTBL W/SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1235","description":"WHLCHAIR PED SIZE RIGD ADJUSTBL W/SEATING SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SZ FOLD ADJUSTBL W/O SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1238","description":"WHLCHAIR PED SZ FOLD ADJUSTBL W/O SEATING SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SZ FOLD ADJUSTBL W/O SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1238","description":"WHLCHAIR PED SZ FOLD ADJUSTBL W/O SEATING SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SZ RIGD ADJUSTBL W/O SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1237","description":"WHLCHAIR PED SZ RIGD ADJUSTBL W/O SEATING SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SZ RIGD ADJUSTBL W/O SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1237","description":"WHLCHAIR PED SZ RIGD ADJUSTBL W/O SEATING SYSTEM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR; DTACHBLE ARMS DTACHBLE ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1150","description":"WHLCHAIR; DTACHBLE ARMS DTACHBLE ELEV LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR; DTACHBLE ARMS DTACHBLE ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1150","description":"WHLCHAIR; DTACHBLE ARMS DTACHBLE ELEV LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR; FIX FULL-LEN ARMS DTACHBL ELEV LEGRSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1160","description":"WHLCHAIR; FIX FULL-LEN ARMS DTACHBL ELEV LEGRSTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR; FIX FULL-LEN ARMS DTACHBL ELEV LEGRSTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1160","description":"WHLCHAIR; FIX FULL-LEN ARMS DTACHBL ELEV LEGRSTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3905","description":"WHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHO W/O JNT MAY INCL SFT INTRFCE STRAPS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3906","description":"WHO W/O JNT MAY INCL SFT INTRFCE STRAPS CSTM FAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BLOOD VOLUME DETERM PLASMA AND RED CELL VOLU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78122","description":"WHOLE BLOOD VOLUME DETERM PLASMA AND RED CELL VOLU","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BLOOD VOLUME DETERMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78122","description":"WHOLE BLOOD VOLUME DETERMINATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BLOOD VOLUME DETERMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78122","description":"WHOLE BLOOD VOLUME DETERMINATION","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1093","description":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS FOOTRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1093","description":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS FOOTRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1092","description":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1092","description":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS LEGRESTS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WINDOWING CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29730","description":"WINDOWING CAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WINDOWING CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29730","description":"WINDOWING CAST","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERED/DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9471","description":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERED/DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERED/DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9471","description":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERED/DOC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WND CARE SET NEG PRSS WND TX ELEC PUMP SPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6550","description":"WND CARE SET NEG PRSS WND TX ELEC PUMP SPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WND CARE SET NEG PRSS WND TX ELEC PUMP SPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6550","description":"WND CARE SET NEG PRSS WND TX ELEC PUMP SPL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD BIL MASTECTOMY/HX BIL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9708","description":"WOMEN WHO HAD BIL MASTECTOMY/HX BIL MASTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD BIL MASTECTOMY/HX BIL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9708","description":"WOMEN WHO HAD BIL MASTECTOMY/HX BIL MASTECTOMY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD EA DUR 12 MONTH PRI TO INDEX DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9822","description":"WOMEN WHO HAD EA DUR 12 MONTH PRI TO INDEX DATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD EA DUR 12 MONTH PRI TO INDEX DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9822","description":"WOMEN WHO HAD EA DUR 12 MONTH PRI TO INDEX DATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD EA DUR YEAR PRI TO INDEX DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9822","description":"WOMEN WHO HAD EA DUR YEAR PRI TO INDEX DATE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND CHARACTERISTICS DOCD PRIOR DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2050F","description":"WOUND CHARACTERISTICS DOCD PRIOR DEBRIDEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND CHARACTERISTICS DOCD PRIOR DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2050F","description":"WOUND CHARACTERISTICS DOCD PRIOR DEBRIDEMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND CLOSURE UTILIZING TISSUE ADHESIVE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0168","description":"WOUND CLOSURE UTILIZING TISSUE ADHESIVE ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WOUND CLOSURE UTILIZING TISSUE ADHESIVE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0168","description":"WOUND CLOSURE UTILIZING TISSUE ADHESIVE ONLY","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WOUND POUCH EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6154","description":"WOUND POUCH EACH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WOUND SURFACE CULTURE TECHNIQUE USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4260F","description":"WOUND SURFACE CULTURE TECHNIQUE USED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND SURFACE CULTURE TECHNIQUE USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4260F","description":"WOUND SURFACE CULTURE TECHNIQUE USED","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND FINGER ORTHOSIS RIGID W/O JNT; CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3808","description":"WRIST HAND FINGER ORTHOSIS RIGID W/O JNT; CUSTOM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND FINGER W/O JOINT PREFAB ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3809","description":"WRIST HAND FINGER W/O JOINT PREFAB ANY TYPE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND FINGR ORTHOS W/O JNT PREFAB CSTM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3807","description":"WRIST HAND FINGR ORTHOS W/O JNT PREFAB CSTM FIT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND ORTHOSIS 1 OR GT NONTORSION JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3916","description":"WRIST HAND ORTHOSIS 1 OR GT NONTORSION JOINT PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND ORTHOSIS 1 OR GT NONTORSION JNT PRFAB CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3915","description":"WRIST HAND ORTHOSIS 1 OR GT NONTORSION JNT PRFAB CSTM","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WRIST-HAND ORTHOSIS EXT CONTROL COCK-UP PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3908","description":"WRIST-HAND ORTHOSIS EXT CONTROL COCK-UP PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WRIST-HAND ORTHOSIS EXT CONTROL COCK-UP PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3908","description":"WRIST-HAND ORTHOSIS EXT CONTROL COCK-UP PREFAB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC MOLD SOCKET FLEX ELB HNG TRICP PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6050","description":"WRST DISARTIC MOLD SOCKET FLEX ELB HNG TRICP PAD","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC MOLD SOCKT W/XPNDABLE INTERFCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6055","description":"WRST DISARTIC MOLD SOCKT W/XPNDABLE INTERFCE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6925","description":"WRST DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6920","description":"WRST DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVICE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Water pressure mattress","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0187","description":"Water pressure mattress","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Water pressure mattress","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0187","description":"Water pressure mattress","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Wound pouch each","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6154","description":"Wound pouch each","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"Wound pouch each","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6154","description":"Wound pouch each","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"X-RAY URINARY TRACT EXAM WITH CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74420","description":"X-RAY URINARY TRACT EXAM WITH CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66982","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66982","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66984","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66984","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61558","description":"XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61558","description":"XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61559","description":"XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61559","description":"XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL CANNULA DECLTNG SPX W/BALO CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36861","description":"XTRNL CANNULA DECLTNG SPX W/BALO CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL CANNULA DECLTNG SPX W/BALO CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36861","description":"XTRNL CANNULA DECLTNG SPX W/BALO CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL CANNULA DECLTNG SPX W/O BALO CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36860","description":"XTRNL CANNULA DECLTNG SPX W/O BALO CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL CANNULA DECLTNG SPX W/O BALO CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36860","description":"XTRNL CANNULA DECLTNG SPX W/O BALO CATH","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG AND 48 HR RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93225","description":"XTRNL ECG AND 48 HR RECORDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG and 48 HR RECORD SCAN STOR W/R and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93224","description":"XTRNL ECG and 48 HR RECORD SCAN STOR W/R and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG CONTINUOUS RHYTHM W/I and R UP TO 48 HRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93227","description":"XTRNL ECG CONTINUOUS RHYTHM W/I and R UP TO 48 HRS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93225","description":"XTRNL ECG REC LT 48 HRS RECORDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93225","description":"XTRNL ECG REC LT 48 HRS RECORDING","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RECORDING SCAN A/R R and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93224","description":"XTRNL ECG REC LT 48 HRS RECORDING SCAN A/R R and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RECORDING SCAN A/R R and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93224","description":"XTRNL ECG REC LT 48 HRS RECORDING SCAN A/R R and I","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RVW and INTERPJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93227","description":"XTRNL ECG REC LT 48 HRS RVW and INTERPJ PHYS/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RVW and INTERPJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93227","description":"XTRNL ECG REC LT 48 HRS RVW and INTERPJ PHYS/QHP","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS SCANNING A/R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93226","description":"XTRNL ECG REC LT 48 HRS SCANNING A/R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS SCANNING A/R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93226","description":"XTRNL ECG REC LT 48 HRS SCANNING A/R","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL FIXJ W/STEREOTACTIC ADJUSTMENT 1ST and SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20696","description":"XTRNL FIXJ W/STEREOTACTIC ADJUSTMENT 1ST and SUBQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL FIXJ W/STRTCTC ADJUSTMENT EXCHANGE STRUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20697","description":"XTRNL FIXJ W/STRTCTC ADJUSTMENT EXCHANGE STRUT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL MOBILE CV TELEMETRY W/I and REPORT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93228","description":"XTRNL MOBILE CV TELEMETRY W/I and REPORT 30 DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL MOBILE CV TELEMETRY W/I and REPORT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93228","description":"XTRNL MOBILE CV TELEMETRY W/I and REPORT 30 DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93229","description":"XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93229","description":"XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL OCULAR PHOTOG W/I and R DOCMT MED PROGRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92285","description":"XTRNL OCULAR PHOTOG W/I and R DOCMT MED PROGRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL OCULAR PHOTOG W/I and R DOCMT MED PROGRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92285","description":"XTRNL OCULAR PHOTOG W/I and R DOCMT MED PROGRESS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL OCULAR PHOTOG W/I and R DOCMT MEDICAL PROGRE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92285","description":"XTRNL OCULAR PHOTOG W/I and R DOCMT MEDICAL PROGRE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIV ECG TRANSMIS W/R and I LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93268","description":"XTRNL PT ACTIV ECG TRANSMIS W/R and I LT 30 DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIV ECG TRANSMIS W/R and I LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93268","description":"XTRNL PT ACTIV ECG TRANSMIS W/R and I LT 30 DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93271","description":"XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93271","description":"XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93270","description":"XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93270","description":"XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVTD ECG DWNLD W/R and I LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93272","description":"XTRNL PT ACTIVTD ECG DWNLD W/R and I LT 30 DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVTD ECG DWNLD W/R and I LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93272","description":"XTRNL PT ACTIVTD ECG DWNLD W/R and I LT 30 DAYS","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I AND D FLOOR MASTICATOR SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41018","description":"XTRORAL I AND D FLOOR MASTICATOR SPACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I AND D FLOOR MASTICATOR SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41018","description":"XTRORAL I AND D FLOOR MASTICATOR SPACE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41015","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41015","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41016","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41016","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMENT","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41017","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41017","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"XYLOSE ABSORPTION TEST BLOOD and /URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84620","description":"XYLOSE ABSORPTION TEST BLOOD and /URINE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"YELLOW FEVER VACCINE LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90717","description":"YELLOW FEVER VACCINE LIVE SUBQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"YELLOW FEVER VACCINE LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90717","description":"YELLOW FEVER VACCINE LIVE SUBQ","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ZINC AIR BATT COCHLR IMPL AND AUD SD PROC REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8621","description":"ZINC AIR BATT COCHLR IMPL AND AUD SD PROC REPL EA","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ZINC PASTE IMPREGNTD BANDGE WDTH GT or equal to 3 and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6456","description":"ZINC PASTE IMPREGNTD BANDGE WDTH GT or equal to 3 and","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ZINC PASTE IMPREGNTD BANDGE WDTH GT or equal to 3 and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6456","description":"ZINC PASTE IMPREGNTD BANDGE WDTH GT or equal to 3 and","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90736","description":"ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]},{"negotiation_arrangement":"ffs","name":"ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90736","description":"ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[215688],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["11","19","20","22","24"]}]}]}]}